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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for HCPCS G0438 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
Cascade Medical CenterLeavenworth	$3021 plan	$452	$565
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$296	$422
Island HospitalAnacortes	—	$390	$390
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01	—	$91.20	$190
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$292	$417
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$130	$325

Lowest and highest amounts each hospital lists for this code during a hospital stay, 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