HCPCS G0012

Injection of pre-exposure prophylaxis (prep) drug for hiv prevention, under skin or into muscle

Current code28 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G0012 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$81.71 – $89.886 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$78.63 – $86.498 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$83.38 – $91.715 plans——
Island HospitalAnacortes$85.93 – $91.0911 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$80.23 – $96.287 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$82.64 – $89.866 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$82.35 – $90.587 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$81.94 – $90.137 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$81.94 – $90.137 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$82.35 – $90.587 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$80.99 – $86.497 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$90.23 – $1165 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$83.61 – $86.953 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$80.23 – $96.287 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$83.38 – $1337 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$80.23 – $88.265 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$81.99 – $90.196 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$80.23 – $88.266 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$82.81 – $1327 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$81.99 – $98.398 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$83.61 – $1008 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$83.38 – $1008 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$83.38 – $1008 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$82.35 – $90.587 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$83.38 – $91.715 plans——
Virginia Mason Medical CenterSeattle$54.27 – $81.419 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$84.21 – $94.328 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)
$17.71 in an office; $17.71 in a hospital or surgery center
Doctor's fee, rest of Washington
$15.85 in an office; $15.85 in a hospital or surgery center
Hospital outpatient payment (national)
$73.56 (APC 5692)