HCPCS S0613

Annual gynecological examination; clinical breast examination without pelvic evaluation

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 S0613 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	$1.44 – $17.1013 plans	$18.00	$18.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	$40.361 plan	—	—
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	$2501 plan	—	—
Virginia Mason Medical CenterSeattle	$48.20 – $54.712 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.