US Health Care Costs

Hospital outpatient clinic visit (facility fee)

HCPCS G0463 · Doctor and ER visits · hospital facility charge

At the 103 hospitals whose price files we have read so far, the typical cash price is $172, and most charge between $71 and $420 (the middle 80%; price files contain errors, so the extremes are left out). Pick a state to compare its hospitals.

Estimate what you would pay

$172typical cash price
$269typical commercial insurer rate
$344typical list price
103hospitals in 28 states so far
Typical cash price by state

Every state

StateHospitalsTypical cash priceLowest cashHighest cashTypical insurer price
Alabama1$1,250$1,250$1,250$541
Arizona2$182$84$281$153
California5$231$231$231$265
Connecticut1$348$348$348–
Delaware1$289$289$289$618
Florida8$210$67$419$186
Georgia3$266$249$282$283
Iowa1$420$420$420$326
Illinois5$287$202$373$177
Indiana1$51$51$51$130
Kentucky2$25$25$25$225
Michigan3$183$183$442$67
Minnesota1$53$53$53$167
Missouri3$110$76$384$166
North Carolina4$257$257$442$253
Nebraska1$1,591$1,591$1,591$491
New Jersey8$172$143$172$146
New York1$158$158$158$293
Ohio7$143$70$335$289
Oklahoma1$129$129$129$228
Oregon1$270$270$270$284
Pennsylvania7$109$38$359$92
South Carolina3–––$138
Tennessee2$90$90$90$231
Texas21$194$67$321$374
Utah2$537$489$584$554
Virginia6$172$172$172$301
Washington2$258$146$369$387
103 hospitals so far: only hospitals whose price files we've read are listed, and more are added every night. The price is the hospital's part; the doctor usually bills separately.

Common questions

How much does hospital outpatient clinic visit (facility fee) cost at a hospital?

At 63 hospitals that publish a cash price, the typical price for hospital outpatient clinic visit (facility fee) is $172, and most charge between $71 and $420. The typical rate commercial insurers have negotiated is $269. These are hospital prices; independent clinics, imaging centers and labs often charge less.

Is it cheaper to pay cash or use insurance for hospital outpatient clinic visit (facility fee)?

At 26 of the 52 hospitals that publish both, the cash price is lower than the typical insurer rate. Remember that with insurance you pay only your share of that rate once your deductible is met, and that cash payments usually don't count toward your deductible.

Does the price include the doctor?

No. These are the hospital's own charges, often called the facility fee. The doctors involved, such as the surgeon, the anesthesiologist or the radiologist who reads a scan, usually send a separate bill.

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