How much does hospital outpatient clinic visit cost in Provo, UT?
CPT G0463 — the fair price, every hospital's price, and the Medicare benchmark for Provo, UT.
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| Moab Regional Hospital (Moab) lowest | Hospital | $107cash | 0.8× | — |
| Intermountain Utah Valley Hospital (Provo) | Hospital | $239cash | 1.9× | ★★★★★ |
| Intermountain American Fork Hospital (American Fork) | Hospital | $251cash | 1.9× | ★★★★★ |
| Holy Cross Hospital - Mountain Point (Lehi) | Hospital | $251cash | 1.9× | — |
| Castleview Hospital (Price) | Hospital | $552cash | 4.3× | ★★★★★ |
- For G0463 (Hospital outpatient clinic visit), Medicare's benchmark rate is $128.87. A fair self-pay target for this line is $250.51. If I was charged more than that, please reduce it toward this benchmark.
- Your own published cash / self-pay price for G0463 is $250.51, and negotiated rates at nearby facilities run $172.76–$401.57. 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 Provo, UT?
For hospital outpatient clinic visit (CPT G0463) in Provo, UT, a fair self-pay price is around $251, with hospitals ranging from $173 to $402 across 5 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 Provo, UT?
A fair self-pay price for hospital outpatient clinic visit (CPT G0463) in Provo, UT is around $251, with hospital prices ranging from $173 to $402 across 5 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 Provo, UT
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.