HCPCS G9885

Two medicare diabetes prevention program (mdpp) ongoing maintenance sessions (ms) were attended by an mdpp beneficiary in months (mo) 22-24 under the mdpp expanded model (em). an ongoing maintenance session is an mdpp service that: (1) is furnished by an mdpp supplier during months 13 through 24 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 maintained at least 5% weight loss (wl) from his/her baseline weight, as measured by at least one in-person weight measurement at an ongoing maintenance session in months 22-24

Current code4 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 G9885 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	—	—	—
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	$79.751 plan	—	—
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01	—	$13.65 – $39.00Doctor’s fee: $25.35 – $39.00	$21.00 – $60.00Doctor’s fee: $39.00 – $60.00
Olympic Medical CenterPort AngelesFile dated 2026-06-24	—	—	—

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 G9885:

G9885P (with a letter after it, P; 2 price lines)
G9885T (with a letter after it, T; 1 price line)