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Hospital Outpatient Clinic Visit

Rhode Island 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?

$74.13

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $74.13 for this service. Most negotiated rates run $74.13 to $87.10.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $302 · 10th to 90th $34 to $3,981Professionalmedian $74 · 10th to 90th $74 to $102
$50$100$200$500$1K$2Kfacility $302professional $74

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
$33.88
Median
$346.74
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$102.33
BCBS
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$302.00
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72

Where Rhode Island 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.

Rhode Island· 49th of 51

$74.13

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.