HCPCS G0397 at St Clare Hospital

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

St Clare Hospital, Lakewood

Description from CMS's HCPCS Level II code file.

What St Clare Hospital publishes for this code: as an outpatient

St Clare Hospital’s prices for HCPCS G0397, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$223 – $80117 plans	—
Medicare AdvantageInsurer rates	$182 – $20912 plans	—
Cash pricePaying yourself, without insurance	$89.38	—
List priceBefore any discount; few people pay it	$310	—

Lowest and highest amounts St Clare Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. This is one line of a bill; most care brings several.

What St Clare Hospital publishes for this code: during a hospital stay

St Clare Hospital’s prices for HCPCS G0397, during a hospital stay
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$223 – $2332 plans	—
Cash pricePaying yourself, without insurance	$89.38	—
List priceBefore any discount; few people pay it	$310	—

Lowest and highest amounts St Clare Hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. Its price file is dated 2026-02-28. 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 G0397 at St Clare Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	$55.61	$65.62 – $99.54

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

Compare HCPCS G0397 at every Washington hospital, with Medicare’s reference amounts.