How much does hospital outpatient clinic visit cost in Los Angeles, CA?
CPT G0463 — the fair price, every hospital's price, and the Medicare benchmark for Los Angeles, CA.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| USC Arcadia Hospital (Arcadia) lowest | Hospital | $96cash | 0.7× | — |
| 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× | — |
| Providence Little Company of Mary Torrance (Torrance) | Hospital | $201cash | 1.6× | ★★★★★ |
| Keck Hospital of USC (Los Angeles) | Hospital | $221cash | 1.7× | ★★★★★ |
| UCI Health – Lakewood (Lakewood) | Hospital | $231negotiated | 1.8× | — |
| Providence Saint Joseph Medical Center (Burbank) | Hospital | $244cash | 1.9× | — |
| Providence Holy Cross Medical Center (Mission Hills) | Hospital | $258cash | 2.0× | — |
| Providence Cedars-Sinai Tarzana Medical Center (Tarzana) | Hospital | $342cash | 2.7× | ★★★★★ |
| Cedars-Sinai Medical Center (Los Angeles) | Hospital | $674cash | 5.2× | ★★★★★ |
| MemorialCare Long Beach Medical Center (Long Beach) gross charge | Hospital | $1,098cash | 8.5× | ★★★★★ |
| Los Robles Health System (Thousand Oaks) gross charge | Hospital | $4,000negotiated | 31.0× | — |
- For G0463 (Hospital outpatient clinic visit), Medicare's benchmark rate is $128.87. A fair self-pay target for this line is $243.95. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for G0463 is $243.95, and negotiated rates at nearby facilities run $160.62–$507.88. 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.
What should G0463 cost in Los Angeles, CA?
For hospital outpatient clinic visit (CPT G0463) in Los Angeles, CA, a fair self-pay price is around $221, with hospitals ranging from $161 to $508 across 13 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 Los Angeles, CA?
A fair self-pay price for hospital outpatient clinic visit (CPT G0463) in Los Angeles, CA is around $221, with hospital prices ranging from $161 to $508 across 13 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.
Compare other procedures in Los Angeles, CA
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.