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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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Cascade Medical CenterLeavenworth$259 – $3887 plansDoctor’s fee: $356$371Doctor’s fee: $341$464Doctor’s fee: $426
Cascade Valley HospitalArlington$129 – $2,7003 plans$222 – $418$277 – $523
EvergreenHealth Medical CenterKirkland$147 – $1505 plans$144 – $288$180 – $360
EvergreenHealth MonroeMonroe$145 – $1475 plans$144 – $288$180 – $360
Harborview Medical CenterSeattleFile dated 2026-04-01—$69.56 – $290$99.37 – $414
Island HospitalAnacortes$1301 plan$200$200
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$203 – $461$290 – $658
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01—$39.36 – $145$78.72 – $290
PeaceHealth Southwest Medical CenteVancouver—$181 – $415$279 – $639
PeaceHealth St John Medical CenterLongview—$309 – $432$475 – $665
PeaceHealth St Joseph Medical CenterBellingham—$110 – $151$169 – $232
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$129 – $1354 plans$418$523
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$36.00 – $115$75.00 – $239
Swedish IssaquahIssaquahFile dated 2026-04-01—$61.92 – $187$129 – $390
Swedish Medical CenterSeattleFile dated 2026-04-01—$61.92 – $187$129 – $390
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$61.92 – $187$129 – $390
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

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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)