go back

Hospital Outpatient Clinic Visit

Michigan 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 Michigan, 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 $89.13 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 6 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 $107
FacilityA hospital or hospital-owned outpatient department$89.13$60.26 to $141

How much rates vary

Facilitymedian $89 · 10th to 90th $50 to $295Professionalmedian $87 · 10th to 90th $74 to $132
$10$20$50$100$200$500facility $89professional $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
$50.12
Median
$89.13
Typical High
$295.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$131.83
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$87.10
Typical High
$125.89
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$87.10
Typical High
$107.15
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$371.54
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$75.86
Typical High
$79.43

Where Michigan 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.

Michigan· 32nd 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.