HCPCS G0416

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

Current codeSurgical Pathology Examination39 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS G0416 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$30.18 – $44.715 plans$576$1,441
Cascade Valley HospitalArlington$389 – $5834 plans$466$583
Deaconess Medical CenterSpokaneFile dated 2026-08-27$27.61 – $29.235 plans$475$1,188
Harborview Medical CenterSeattleFile dated 2026-04-01—$774$1,106
Highline Medical CenterBurienFile dated 2026-02-28—$333$1,092
Island HospitalAnacortes$28.49 – $30.913 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$525$750
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$28.56 – $30.845 plans$576$1,441
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$28.04 – $30.285 plans$576$1,441
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$28.04 – $30.285 plans$576$1,441
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$28.69 – $30.985 plans$576$1,441
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$27.41 – $29.035 plans$475$1,188
Olympic Medical CenterPort AngelesFile dated 2026-06-24$35.29 – $38.655 plans$400$500
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$284$406
Providence Centralia HospitalCentraliaFile dated 2026-04-01———
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$323$461
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$159$305
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$224$320
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$372$532
Providence St Peter HospitalOlympiaFile dated 2026-04-01———
Skagit Valley HospitalMount Vernon—$798$998
St Anthony HospitalGig HarborFile dated 2026-02-28—$332$1,092
St Clare HospitalLakewoodFile dated 2026-02-28—$315$1,092
St Elizabeth HospitalEnumclawFile dated 2026-02-28$186 – $2265 plans$386$1,092
St Francis Community HospitalFederal WayFile dated 2026-02-28—$343$1,092
St Joseph Medical CenterTacomaFile dated 2026-02-28—$362$1,092
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$482$1,092
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$146$305
Swedish Medical CenterSeattleFile dated 2026-04-01—$146$305
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$146$305
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$28.70 – $31.005 plans$576$1,441
University of Washington Medical CtrSeattleFile dated 2026-04-01—$777$1,110
Virginia Mason Medical CenterSeattle—$1,240$2,431
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$590$590
Yakima Valley MemorialYakimaFile dated 2026-08-27$27.43 – $31.865 plans$523$1,307

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)
$415 in an office; $415 in a hospital or surgery center
Doctor's fee, rest of Washington
$370 in an office; $370 in a hospital or surgery center
Hospital outpatient payment (national)
$366 (APC 5673)