HCPCS G0416 at Virginia Mason Medical Center

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

Virginia Mason Medical Center, Seattle

Description from CMS's HCPCS Level II code file.

What Virginia Mason Medical Center publishes for this code: as an outpatient

Virginia Mason Medical Center’s prices for HCPCS G0416, as an outpatient
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$10.15 – $1,94510 plans—
Medicare AdvantageInsurer rates$92.71 – $1,16313 plans—
Cash pricePaying yourself, without insurance$1,240—
List priceBefore any discount; few people pay it$2,431—

Lowest and highest amounts Virginia Mason Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

What Virginia Mason Medical Center publishes for this code: during a hospital stay

Virginia Mason Medical Center’s prices for HCPCS G0416, during a hospital stay
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$1,557 – $1,9454 plans—
Cash pricePaying yourself, without insurance$1,240—
List priceBefore any discount; few people pay it$2,431—

Lowest and highest amounts Virginia Mason Medical Center lists for this code during a hospital stay, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS G0416 at Virginia Mason Medical Center
BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe test or scan: equipment and staff—The price above
Reading doctorThe doctor who reads it (often a radiology group)Reading the results and writing the report$184$217 – $329

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0416 at every Washington hospital, with Medicare’s reference amounts.