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 PATIENT LEVEL 4 - G0463 - 5100199
Liverpool, OH
See all hospitals reporting HCPCS G0463 →Price type
East Liverpool City Hospital’s median price of $129 is 18% below the median hospital's median price ($157), higher than 21% 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: 10 payers, 22 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina molina medicaid fee schedule · outpatient | $92.33 | $92.33 | $92.33 – $92.33 |
| 2 | Caresource care source medicaid fee schedule · outpatient | $94.18 | $94.18 | $94.18 – $94.18 |
| 3 | Anthem anthem bcbs medicaid fee schedule · outpatient | $95.10 | $95.10 | $95.10 – $95.10 |
| 4 | Amerihealth Caritas amerihealth caritas medicaid fee schedule · outpatient | $96.95 | $96.95 | $96.95 – $96.95 |
| 5 | UnitedHealthcare uhc medicaid fee schedule · outpatient | $96.95 | $96.95 | $96.95 – $96.95 |
| 6 | Medical Mutual medical mutual of oh hmo and ppo percent of total billed charges · outpatientfrom % of charges | $119.07 | $119.07 | $119.07 – $119.07 |
| 7 | UnitedHealthcare uhc medicare fee schedule · outpatient | $122.82 | $122.82 | $122.82 – $122.82 |
| 8 | Anthem anthem medicare fee schedule · outpatient | $125.33 | $125.33 | $125.33 – $125.33 |
| 9 | Medical Mutual medical mutual of oh medicare fee schedule · outpatient | $125.33 | $125.33 | $125.33 – $125.33 |
| 10 | Molina molina medicare fee schedule · outpatient | $125.33 | $125.33 | $125.33 – $125.33 |
| 11 | Tricare tricare fee schedule · outpatient | $125.33 | $125.33 | $125.33 – $125.33 |
| 12 | UnitedHealthcare uhc - vaccn fee schedule · outpatient | $125.33 | $125.33 | $125.33 – $125.33 |
| 13 | UnitedHealthcare uhc duals fee schedule · outpatient | $125.33 | $125.33 | $125.33 – $125.33 |
| 14 | Cigna cigna commercial percent of total billed charges · outpatientfrom % of charges | $128.43 | $128.43 | $128.43 – $128.43 |
| 15 | Caresource caresource duals fee schedule · outpatient | $129.09 | $129.09 | $129.09 – $129.09 |
| 16 | Caresource caresource duals - my care fee schedule · outpatient | $129.09 | $129.09 | $129.09 – $129.09 |
| 17 | Devoted devoted health fee schedule · outpatient | $131.60 | $131.60 | $131.60 – $131.60 |
| 18 | Caresource caresource exchange fee schedule · outpatient | $181.73 | $181.73 | $181.73 – $181.73 |
| 19 | Molina molina exchange (04-21-2022 to 12-31-2026) fee schedule · outpatient | $181.73 | $181.73 | $181.73 – $181.73 |
| 20 | MultiPlan multiplan workers comp fee schedule · outpatient | $187.62 | $187.62 | $187.62 – $187.62 |
| 21 | UnitedHealthcare uhc commercial percent of total billed charges · outpatientfrom % of charges | $359.60 | $384.14 | $359.60 – $433.23 |
| 22 | Anthem anthem bcbs hmo percent of total billed charges · outpatientfrom % of charges | $461.09 | $461.09 | $461.09 – $461.09 |
Last updated: Sep 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.