How much does hospital outpatient clinic visit cost in California?

CPT G0463 — the fair price, every hospital's price, and the Medicare benchmark for California.

Estimates only. Educational estimates from public Medicare benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
G0463 Hospital outpatient clinic visit
Ask to pay
$256
This is the local cash / self-pay price — usually the best rate you can ask for.
What Medicare paysⓘ
$129
Typical price near you
$243
Cash / self-pay price
$256
Prices near you — 53 facilities, lowest first
FacilityTypePricevs MedicareQuality
Lucile Packard Children's Hospital Stanford (Palo Alto) lowest ⚠ likely error Hospital $0cash 0.0× —
Providence St. Jude Medical Center (Fullerton) Hospital $36cash 0.3× ★★★★★
Providence Queen of the Valley Medical Center (Napa) Hospital $41cash 0.3× —
Providence St. Joseph Hospital (Orange) Hospital $53cash 0.4× ★★★★★
UCSF Medical Center (San Francisco) Hospital $64cash 0.5× ★★★★★
Eisenhower Medical Center (Rancho Mirage) Hospital $85cash 0.7× ★★★★★
Providence Santa Rosa Memorial Hospital (Santa Rosa) Hospital $89cash 0.7× —
USC Arcadia Hospital (Arcadia) Hospital $96cash 0.7× —
Providence Mission Hospital (Mission Viejo) Hospital $148cash 1.1× ★★★★★
Los Angeles General Medical Center (Los Angeles) Hospital $151negotiated 1.2× ★★★★★
Harbor-UCLA Medical Center (Torrance) Hospital $151negotiated 1.2× —
Centinela Hospital Medical Center (Inglewood) Hospital $170cash 1.3× —
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 8 unusually low/high prices excluded from the typical price as likely data errors.
💬 What to say — negotiation scripts
  • For G0463 (Hospital outpatient clinic visit), Medicare's benchmark rate is $128.87. A fair self-pay target for this line is $255.92. If I was charged more than that, please reduce it toward this benchmark.
  • Your own published cash / self-pay price for G0463 is $255.92, and negotiated rates at nearby facilities run $183.57–$400.62. Please apply a rate in that range to my bill rather than the gross charge.
  • Please send a fully itemized bill listing every CPT/HCPCS/DRG code and its individual charge, so I can review each line against published rates.
  • Separately, what is your financial assistance / charity care policy, and am I eligible? Please send me the application and the income thresholds.
See hospital outpatient clinic visit prices in another area
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What should G0463 cost in California?

For hospital outpatient clinic visit (CPT G0463) in California, a fair self-pay price is around $243, with hospitals ranging from $184 to $401 across 53 facilities. Medicare's benchmark rate is $129, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does hospital outpatient clinic visit cost in California?

A fair self-pay price for hospital outpatient clinic visit (CPT G0463) in California is around $243, with hospital prices ranging from $184 to $401 across 53 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT G0463?

Medicare pays about $129 for hospital outpatient clinic visit (CPT G0463). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.

Can I negotiate the price of hospital outpatient clinic visit?

Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.

Got a bill for this?

If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.

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Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.