G0538
HCPCSMedicine & Other ServicesAscvd rsk mng clin stf pr mo
Based on the latest published hospital price files, code G0538 (Ascvd rsk mng clin stf pr mo) appears at 4 hospitals across 4 cities in 4 states. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a non-surgical medical service — an injection or infusion, a therapy, a specialty test, or another treatment delivered by clinical staff.
What affects the price
Drugs and supplies used during the service are frequently billed on their own separate lines, so the total can exceed the price shown here. Ask which additional codes are expected.
Category: Medicine & Other Services
Published-price availability
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 G0538 prices
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4 prices shown.
| Service | Hospital | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|---|
| Ascvd rsk mng clin stf pr mo Outpatient | Montefiore Mount Vernon Hospital | G0538 HCPCS | — | — | $9.62 – $175 | — | |
| Ascvd rsk mng clin stf pr mo Outpatient | University Hospitals Ahuja Medical Center | G0538 HCPCS | — | — | $85.75 – $154 | — | |
| Ascvd rsk mng clin stf pr mo Outpatient | University of Chicago Medical Center | G0538 HCPCS | — | — | — | — | |
| Ascvd rsk mng clin stf pr mo Inpatient & outpatient | Atrium Health Carolinas Medical Center | G0538 HCPCS | — | — | $8.43 – $10.54 | — |
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- A historical reference for what was actually allowed, where disclosed.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 G0538 prices
Open a hospital to see this code in the context of its full published prices.
Code G0538: frequently asked
- What does code G0538 cost?
- We have parsed hospital-published rows for G0538, but cash prices were not disclosed in every file. 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 G0538?
- G0538 is the billing code hospitals use to identify "Ascvd rsk mng clin stf pr mo" on their published price files. We use it to line up the same service across different hospitals.
- Why do G0538 prices differ between hospitals?
- 4 hospitals across 4 states publish a price for G0538 here. 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.