HCPCS G0013 at Yakima Valley Memorial

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

Yakima Valley Memorial, Yakima

Description from CMS's HCPCS Level II code file.

What Yakima Valley Memorial publishes for this code: as an outpatient

Yakima Valley Memorial’s prices for HCPCS G0013, as an outpatient
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$70.12 – $27810 plans—
Medicare AdvantageInsurer rates$43.82 – $49.088 plans—
Medicaid managed careInsurer rates$53.04 – $61.625 plans—
Cash pricePaying yourself, without insurance——
List priceBefore any discount; few people pay it——

Lowest and highest amounts Yakima Valley Memorial lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G0013 at Yakima Valley Memorial
BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe clinic's facility fee, when the clinic belongs to the hospital—The price above
Doctor's visitThe doctor's practiceThe visit itself$7.75$9.15 – $13.87

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0013 at every Washington hospital, with Medicare’s reference amounts.