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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS G0011 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$58.36 – $86.455 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$53.39 – $56.535 plans——
Island HospitalAnacortes$55.09 – $59.773 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$55.22 – $59.645 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$54.23 – $58.565 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$54.23 – $58.565 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$55.48 – $59.925 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$53.01 – $56.135 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$68.25 – $74.755 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$55.50 – $59.945 plans——
Virginia Mason Medical CenterSeattle———
Yakima Valley MemorialYakimaFile dated 2026-08-27$53.04 – $61.625 plans——

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