HCPCS G0330
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room
Current code31 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4,997 – $17,153 | — | — |
| Deaconess Medical Center | $4,849 – $10,413 | — | — |
| Harborview Medical Center | $6,143 – $8,173 | — | — |
| Island Hospital | $5,130 – $7,122 | — | — |
| Kadlec Regional Medical Center | $6,244 – $10,378 | — | — |
| Legacy Salmon Creek Medical Center | $4,855 – $36,803 | — | — |
| Mary Bridge Children's Hospital | $4,280 – $22,186 | — | — |
| MultiCare Auburn Medical Center | $4,997 – $15,915 | — | — |
| MultiCare Covington Medical Center | $4,997 – $15,915 | — | — |
| MultiCare Good Samaritan Hospital | $4,997 – $15,915 | — | — |
| MultiCare Valley Hospital | $4,715 – $12,122 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $4,235 – $10,126 | — | — |
| PeaceHealth Southwest Medical Cente | $1,471 – $11,928 | $4,732 | $7,280 |
| PeaceHealth St Joseph Medical Center | $7,594 | $967 | $1,488 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $5,419 – $12,257 | — | — |
| Providence Centralia Hospital | $6,488 – $23,607 | — | — |
| Providence Holy Family Hospital | $2,985 – $13,545 | — | — |
| Providence Regional Medical Center Everett | $4,531 – $11,710 | — | — |
| Providence St Mary Medical Center | $2,853 – $17,812 | — | — |
| Providence St Peter Hospital | $3,241 – $14,897 | — | — |
| Swedish Edmonds Hospital | $5,663 – $13,595 | — | — |
| Swedish Issaquah | $5,775 – $16,330 | — | — |
| Swedish Medical Center | $5,759 – $16,285 | — | — |
| Swedish Medical Center / Cherry Hill | $5,759 – $16,285 | — | — |
| Tacoma General Allenmore Hospital | $4,997 – $15,915 | — | — |
| Trios Health | — | — | $22,512 |
| University of Washington Medical Ctr | $6,143 – $13,473 | — | — |
| Virginia Mason Medical Center | $3,093 – $11,965 | — | — |
| Wellfound Behavioral Health Hospital | $9,764 | — | — |
| Yakima Valley Memorial | $4,788 – $10,756 | — | — |
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.
- Hospital outpatient payment (national)
- $3,387 (APC 5164)
- Surgery center payment (national)
- $1,481