How much does hospital outpatient clinic visit cost in Colorado?

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

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
$229
This is the local cash / self-pay price — usually the best rate you can ask for.
What Medicare paysⓘ
$129
Typical price near you
$212
Cash / self-pay price
$229
Prices near you — 32 facilities, lowest first
FacilityTypePricevs MedicareQuality
UCHealth Parkview Pueblo West Hospital (Pueblo West) lowest Hospital $64cash 0.5× —
UCHealth University of Colorado Hospital (Aurora) Hospital $77cash 0.6× ★★★★★
UCHealth Greeley Hospital Hospital $86cash 0.7× ★★★★★
CommonSpirit Penrose Hospital (Colorado Springs) Hospital $91cash 0.7× ★★★★★
UCHealth Highlands Ranch Hospital Hospital $124cash 1.0× ★★★★★
Denver Health Medical Center (Denver) Hospital $140negotiated 1.1× ★★★★★
AdventHealth Littleton Hospital $142negotiated 1.1× ★★★★★
AdventHealth Porter (Denver) Hospital $142negotiated 1.1× ★★★★★
AdventHealth Parker Hospital $143negotiated 1.1× ★★★★★
AdventHealth Avista (Louisville) Hospital $143negotiated 1.1× ★★★★★
UCHealth Pikes Peak Regional Hospital (Woodland Park) Hospital $174cash 1.3× —
Community Hospital (Grand Junction) Hospital $195cash 1.5× ★★★★★
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. 3 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 $229.00. If I was charged more than that, please reduce it toward this benchmark.
  • Your own published cash / self-pay price for G0463 is $229.00, and negotiated rates at nearby facilities run $142.02–$309.74. 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 Colorado?

For hospital outpatient clinic visit (CPT G0463) in Colorado, a fair self-pay price is around $212, with hospitals ranging from $142 to $310 across 32 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 Colorado?

A fair self-pay price for hospital outpatient clinic visit (CPT G0463) in Colorado is around $212, with hospital prices ranging from $142 to $310 across 32 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.