HCPCS G0415

Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)

Current code28 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 G0415 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$3,713 – $4,0846 plans——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$3,573 – $3,9318 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$3,789 – $4,1685 plans——
Island HospitalAnacortes$3,905 – $4,13911 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$3,646 – $4,3757 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3,756 – $4,0846 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3,742 – $4,1167 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$3,724 – $4,0967 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$3,724 – $4,0967 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$3,742 – $4,1167 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$3,680 – $3,9317 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$4,100 – $5,2725 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$3,800 – $3,9523 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$3,646 – $4,3757 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$3,789 – $6,0627 plans——
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$3,646 – $4,0115 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$3,726 – $4,0996 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$3,646 – $4,0116 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$3,763 – $6,0217 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$3,726 – $4,4718 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$3,800 – $4,5598 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$3,789 – $4,5478 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$3,789 – $4,5478 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$3,742 – $4,1167 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$3,789 – $4,1685 plans——
Virginia Mason Medical CenterSeattle$183 – $15,45513 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27$3,827 – $4,2868 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)
$1,339 in a hospital or surgery center
Doctor's fee, rest of Washington
$1,234 in a hospital or surgery center
Hospital outpatient payment (national)
$3,343 (APC 5113)
Surgery center payment (national)
$1,645