Unscheduled hospital outpatient clinic visit at Highland District Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC EST VISIT LEVEL 4

Hillsboro, OH

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Pricing by billing methodology

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How this price compares nationally

Highland District Hospital’s median price of $126 is 20% below the median hospital's median price ($157), higher than 18% of the 1,746 hospitals reporting HCPCS G0463. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0463 at Highland District Hospital

Negotiated rates from the hospital’s own file: 8 payers, 16 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	Anthem medicaid fee schedule · outpatient	$43.61	$43.61	$43.61 – $43.61
2	Humana medicaid fee schedule · outpatient	$43.61	$43.61	$43.61 – $43.61
3	Molina medicaid fee schedule · outpatient	$43.61	$43.61	$43.61 – $43.61
4	Caresource medicaid fee schedule · outpatient	$44.45	$44.45	$44.45 – $44.45
5	Anthem medicare percent of total billed charges · outpatientfrom % of charges	$96.96	$93.12	$56.00 – $126.40
6	Humana medicare percent of total billed charges · outpatientfrom % of charges	$96.96	$93.12	$56.00 – $126.40
7	Molina medicare percent of total billed charges · outpatientfrom % of charges	$96.96	$93.12	$56.00 – $126.40
8	UnitedHealthcare medicare percent of total billed charges · outpatientfrom % of charges	$96.96	$93.12	$56.00 – $126.40
9	Aetna medicare percent of total billed charges · outpatientfrom % of charges	$98.90	$94.98	$57.12 – $128.93
10	Medical Mutual medicare percent of total billed charges · outpatientfrom % of charges	$98.90	$94.98	$57.12 – $128.93
11	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$215.13	$207.70	$117.25 – $300.20
12	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$246.04	$236.29	$142.10 – $320.74
13	Humana commercial percent of total billed charges · outpatientfrom % of charges	$268.46	$257.83	$155.05 – $349.97
14	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$272.70	$261.90	$157.50 – $355.50
15	Medical Mutual commercial percent of total billed charges · outpatientfrom % of charges	$275.73	$264.81	$159.25 – $359.45
16	UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges	$278.76	$267.72	$161.00 – $363.40

Last updated: Mar 27, 2026

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