How much does hospital outpatient clinic visit cost in Texas?
CPT G0463 — the fair price, every hospital's price, and the Medicare benchmark for Texas.
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
$195
This is the local cash / self-pay price — usually the best rate you can ask for.
Typical
$144
Medicare $129
Ask $195
$47 lowboxed = typical rangehigh $565
What Medicare paysⓘ
$129
Typical price near you
$144
Cash / self-pay price
$195
Prices near you — 66 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| University Medical Center of El Paso lowest | Hospital | $47cash | 0.4× | ★★★★★ |
| Dell Seton Medical Center at UT (Austin) | Hospital | $69cash | 0.5× | ★★★★★ |
| Covenant Medical Center (Lubbock) | Hospital | $84cash | 0.7× | ★★★★★ |
| The Hospitals of Providence Sierra Campus (El Paso) | Hospital | $97negotiated | 0.8× | — |
| Harris Health Ben Taub Hospital (Houston) | Hospital | $110cash | 0.9× | — |
| Harris Health Lyndon B. Johnson Hospital (Houston) | Hospital | $110cash | 0.9× | — |
| Ascension Seton Medical Center Austin | Hospital | $116cash | 0.9× | ★★★★★ |
| The Hospitals of Providence Memorial Campus (El Paso) | Hospital | $118negotiated | 0.9× | ★★★★★ |
| CHRISTUS Mother Frances Hospital – Tyler | Hospital | $125negotiated | 1.0× | ★★★★★ |
| CHRISTUS Santa Rosa Hospital – Westover Hills (San Antonio) | Hospital | $127negotiated | 1.0× | — |
| CHRISTUS Santa Rosa Hospital – Alamo Heights (San Antonio) | Hospital | $127negotiated | 1.0× | — |
| Texas Health Harris Methodist Hospital Cleburne | Hospital | $129negotiated | 1.0× | — |
| CHRISTUS Spohn Hospital Corpus Christi – Shoreline | Hospital | $129negotiated | 1.0× | ★★★★★ |
| CHRISTUS Spohn Hospital Corpus Christi – South | Hospital | $129negotiated | 1.0× | — |
| UT Southwestern William P. Clements Jr. University Hospital (Dallas) | Hospital | $135negotiated | 1.0× | ★★★★★ |
| Texas Health Hospital Rockwall | Hospital | $140negotiated | 1.1× | — |
| Texas Health Presbyterian Hospital Denton | Hospital | $140negotiated | 1.1× | — |
| Texas Health Presbyterian Hospital Plano | Hospital | $140negotiated | 1.1× | — |
| Texas Health Harris Methodist Hospital Fort Worth | Hospital | $140negotiated | 1.1× | — |
| Texas Health Harris Methodist Hospital Stephenville | Hospital | $140negotiated | 1.1× | — |
| Texas Health Presbyterian Hospital Dallas | Hospital | $140negotiated | 1.1× | — |
| Texas Health Hospital Frisco | Hospital | $140negotiated | 1.1× | — |
| Texas Health Presbyterian Hospital Kaufman | Hospital | $140negotiated | 1.1× | — |
| Texas Health Presbyterian Hospital Allen | Hospital | $140negotiated | 1.1× | — |
| Texas Health Presbyterian Hospital Flower Mound | Hospital | $140negotiated | 1.1× | — |
| Texas Health Harris Methodist Hospital Southwest Fort Worth | Hospital | $141negotiated | 1.1× | — |
| Texas Health Arlington Memorial Hospital (Arlington) | Hospital | $141negotiated | 1.1× | — |
| Texas Health Harris Methodist Hospital Azle | Hospital | $141negotiated | 1.1× | — |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford | Hospital | $141negotiated | 1.1× | — |
| Texas Health Harris Methodist Hospital Alliance (Fort Worth) | Hospital | $141negotiated | 1.1× | — |
| Texas Health Harris Methodist Hospital Southlake | Hospital | $141negotiated | 1.1× | — |
| Houston Methodist The Woodlands Hospital (The Woodlands) | Hospital | $142negotiated | 1.1× | ★★★★★ |
| Houston Methodist Sugar Land Hospital (Sugar Land) | Hospital | $143negotiated | 1.1× | ★★★★★ |
| Houston Methodist Hospital (Houston) | Hospital | $145negotiated | 1.1× | ★★★★★ |
| University Hospital - University Health (San Antonio) | Hospital | $147negotiated | 1.1× | — |
| Baylor Scott & White Medical Center – Temple | Hospital | $195cash | 1.5× | ★★★★★ |
| Baylor Scott & White Medical Center – Plano | Hospital | $195cash | 1.5× | ★★★★★ |
| Baylor Scott & White All Saints Medical Center (Fort Worth) | Hospital | $195cash | 1.5× | ★★★★★ |
| Baylor Scott & White Medical Center – College Station | Hospital | $195cash | 1.5× | ★★★★★ |
| Baylor University Medical Center (Dallas) | Hospital | $195cash | 1.5× | ★★★★★ |
| Baylor Scott & White Medical Center – Round Rock | Hospital | $195cash | 1.5× | ★★★★★ |
| JPS Health Network – John Peter Smith Hospital (Fort Worth) | Hospital | $197negotiated | 1.5× | ★★★★★ |
| Memorial Hermann Memorial City Medical Center (Houston) | Hospital | $201negotiated | 1.6× | ★★★★★ |
| Memorial Hermann–Texas Medical Center (Houston) | Hospital | $201negotiated | 1.6× | ★★★★★ |
| Memorial Hermann The Woodlands Medical Center (The Woodlands) | Hospital | $201negotiated | 1.6× | — |
| Shannon Medical Center (San Angelo) | Hospital | $228cash | 1.8× | ★★★★★ |
| Methodist Hospital (San Antonio) | Hospital | $336negotiated | 2.6× | ★★★★★ |
| Methodist Hospital Texsan (San Antonio) | Hospital | $336negotiated | 2.6× | — |
| Valley Baptist Medical Center – Brownsville | Hospital | $355negotiated | 2.8× | ★★★★★ |
| Methodist Hospital Metropolitan (San Antonio) | Hospital | $365negotiated | 2.8× | — |
| Doctors Hospital at Renaissance (Edinburg) | Hospital | $366cash | 2.8× | — |
| HCA Houston Healthcare Clear Lake (Webster) | Hospital | $374negotiated | 2.9× | ★★★★★ |
| HCA Houston Healthcare Medical Center (Houston) | Hospital | $374negotiated | 2.9× | ★★★★★ |
| HCA Houston Healthcare Northwest (Houston) | Hospital | $374negotiated | 2.9× | ★★★★★ |
| HCA Houston Healthcare West (Houston) | Hospital | $398negotiated | 3.1× | ★★★★★ |
| Hendrick Medical Center (Abilene) | Hospital | $473cash | 3.7× | ★★★★★ |
| UMC Health System – University Medical Center (Lubbock) | Hospital | $491cash | 3.8× | ★★★★★ |
| Methodist Hospital Stone Oak (San Antonio) | Hospital | $494negotiated | 3.8× | ★★★★★ |
| St. David's South Austin Medical Center (Austin) | Hospital | $555negotiated | 4.3× | ★★★★★ |
| St. David's Medical Center (Austin) | Hospital | $555negotiated | 4.3× | ★★★★★ |
| St. David's North Austin Medical Center (Austin) | Hospital | $555negotiated | 4.3× | — |
| St. David's Round Rock Medical Center (Round Rock) | Hospital | $555negotiated | 4.3× | — |
| Medical City Plano | Hospital | $565negotiated | 4.4× | ★★★★★ |
| Medical City Dallas Hospital (Dallas) | Hospital | $565negotiated | 4.4× | ★★★★★ |
| Medical City Fort Worth | Hospital | $565negotiated | 4.4× | ★★★★★ |
| Medical City Frisco | Hospital | $565negotiated | 4.4× | — |
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.
💬 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 $195.00. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for G0463 is $195.00, and negotiated rates at nearby facilities run $140.43–$365.49. 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
What should G0463 cost in Texas?
For hospital outpatient clinic visit (CPT G0463) in Texas, a fair self-pay price is around $144, with hospitals ranging from $140 to $365 across 66 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 Texas?
A fair self-pay price for hospital outpatient clinic visit (CPT G0463) in Texas is around $144, with hospital prices ranging from $140 to $365 across 66 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 Texas
Screening mammogram, bilateralDiagnostic mammogram, unilateralDiagnostic mammogram, bilateralDEXA bone density scanColonoscopy, diagnosticScreening colonoscopy (average risk)Chest X-ray, 2 viewsChest X-ray, 1 view
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.