Unscheduled hospital outpatient clinic visit at Highlands-cashiers 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

OFFICE/OUTPATIENT VISIT

Highlands, NC

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Pricing by billing methodology

Price type

How this price compares nationally

Highlands-cashiers Hospital’s median price of $75 is 52% below the median hospital's median price ($157), higher than 4% 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 Highlands-cashiers Hospital

Negotiated rates from the hospital’s own file: 9 payers, 24 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	Blue Cross Blue Shield mgmcd percent of total billed charges · outpatientfrom % of charges	$61.18	$61.18	$61.18 – $61.18
2	UnitedHealthcare bhmgmcd percent of total billed charges · outpatientfrom % of charges	$62.10	$62.10	$62.10 – $62.10
3	WellCare mgmcd percent of total billed charges · outpatientfrom % of charges	$63.02	$63.02	$63.02 – $63.02
4	Blue Cross Blue Shield mcr percent of total billed charges · outpatientfrom % of charges	$64.72	$64.72	$64.72 – $64.72
5	Aetna ahw percent of total billed charges · outpatientfrom % of charges	$67.42	$67.42	$67.42 – $67.42
6	Aetna connect percent of total billed charges · outpatientfrom % of charges	$67.42	$67.42	$67.42 – $67.42
7	Aetna simplepay percent of total billed charges · outpatientfrom % of charges	$67.42	$67.42	$67.42 – $67.42
8	Amerihealth Caritas commercial-exchange percent of total billed charges · outpatientfrom % of charges	$68.32	$68.32	$68.32 – $68.32
9	Aetna aetnapreferred percent of total billed charges · outpatientfrom % of charges	$72.46	$72.46	$72.46 – $72.46
10	Blue Cross Blue Shield blueselect percent of total billed charges · outpatientfrom % of charges	$74.90	$74.90	$74.90 – $74.90
11	Blue Cross Blue Shield bluevalue percent of total billed charges · outpatientfrom % of charges	$74.90	$74.90	$74.90 – $74.90
12	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$74.90	$74.90	$74.90 – $74.90
13	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$74.90	$74.90	$74.90 – $74.90
14	Caresource hix percent of total billed charges · outpatientfrom % of charges	$79.11	$79.11	$79.11 – $79.11
15	UnitedHealthcare globalbenefitplanappendix percent of total billed charges · outpatientfrom % of charges	$80.91	$80.91	$80.91 – $80.91
16	Oscar hix percent of total billed charges · outpatientfrom % of charges	$82.16	$82.16	$82.16 – $82.16
17	Medcost signaturenetwork percent of total billed charges · outpatientfrom % of charges	$84.32	$84.32	$84.32 – $84.32
18	Aetna mcr percent of total billed charges · outpatientfrom % of charges	$86.30	$86.30	$86.30 – $86.30
19	UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges	$89.89	$89.89	$89.89 – $89.89
20	Medcost standard percent of total billed charges · outpatientfrom % of charges	$101.44	$101.44	$101.44 – $101.44
21	Medcost ultrarate percent of total billed charges · outpatientfrom % of charges	$101.44	$101.44	$101.44 – $101.44
22	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$108.95	$108.95	$108.95 – $108.95
23	Aetna comm percent of total billed charges · outpatientfrom % of charges	$127.11	$127.11	$127.11 – $127.11
24	MultiPlan comm percent of total billed charges · outpatientfrom % of charges	$143.83	$143.83	$143.83 – $143.83

Last updated: Sep 1, 2026

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