HCPCS G0438

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

Current codeAnnual Wellness Visits29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0438 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$192 – $1,11116 plans——
Cascade Medical CenterLeavenworth$230 – $3542 plans$452$565
Deaconess Medical CenterSpokaneFile dated 2026-08-27$206 – $7429 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$314 – $3922 plans$296$422
Island HospitalAnacortes$31.20 – $37113 plans$390$390
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$281 – $5516 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$3921 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$268 – $1,3097 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$181 – $77017 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$181 – $77017 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$206 – $77012 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$206 – $74010 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$194 – $58310 plans——
PeaceHealth Peace Island Medical CenterFriday Harbor—Doctor’s fee: $268Doctor’s fee: $412
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$196 – $6519 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$332 – $7345 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$177 – $4558 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$165 – $5776 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$157 – $6418 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$196 – $7789 plans$91.20$190
Swedish IssaquahIssaquahFile dated 2026-04-01$157 – $44910 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$157 – $70112 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$157 – $70112 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$181 – $77017 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$216 – $6157 plans$292$417
Virginia Mason Medical CenterSeattle$4.85 – $7249 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$4501 plan——
WhidbeyHealth Medical CenterCoupeville—$600$600
Yakima Valley MemorialYakimaFile dated 2026-08-27$159 – $51919 plans$130$325

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)
$196 in an office; $196 in a hospital or surgery center
Doctor's fee, rest of Washington
$178 in an office; $178 in a hospital or surgery center