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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G0397 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$201 – $2226 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$194 – $2138 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$206 – $2265 plans$317$452
Highline Medical CenterBurienFile dated 2026-02-28$179 – $20611 plans$94.69$310
Island HospitalAnacortes$212 – $22511 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$198 – $2377 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$204 – $2226 plans$118$181
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$203 – $2237 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$202 – $2227 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$202 – $2227 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$203 – $2237 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$200 – $2137 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$222 – $2865 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$206 – $2143 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$198 – $2377 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$206 – $3297 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$198 – $2185 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$202 – $2226 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$198 – $2186 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$204 – $3277 plans——
St Anthony HospitalGig HarborFile dated 2026-02-28$182 – $20912 plans$94.32$310
St Clare HospitalLakewoodFile dated 2026-02-28$182 – $20912 plans$89.38$310
St Elizabeth HospitalEnumclawFile dated 2026-02-28$55.82 – $68.2212 plans$110$310
St Francis Community HospitalFederal WayFile dated 2026-02-28$179 – $20612 plans$97.32$310
St Joseph Medical CenterTacomaFile dated 2026-02-28$182 – $20912 plans$103$310
St Michael Medical CenterSilverdaleFile dated 2026-02-28$187 – $20210 plans$137$310
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$202 – $2438 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$206 – $2478 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$206 – $2478 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$206 – $2478 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$203 – $2237 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$206 – $2265 plans$242$345
Virginia Mason Medical CenterSeattle$64.73 – $1,67613 plans$182$357
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$211$211
Yakima Valley MemorialYakimaFile dated 2026-08-27$208 – $2338 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)