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Hospital Outpatient Clinic Visit

Colorado rates for HCPCS G0463

Hospital outpatient clinic visit for assessment and management of a patient

Rates data updated July 2026.

How much does Hospital Outpatient Clinic Visit cost?

$87.10

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $97.72 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$87.10$87.10 to $87.10
FacilityA hospital or hospital-owned outpatient department$97.72$74.13 to $132

How much rates vary

Facilitymedian $98 · 10th to 90th $49 to $158Professionalmedian $87 · 10th to 90th $74 to $107
$10$20$50$100$200$500facility $98professional $87

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$95.50
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$93.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$104.71
Typical High
$154.88
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$295.12
Select Health
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$79.43

Where Colorado sits

The same service costs 9.1 times more in North Carolina than in Minnesota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Colorado· 8th of 51

$87.10

NC $166MN $18.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.