HCPCS G9877

Two medicare diabetes prevention program (mdpp) core maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 10-12 under the mdpp expanded model (em). a core maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 7 through 12 of the mdpp services period; (2) is approximately 1 hour in length; and (3) adheres to a cdc-approved dpp curriculum for maintenance sessions. the beneficiary did not achieve at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12

Current code4 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 G9877 by hospital
Hospital	Medicaid managed care rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	$46.27 – $50.203 plans	—	—
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	—	—
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$3.90 – $11.70Doctor’s fee: $7.80 – $11.70	$6.00 – $18.00Doctor’s fee: $12.00 – $18.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$57.32 – $62.785 plans	—	—

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

CMS publishes no national amount for this code.

How hospitals also write this code

Some price files write it differently. These are counted as HCPCS G9877:

G9877P (with a letter after it, P; 2 price lines)
G9877T (with a letter after it, T; 1 price line)