HCPCS G0397

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes

Current code36 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 G0397 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$273 – $91816 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$265 – $6509 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$329 – $4383 plans$317$452
Highline Medical CenterBurienFile dated 2026-02-28$133 – $73316 plans$94.69$310
Island HospitalAnacortes$275 – $3815 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$110 – $5568 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$221 – $3964 plans$118$181
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$273 – $1,1467 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$265 – $85217 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$265 – $85217 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$265 – $85212 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$258 – $64810 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$227 – $74912 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$283 – $65612 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$347 – $1,1699 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$237 – $72511 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$243 – $62711 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$141 – $8829 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$174 – $79813 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$223 – $80117 plans$94.32$310
St Clare HospitalLakewoodFile dated 2026-02-28$223 – $80117 plans$89.38$310
St Elizabeth HospitalEnumclawFile dated 2026-02-28$103 – $67514 plans$110$310
St Francis Community HospitalFederal WayFile dated 2026-02-28$223 – $80117 plans$97.32$310
St Joseph Medical CenterTacomaFile dated 2026-02-28$223 – $80117 plans$103$310
St Michael Medical CenterSilverdaleFile dated 2026-02-28$198 – $69218 plans$137$310
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$303 – $72813 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$309 – $87414 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$308 – $87222 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$308 – $87216 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$265 – $85217 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$329 – $66711 plans$242$345
Virginia Mason Medical CenterSeattle$1.94 – $59310 plans$182$357
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$5231 plan——
WhidbeyHealth Medical CenterCoupeville—$211$211
Yakima Valley MemorialYakimaFile dated 2026-08-27$144 – $53313 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)
$74.14 in an office; $58.98 in a hospital or surgery center
Doctor's fee, rest of Washington
$68.63 in an office; $55.61 in a hospital or surgery center
Hospital outpatient payment (national)
$181 (APC 5823)

How hospitals also write this code

Some price files write it differently. These are counted as HCPCS G0397:

  • 91G0397 (with a number in front; 13 price lines)