Hospital outpatient clinic visit (facility fee) in California
HCPCS G0463 · hospital facility charge
$231cash price
$265typical commercial insurer rate
California hospitals compared
| Hospital | City | List price | Cash price | Insurers (median) |
|---|---|---|---|---|
| Stanford Health Care | Stanford | $578 | $231 | – |
| Good Samaritan Hospital | San Jose | – | – | $4,060only 1 plan |
| Uci Health-Lakewood | Lakewood | – | – | $265$252–$384 · 5 plans |
| Uci Health-Orange | Orange | – | – | $265$252–$384 · 5 plans |
| University of California Davis Medical Center | Sacramento | – | – | $183$176–$393 · 5 plans |
Only hospitals whose price files we've read are listed. The price is the hospital's part; the doctor (radiologist, surgeon, anesthesiologist) usually bills separately.
Common questions
How much does hospital outpatient clinic visit (facility fee) cost at a hospital in California?
The cash price for hospital outpatient clinic visit (facility fee) at the California hospitals whose price files we have read so far is $231. The typical rate commercial insurers have negotiated is $265. These are hospital prices; independent clinics, imaging centers and labs often charge less.
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.
Before you go
- Ask for an estimate. Hospitals must give uninsured and self-pay patients a written good-faith estimate before planned care.
- Check the network. Confirm that the hospital and the doctors are in your plan's network.
- Ask about financial help. Non-profit hospitals must have a financial assistance policy; many discount or forgive bills by income.
- Get an itemized bill. Compare it with the estimate and question anything you don't recognise.