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
What Washington hospitals publish for this code
Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.
| Hospital | Medicaid managed care rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Harborview Medical Center | — | $317 | $452 |
| Highline Medical Center | — | $94.69 | $310 |
| Legacy Salmon Creek Medical Center | — | $118 | $181 |
| St Anthony Hospital | — | $94.32 | $310 |
| St Clare Hospital | — | $89.38 | $310 |
| St Elizabeth Hospital | $86.83 – $103 | $110 | $310 |
| St Francis Community Hospital | — | $97.32 | $310 |
| St Joseph Medical Center | — | $103 | $310 |
| St Michael Medical Center | — | $137 | $310 |
| University of Washington Medical Ctr | — | $242 | $345 |
| Virginia Mason Medical Center | — | $182 | $357 |
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)