HCPCS G0438 at Lincoln Hospital

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

Lincoln Hospital, Davenport

Description from CMS's HCPCS Level II code file.

What Lincoln Hospital publishes for this code: as an outpatient

Lincoln Hospital’s prices for HCPCS G0438, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	—	$228 – $293
Medicare AdvantageInsurer rates	—	$178
Medicaid managed careInsurer rates	—	$329 – $349
Other government programInsurer rates	—	$161 – $178
UnknownInsurer rates	—	$178
Cash pricePaying yourself, without insurance	—	$297
List priceBefore any discount; few people pay it	—	$329

Lowest and highest amounts Lincoln Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-09-14. 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 the rest of Washington 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 G0438 at Lincoln Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	$178	$211 – $319

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

Compare HCPCS G0438 at every Washington hospital, with Medicare’s reference amounts.