HCPCS G0396
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes
Current code37 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) |
|---|---|---|---|
| Cascade Medical Center | $47.98 – $50.79 | $64.80 | $81.00 |
| Harborview Medical Center | — | $86.61 | $124 |
| Highline Medical Center | $66.68 – $140 | $47.35 | $155 |
| St Anthony Hospital | $112 – $116 | $47.16 | $155 |
| St Clare Hospital | $112 – $116 | $44.70 | $155 |
| St Elizabeth Hospital | $62.02 – $140 | $54.79 | $155 |
| St Francis Community Hospital | $112 – $116 | $48.66 | $155 |
| St Joseph Medical Center | $112 – $116 | $51.36 | $155 |
| St Michael Medical Center | $97.69 – $140 | $68.44 | $155 |
| University of Washington Medical Ctr | — | $56.12 | $80.17 |
| Virginia Mason Medical Center | $90.31 – $113 | $71.91 | $141 |
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)
- $40.83 in an office; $30.99 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $37.59 in an office; $29.15 in a hospital or surgery center
- Hospital outpatient payment (national)
- $38.28 (APC 5821)
How hospitals also write this code
Some price files write it differently. These are counted as HCPCS G0396:
- 91G0396 (with a number in front; 13 price lines)