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

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G0438 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$175 – $1926 plans——
Cascade Medical CenterLeavenworth$316 – $4727 plans$452$565
Deaconess Medical CenterSpokaneFile dated 2026-08-27$175 – $1928 plans——
Harborview Medical CenterSeattleFile dated 2026-04-01$196 – $2165 plans$296$422
Island HospitalAnacortes$2541 plan$390$390
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$196 – $2357 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$202 – $2206 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$175 – $1927 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$192 – $2127 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$192 – $2127 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$175 – $1927 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$180 – $1927 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$196 – $2043 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$202 – $2355 plans——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$196 – $3147 plans——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$196 – $2125 plans——
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$196 – $2166 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$196 – $3146 plans——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$202 – $2356 plans$91.20$190
Swedish IssaquahIssaquahFile dated 2026-04-01$202 – $2356 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$202 – $2356 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$202 – $2356 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$175 – $1927 plans——
University of Washington Medical CtrSeattleFile dated 2026-04-01$196 – $2064 plans$292$417
Virginia Mason Medical CenterSeattle$125 – $2,08012 plans——
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
WhidbeyHealth Medical CenterCoupeville—$600$600
Yakima Valley MemorialYakimaFile dated 2026-08-27$175 – $1968 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