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Hospital Outpatient Clinic Visit

South Dakota 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?

$123

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $87.10 to $145.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $117 · 10th to 90th $51 to $324Professionalmedian $129 · 10th to 90th $81 to $186
$50$100$200$500facility $117professional $129

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
$51.29
Median
$117.49
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$128.82
Typical High
$186.21
Avera
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$125.89
Typical High
$213.80
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$28.84
Median
$28.84
Typical High
$28.84

Where South Dakota 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.

South Dakota· 2nd of 51

$123

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.