HospitalPricer

G0438

HCPCS

PPPS, initial visit

Verified from hospital fileNot a bill estimate
iDirect answer

Based on the latest published hospital price files, code G0438 (PPPS, initial visit) appears at 7 hospitals with disclosed cash prices from $61.20 to $576. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

6
hospitals publish a price
1
list this service without a published price
5
Cash
5
List
3
Negotiated
0
Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare G0438 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Published cash prices for code G0438 vary by about 9.4× across the 5 hospitals with disclosed prices here — from $61.20 to $576. Shopping around can matter.

5
Hospitals
10
Prices shown
$61.20
Lowest cash
$576
Highest cash
code G0438 cash price5 disclosed · 5 hospitals
$61.20median ~$366$576

Cash price by city

Reflects your current filters.

Cash price by city$61.20$576
  • Charlevoix · 1 hospital$61.20
  • Polson · 1 hospital$246
  • Cadillac · 1 hospital$366
  • Valdez · 1 hospital$534
  • Healdsburg · 1 hospital$576

10 prices shown.

ServiceHospitalCodeList priceCash priceNegotiated rangeAllowed (median)
PPPS, initial visit
Outpatient
Endeavor Health Edward HospitalG0438
HCPCS
$182 – $463
Hc Annual Wellness Visit, Initital Visit
Inpatient & outpatient
University of Chicago Medical CenterG0438
HCPCS
Hc Annual Wellness Visit, Initital Visit-Pbb
Inpatient & outpatient
University of Chicago Medical CenterG0438
HCPCS
Pr Ppps, Initial Visit-Pbb
Inpatient & outpatient
University of Chicago Medical CenterG0438
HCPCS
PPPS, initial visit
Outpatient
University of Chicago Medical CenterG0438
HCPCS
Ppps Initial Visit G0438
Inpatient
Munson Healthcare Charlevoix HospitalG0438
HCPCS
$72.00$61.20$57.60 – $72.00
Ppps Initial Visit G0438
Inpatient
Munson Healthcare CadillacG0438
HCPCS
$431$366$259 – $852
HC PR G0438 PPPS, INITIAL VISIT
Inpatient & outpatient
Providence Valdez Medical CenterG0438
HCPCS
$684$534
HC PR G0438 PPPS, INITIAL VISIT
Inpatient & outpatient
Healdsburg HospitalG0438
HCPCS
$1,130$576
HC PR G0438 PPPS INITIAL VISIT RHC
Outpatient
Providence St Joseph Medical CenterG0438
HCPCS
$308$246

How to read these prices

Cash price
The discounted self-pay price for paying directly, without insurance.
List price
The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate
A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount
A historical reference for what was actually allowed, where disclosed.

Hospitals that publish G0438 prices

Open a hospital to see this code in the context of its full published prices.

Code G0438: frequently asked

What does code G0438 cost?
Across the published hospital price files, the disclosed cash price for G0438 ranges from $61.20 to $576. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?
Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code G0438?
G0438 is the billing code hospitals use to identify "PPPS, initial visit" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?
Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not
It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

Related

Hospitals publishing code G0438 by state