HCPCS G0011

Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes

Current code13 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0011 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$1441 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$1041 plan——
Island HospitalAnacortes———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$98.85 – $1963 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$59.311 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$59.311 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$59.311 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1041 plan——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$65.961 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$59.311 plan——
Virginia Mason Medical CenterSeattle$24.40 – $28.252 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27———

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$32.86 in an office; $23.43 in a hospital or surgery center
Doctor's fee, rest of Washington
$29.96 in an office; $21.87 in a hospital or surgery center