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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage 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 | — | $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)