HCPCS G0463 at Cascade Medical Center

Hospital outpatient clinic visit for assessment and management of a patient

Cascade Medical Center, Leavenworth

Description from CMS's HCPCS Level II code file.

What Cascade Medical Center publishes for this code: as an outpatient

Cascade Medical Center’s prices for HCPCS G0463, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$2911 plan	$267
Medicare AdvantageInsurer rates	$259 – $3887 plans	$356
Medicaid managed careInsurer rates	$258 – $3884 plans	$237 – $356
Medicaid (state program)Insurer rates	$2481 plan	$228
Medicare (traditional)Insurer rates	$2681 plan	—
Other government programInsurer rates	$1331 plan	$133
UnknownInsurer rates	$302 – $4185 plans	$277 – $383
Cash pricePaying yourself, without insurance	$371	$341
List priceBefore any discount; few people pay it	$464	$426

Lowest and highest amounts Cascade Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G0463 at Cascade Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0463 at every Washington hospital, with Medicare’s reference amounts.