HCPCS G0013

Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence

Current code28 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 G0013 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$71.69 – $23213 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$68.99 – $1388 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$69.42 – $92.363 plans——
Island HospitalAnacortes$57.97 – $80.505 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$70.56 – $2496 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$83.51 – $3514 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$105 – $4668 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$71.89 – $33413 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$71.89 – $33413 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$72.25 – $1808 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$68.99 – $2419 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$47.86 – $2507 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$70.56 – $23511 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$73.33 – $6548 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$50.10 – $33411 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$51.20 – $22510 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$66.80 – $4939 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$36.63 – $30412 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$64.00 – $26611 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$65.26 – $23812 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$65.08 – $31820 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$65.08 – $31814 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$72.25 – $33413 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$69.42 – $28811 plans——
Virginia Mason Medical CenterSeattle$96.72 – $3036 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$1101 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$70.12 – $27810 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)
$28.72 in an office; $8.22 in a hospital or surgery center
Doctor's fee, rest of Washington
$25.34 in an office; $7.75 in a hospital or surgery center
Hospital outpatient payment (national)
$38.28 (APC 5821)