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Every billing code / Visits / Office/Outpatient Services

HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Current codeHospital Outpatient E&M - Facility Fee40 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$240 – $6897 plans——
Cascade Medical CenterLeavenworth$2911 planDoctor’s fee: $267$371Doctor’s fee: $341$464Doctor’s fee: $426
Cascade Valley HospitalArlington$23.55 – $2,70010 plans$222 – $418$277 – $523
Deaconess Medical CenterSpokaneFile dated 2026-08-27$245 – $5395 plans——
EvergreenHealth Medical CenterKirkland$57.60 – $57421 plans$144 – $288$180 – $360
EvergreenHealth MonroeMonroe$113 – $33516 plans$144 – $288$180 – $360
Harborview Medical CenterSeattleFile dated 2026-04-01$247 – $3283 plans$69.56 – $290$99.37 – $414
Island HospitalAnacortes$16.00 – $286at least 13 plans$200$200
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$251 – $4537 plans$203 – $461$290 – $658
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$2971 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$45.00 – $9515 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$43.75 – $63913 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$43.75 – $63913 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$206 – $6398 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$245 – $5385 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$170 – $5229 plans$39.36 – $145$78.72 – $290
PeaceHealth Peace Island Medical CenterFriday Harbor—$70.20 – $85.15Doctor’s fee: $112$108 – $131Doctor’s fee: $173
PeaceHealth Southwest Medical CenteVancouver$23.62 – $4794 plans$87.75 – $297$135 – $457
PeaceHealth St John Medical CenterLongview$63.321 plan$87.75 – $352$135 – $542
PeaceHealth St Joseph Medical CenterBellingham—$87.75 – $156$135 – $240
PeaceHealth United General Medical CenterSedro Woolley$50.001 plan$85.15 – $87.75Doctor’s fee: $32.50$131 – $135Doctor’s fee: $50.00
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$251 – $49211 plans$192 – $589$274 – $841
Providence Centralia HospitalCentraliaFile dated 2026-04-01$261 – $8077 plans$105 – $368$201 – $707
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$178 – $54410 plans$202 – $465$289 – $664
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$182 – $48711 plans$86.32 – $400$166 – $769
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$447$639
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$237 – $5956 plans$190 – $547$1.00 – $782
Providence St Peter HospitalOlympiaFile dated 2026-04-01$130 – $64911 plans$146$281
Skagit Valley HospitalMount Vernon$22.37 – $59910 plans$124 – $431$155 – $539
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$227 – $58711 plans$36.00 – $115$75.00 – $239
Swedish IssaquahIssaquahFile dated 2026-04-01$232 – $65612 plans$48.00 – $187$100 – $390
Swedish Medical CenterSeattleFile dated 2026-04-01$231 – $65414 plans$48.00 – $187$100 – $390
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$231 – $65414 plans$48.00 – $187$100 – $390
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$43.75 – $63913 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$247 – $5538 plans$50.08 – $182$71.55 – $260
Virginia Mason Medical CenterSeattle$85.20 – $47510 plans$72.42 – $83.13$142 – $163
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3921 plan——
WhidbeyHealth Medical CenterCoupeville—$174 – $550$174 – $550
Yakima Valley MemorialYakimaFile dated 2026-08-27$25.00 – $33610 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Hospital outpatient payment (national)
$136 (APC 5012)