HCPCS G0204

Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral

Retired codeMammography2 hospitals with prices

Description from CMS's HCPCS Level II code file.

This code is retired. Some hospitals still list it. CMS replaced it with CPT 77066.

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 G0204 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$179	$275
Virginia Mason Medical CenterSeattle	$5211 plan	—	—

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

CMS publishes no national amount for this code.