HCPCS G0402

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

Current codeAnnual Wellness Visits35 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS G0402 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$2771 plan	$414	$518
EvergreenHealth Medical CenterKirkland	—	$124	$155
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$271	$387
Island HospitalAnacortes	—	$284	$284
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	$65.76	$137
Three Rivers HospitalBrewster	$2381 plan	$340	$340
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$245	$350
Virginia Mason Medical CenterSeattle	—	$214	$420

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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): $197 in an office; $122 in a hospital or surgery center
Doctor's fee, rest of Washington: $179 in an office; $115 in a hospital or surgery center
Hospital outpatient payment (national): $136 (APC 5012)