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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)
Capital Medical CenterOlympiaFile dated 2026-08-27$151 – $1666 plans——
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
Deaconess Medical CenterSpokaneFile dated 2026-08-27$145 – $1608 plans——
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$154 – $1705 plans$69.56 – $290$99.37 – $414
Island HospitalAnacortes$130 – $168at least 11 plans$200$200
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$148 – $1787 plans$203 – $461$290 – $658
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$153 – $1666 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$152 – $1687 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$152 – $1677 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$152 – $1677 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$152 – $1687 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$150 – $1607 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$167 – $2155 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$155 – $1613 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$59.06 – $17013 plans$87.75 – $297$135 – $457
PeaceHealth St John Medical CenterLongview$123 – $17414 plans$87.75 – $352$135 – $542
PeaceHealth St Joseph Medical CenterBellingham$158 – $1748 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$148 – $1787 plans$192 – $589$274 – $841
Providence Centralia HospitalCentraliaFile dated 2026-04-01$154 – $2477 plans$105 – $368$201 – $707
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$148 – $1635 plans$202 – $465$289 – $664
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$152 – $1676 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$148 – $1636 plans$190 – $547$1.00 – $782
Providence St Peter HospitalOlympiaFile dated 2026-04-01$153 – $2457 plans$146$281
Skagit Valley HospitalMount Vernon$129 – $1354 plans$124 – $431$155 – $539
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$152 – $1828 plans$36.00 – $115$75.00 – $239
Swedish IssaquahIssaquahFile dated 2026-04-01$155 – $1868 plans$48.00 – $187$100 – $390
Swedish Medical CenterSeattleFile dated 2026-04-01$154 – $1858 plans$48.00 – $187$100 – $390
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$154 – $1858 plans$48.00 – $187$100 – $390
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$152 – $1687 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$154 – $1705 plans$50.08 – $182$71.55 – $260
Virginia Mason Medical CenterSeattle$98.26 – $1479 plans$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$156 – $1748 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)