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Hospital Outpatient Clinic Visit

Florida 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 Florida, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $81.28 from a physician practice, and about $170 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$81.28$74.13 to $87.10
FacilityA hospital or hospital-owned outpatient department$170$83.18 to $288

How much rates vary

Facilitymedian $170 · 10th to 90th $48 to $479Professionalmedian $81 · 10th to 90th $74 to $102
$10$20$50$100$200$500$1Kfacility $170professional $81

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
$47.86
Median
$169.82
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$107.15
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$169.82
Typical High
$173.78
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$39.81
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$162.18
Typical High
$162.18
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$162.18
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$16.98
Median
$16.98
Typical High
$16.98

Where Florida 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.

Florida· 17th 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.