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Hospital Outpatient Clinic Visit

Minnesota 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?

$18.20

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $18.20 for this service. The price depends on where it is billed: about $18.20 from a physician practice, and about $102 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$18.20$18.20 to $87.10
FacilityA hospital or hospital-owned outpatient department$102$87.10 to $240

How much rates vary

Facilitymedian $102 · 10th to 90th $55 to $447Professionalmedian $18 · 10th to 90th $16 to $126
$20$50$100$200$500facility $102professional $18

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
$53.70
Median
$97.72
Typical High
$380.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$131.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$18.20
Median
$169.82
Typical High
$588.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$18.20
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$1,122.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$128.82
Typical High
$158.49
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$446.68
Typical High
$870.96
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$131.83
Medica
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$87.10
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$346.74
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$79.43
Typical High
$79.43

Where Minnesota 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.

Minnesota· 51st of 51

$18.20

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.