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 IP WC 31-45 Mins
Quitman, TX
See all hospitals reporting HCPCS G0463 →Price type
Quitman Hospital, LLC’s median price of $56 is 64% below the median hospital's median price ($157), higher than 2% 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, 25 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 | Blue Cross Blue Shield blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $24.50 | $24.50 | $17.50 – $31.50 |
| 2 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $24.50 | $24.50 | $17.50 – $31.50 |
| 3 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $24.50 | $24.50 | $17.50 – $31.50 |
| 4 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $24.50 | $24.50 | $17.50 – $31.50 |
| 5 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $24.50 | $24.50 | $17.50 – $31.50 |
| 6 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $24.50 | $24.50 | $17.50 – $31.50 |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $24.50 | $24.50 | $17.50 – $31.50 |
| 8 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $24.99 | $24.99 | $17.85 – $32.13 |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $24.99 | $24.99 | $17.85 – $32.13 |
| 10 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $28.00 | $28.00 | $20.00 – $36.00 |
| 11 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $43.75 | $43.75 | $31.25 – $56.25 |
| 12 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $43.75 | $43.75 | $31.25 – $56.25 |
| 13 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $43.75 | $43.75 | $31.25 – $56.25 |
| 14 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $58.28 | $58.28 | $41.63 – $74.93 |
| 15 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $58.28 | $58.28 | $41.63 – $74.93 |
| 16 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $58.28 | $58.28 | $41.63 – $74.93 |
| 17 | UnitedHealthcare uhc medica choice [206030] facility · percent of total billed charges · bothfrom % of charges | $87.50 | $87.50 | $62.50 – $112.50 |
| 18 | UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges | $87.50 | $87.50 | $62.50 – $112.50 |
| 19 | UnitedHealthcare united healthcare texas exchange plan [206034] facility · percent of total billed charges · bothfrom % of charges | $87.50 | $87.50 | $62.50 – $112.50 |
| 20 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $99.58 | $99.58 | $71.13 – $128.03 |
| 21 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $117.25 | $117.25 | $83.75 – $150.75 |
| 22 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $117.25 | $117.25 | $83.75 – $150.75 |
| 23 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $117.25 | $117.25 | $83.75 – $150.75 |
| 24 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $134.75 | $134.75 | $96.25 – $173.25 |
| 25 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $134.75 | $134.75 | $96.25 – $173.25 |
Last updated: Feb 12, 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.