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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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$91.16 – $1355 plans——
Cascade Medical CenterLeavenworth$258 – $3884 plansDoctor’s fee: $237 – $356$371Doctor’s fee: $341$464Doctor’s fee: $426
Cascade Valley HospitalArlington$139 – $5234 plans$222 – $418$277 – $523
Deaconess Medical CenterSpokaneFile dated 2026-08-27$113 – $1205 plans——
EvergreenHealth Medical CenterKirkland—$144 – $288$180 – $360
EvergreenHealth MonroeMonroe$1451 plan$144 – $288$180 – $360
Harborview Medical CenterSeattleFile dated 2026-04-01—$69.56 – $290$99.37 – $414
Island HospitalAnacortes$100 – $159at least 1 plan$200$200
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$203 – $461$290 – $658
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$116 – $1255 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$115 – $1245 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$115 – $1245 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$116 – $1265 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$112 – $1185 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$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$61.42 – $1541 plan$87.75 – $297$135 – $457
PeaceHealth St John Medical CenterLongview$123 – $1663 plans$87.75 – $352$135 – $542
PeaceHealth St Joseph Medical CenterBellingham$1662 plans$87.75 – $156$135 – $240
PeaceHealth United General Medical CenterSedro Woolley—$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—$192 – $589$274 – $841
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$105 – $368$201 – $707
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$202 – $465$289 – $664
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$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—$190 – $547$1.00 – $782
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$146$281
Skagit Valley HospitalMount Vernon$110 – $1595 plans$124 – $431$155 – $539
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.00 – $115$75.00 – $239
Swedish IssaquahIssaquahFile dated 2026-04-01—$48.00 – $187$100 – $390
Swedish Medical CenterSeattleFile dated 2026-04-01—$48.00 – $187$100 – $390
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$48.00 – $187$100 – $390
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$116 – $1265 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01—$50.08 – $182$71.55 – $260
Virginia Mason Medical CenterSeattle—$72.42 – $83.13$142 – $163
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$174 – $550$174 – $550
Yakima Valley MemorialYakimaFile dated 2026-08-27$121 – $1405 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)