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

Other government program: TRICARE, VA, Indian Health Service, workers' compensation, or another public program.

Prices for HCPCS S0613 by hospital
Hospital	Other government program rates (lowest – highest)	Cash price	List price (before discounts)
Island HospitalAnacortes	$8.11 – $17.823 plans	$18.00	$18.00
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01	—	—	—
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	—	—	—
Virginia Mason Medical CenterSeattle	—	—	—

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.