Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Est Eval Visit Level 5 - Psych|PROCEDURE PERFORMED ON INFANTS LESS THAN 4 KG
Durham, NC
See all hospitals reporting HCPCS G0463 →Price type
Duke University Hospital’s median price of $87 is 45% below the median hospital's median price ($157), higher than 5% of the 1,746 hospitals reporting HCPCS G0463. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 42 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Medcost ultra facility · percent of total billed charges · bothfrom % of charges | $28.03 | $40.01 | $5.37 – $98.41 |
| 2 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $32.46 | $42.54 | $5.37 – $98.41 |
| 3 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $32.46 | $42.54 | $5.37 – $98.41 |
| 4 | Cigna connect facility · percent of total billed charges · bothfrom % of charges | $32.40 | $46.35 | $4.65 – $98.15 |
| 5 | Cigna connect facility · percent of total billed charges · outpatientfrom % of charges | $33.19 | $46.96 | $4.76 – $99.04 |
| 6 | Aetna whole health facility · percent of total billed charges · bothfrom % of charges | $32.84 | $46.98 | $4.71 – $99.48 |
| 7 | Aetna whole health facility · percent of total billed charges · outpatientfrom % of charges | $32.84 | $49.20 | $4.71 – $99.48 |
| 8 | Aetna medicare advantage hmo facility · percent of total billed charges · inpatientfrom % of charges | $79.70 | $57.05 | $4.09 – $99.71 |
| 9 | Aetna medicare advantage ppo facility · percent of total billed charges · inpatientfrom % of charges | $79.70 | $57.05 | $4.09 – $99.71 |
| 10 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $80.18 | $57.19 | $3.17 – $99.17 |
| 11 | UnitedHealthcare managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $80.18 | $57.19 | $3.17 – $99.17 |
| 12 | Blue Cross Blue Shield medicare advantage/medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · inpatientfrom % of charges | $86.40 | $57.61 | $3.15 – $99.75 |
| 13 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · bothfrom % of charges | $86.14 | $67.72 | $4.02 – $99.71 |
| 14 | UnitedHealthcare managed medicaid facility · percent of total billed charges · bothfrom % of charges | $86.14 | $67.72 | $4.02 – $99.71 |
| 15 | Cigna connect facility · percent of total billed charges · inpatientfrom % of charges | $31.40 | $68.35 | $6.30 – $843.75 |
| 16 | Blue Cross Blue Shield commercial/hmo/ppo/select facility · percent of total billed charges · bothfrom % of charges | $31.71 | $68.45 | $6.36 – $852.19 |
| 17 | Blue Cross Blue Shield commercial/hmo/ppo/select facility · percent of total billed charges · inpatientfrom % of charges | $31.71 | $68.45 | $6.36 – $852.19 |
| 18 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $75.08 | $75.16 | $8.04 – $99.17 |
| 19 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $80.18 | $76.68 | $8.04 – $99.17 |
| 20 | Aetna commercial/hmo/ppo/pos facility · percent of total billed charges · bothfrom % of charges | $34.29 | $95.23 | $6.97 – $933.19 |
| 21 | Aetna commercial/hmo/ppo/pos facility · percent of total billed charges · inpatientfrom % of charges | $34.29 | $95.23 | $6.97 – $933.19 |
| 22 | Aetna commercial/hmo/ppo/pos facility · percent of total billed charges · outpatientfrom % of charges | $34.29 | $95.23 | $6.97 – $933.19 |
| 23 | Blue Cross Blue Shield commercial/hmo/ppo/select facility · percent of total billed charges · outpatientfrom % of charges | $44.34 | $114.04 | $6.36 – $852.19 |
| 24 | Aetna medicare advantage hmo facility · other · both | $119.77 | $119.77 | $119.77 – $119.77 |
| 25 | Aetna medicare advantage hmo facility · fee schedule · outpatient | $123.98 | $123.98 | $123.98 – $123.98 |
Last updated: Apr 1, 2026
See Unscheduled hospital outpatient clinic visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.