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
LEVEL 3 EP
Dothan, AL
See all hospitals reporting HCPCS G0463 →Price type
Triad of Alabama LLC’s median price of $209 is 32% above the median hospital's median price ($157), higher than 74% 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, 20 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 | Tricare node tricare facility · fee schedule · outpatient | $121.85 | $121.85 | $121.85 – $121.85 |
| 2 | Blue Cross Blue Shield node bcbs al mcr adv facility · fee schedule · outpatient | $126.21 | $126.21 | $126.21 – $126.21 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $126.21 | $126.21 | $126.21 – $126.21 |
| 4 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $126.21 | $126.21 | $126.21 – $126.21 |
| 5 | Optum node united optum va ccn facility · fee schedule · outpatient | $128.26 | $128.26 | $128.26 – $128.26 |
| 6 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $128.73 | $128.73 | $128.73 – $128.73 |
| 7 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $128.73 | $128.73 | $128.73 – $128.73 |
| 8 | Clover node clover health mcr adv facility · fee schedule · outpatient | $129.54 | $129.54 | $129.54 – $129.54 |
| 9 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $129.98 | $129.98 | $129.98 – $129.98 |
| 10 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $130.83 | $130.83 | $130.83 – $130.83 |
| 11 | UnitedHealthcare uhc iex facility · percent of total billed charges · outpatientfrom % of charges | $118.15 | $142.71 | $70.89 – $318.70 |
| 12 | UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges | $139.70 | $168.73 | $83.81 – $376.82 |
| 13 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $192.39 | $192.39 | $192.39 – $192.39 |
| 14 | Bcbs Al bcbs al all facility · other · outpatient | $249.36 | $249.36 | $249.36 – $249.36 |
| 15 | UnitedHealthcare uhc iex facility · other · outpatient | $389.00 | $389.00 | $389.00 – $389.00 |
| 16 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $451.75 | $545.65 | $271.04 – $1,219 |
| 17 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $507.35 | $595.44 | $304.40 – $1,369 |
| 18 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $556.00 | $652.54 | $333.58 – $1,500 |
| 19 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $556.00 | $652.54 | $333.58 – $1,500 |
| 20 | UnitedHealthcare uhc apa facility · other · outpatient | $760.00 | $760.00 | $760.00 – $760.00 |
Last updated: Apr 1, 2026
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