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
HC OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES - G0463 - 76100005
Des Plaines, IL
See all hospitals reporting HCPCS G0463 →Price type
Holy Family Medical Center’s median price of $142 is 10% below the median hospital's median price ($157), higher than 38% 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: 12 payers, 21 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 bcbs dual eligible fee schedule · outpatient | $134.87 | $134.87 | $134.87 – $134.87 |
| 2 | Aetna aetna medicare fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 3 | Blue Cross Blue Shield bcbs medicare hmo fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 4 | Blue Cross Blue Shield bcbs medicare ppo fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 5 | Cigna Healthspring cigna healthspring medicare fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 6 | Devoted devoted health medicare fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 7 | Humana humana medicare fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 8 | Tricare tricare fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 9 | UnitedHealthcare uhc medicare fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 10 | WellCare celtic wellcare complete (wellcare) medicare fee schedule · outpatient | $141.97 | $141.97 | $141.97 – $141.97 |
| 11 | Molina molina medicare fee schedule · outpatient | $146.23 | $146.23 | $146.23 – $146.23 |
| 12 | Molina molina medicare (mapd) ma-snp fide-snp medi medi fee schedule · outpatient | $146.23 | $146.23 | $146.23 – $146.23 |
| 13 | UnitedHealthcare uhc va fee schedule · outpatient | $147.63 | $147.63 | $147.63 – $147.63 |
| 14 | Aetna Better Health aetna better health dual eligible fee schedule · outpatient | $149.07 | $149.07 | $149.07 – $149.07 |
| 15 | Humana humana medi-medi fee schedule · outpatient | $156.17 | $156.17 | $156.17 – $156.17 |
| 16 | UnitedHealthcare uhc exchange fee schedule · outpatient | $177.46 | $177.46 | $177.46 – $177.46 |
| 17 | Blue Cross Blue Shield bcbs my blue plus pos fee schedule · outpatient | $191.66 | $191.66 | $191.66 – $191.66 |
| 18 | Blue Cross Blue Shield bcbs smart health care fee schedule · outpatient | $198.76 | $198.76 | $198.76 – $198.76 |
| 19 | Molina molina exchange fee schedule · outpatient | $212.96 | $212.96 | $212.96 – $212.96 |
| 20 | Ambetter celtic insurance company (ambetter) exchange fee schedule · outpatient | $229.99 | $229.99 | $229.99 – $229.99 |
| 21 | Cigna cigna commercial case rate · outpatient | $677.00 | $675.33 | $255.00 – $1,106 |
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.