Aco annual medicare visit (awv), initial g0438aco cost at US hospitals
ACO Annual Medicare Visit (AWV), initial G0438ACO · HCPCS G0438
$29.89
lowest cash price
$243.00
national median
$676.00
highest cash price
170
hospitals with a published cash price
Middle half of hospitals (25th–75th percentile) against the full range. The same procedure varies $29.89–$676.00 — the variation is the story.
Median cash price over time
Nov 1, 2025 ($50.00) → Sep 1, 2026 ($218.00)
By state
| State | Hospitals | Lowest cash | Median | Highest |
|---|---|---|---|---|
| Alaska | 3 | $533.52 | $533.52 | $533.52 |
| Arkansas | 1 | $70.81 | $70.81 | $70.81 |
| California | 42 | $29.89 | $420.00 | $576.30 |
| Colorado | 13 | not published by hospital | not published by hospital | not published by hospital |
| Florida | 48 | $253.36 | $676.00 | $676.00 |
| Georgia | 12 | not published by hospital | not published by hospital | not published by hospital |
| Hawaii | 1 | $136.96 | $136.96 | $136.96 |
| Illinois | 22 | $284.40 | $284.40 | $304.00 |
| Indiana | 5 | not published by hospital | not published by hospital | not published by hospital |
| Iowa | 19 | $270.60 | $304.00 | $424.00 |
| Kansas | 2 | not published by hospital | not published by hospital | not published by hospital |
| Kentucky | 2 | not published by hospital | not published by hospital | not published by hospital |
| Louisiana | 3 | not published by hospital | not published by hospital | not published by hospital |
| Maine | 7 | not published by hospital | not published by hospital | not published by hospital |
| Michigan | 19 | $218.00 | $242.02 | $311.00 |
| Minnesota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Mississippi | 2 | $79.59 | $79.59 | $142.40 |
| Missouri | 15 | $198.00 | $198.00 | $198.00 |
| Montana | 2 | $246.40 | $246.40 | $246.40 |
| New Hampshire | 1 | not published by hospital | not published by hospital | not published by hospital |
| New Jersey | 9 | $206.14 | $206.14 | $206.14 |
| New Mexico | 1 | not published by hospital | not published by hospital | not published by hospital |
| New York | 15 | $181.11 | $184.85 | $211.28 |
| North Carolina | 13 | $456.50 | $456.50 | $456.50 |
| North Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Ohio | 36 | $209.00 | $243.00 | $676.00 |
| Oklahoma | 3 | not published by hospital | not published by hospital | not published by hospital |
| Oregon | 10 | $212.64 | $231.93 | $476.25 |
| Pennsylvania | 3 | $121.80 | $432.00 | $432.00 |
| South Carolina | 7 | not published by hospital | not published by hospital | not published by hospital |
| South Dakota | 2 | not published by hospital | not published by hospital | not published by hospital |
| Tennessee | 18 | $78.89 | $78.89 | $78.89 |
| Texas | 45 | $41.30 | $41.30 | $152.00 |
| Virginia | 21 | $218.50 | $476.50 | $519.50 |
| Washington | 21 | $91.20 | $91.20 | $130.00 |
| West Virginia | 15 | $90.00 | $190.00 | $310.00 |
| Wisconsin | 8 | $50.00 | $177.54 | $338.40 |
All hospitals
| Hospital | Location | Cash price | Negotiated range |
|---|---|---|---|
| LODI MEMORIAL HOSPITAL ASSOCIATION INC | Lodi, CA | $29.89 | $8.63 – $498.00 |
| St. Joseph Health Grimes Hospital | Navasota, TX | $41.30 | $77.00 – $261.96 |
| St. Joseph Health Burleson Hospital | Caldwell, TX | $41.30 | $51.92 – $236.00 |
| St. Joseph Health Madison Hospital | Madisonville, TX | $41.30 | $30.07 – $236.00 |
| St. Joseph Health College Station Hospital | College Station, TX | $41.30 | $77.00 – $507.58 |
| Aurora Sinai Medical Center of Aurora Health Care Metro | Milwaukee, WI | $50.00 | not published |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield, CA | $62.25 | $8.77 – $585.15 |
| SONORA COMMUNITY HOSPITAL | Sonora, CA | $70.55 | $8.77 – $622.50 |
| CHI St. Vincent Morrilton | Morrilton, AR | $70.81 | $129.17 – $135.63 |
| HANFORD COMMUNITY HOSPITAL | Selma, CA | $78.85 | $8.63 – $697.20 |
| REEDLEY COMMUNITY HOSPITAL | Reedley, CA | $78.85 | $4.79 – $830.00 |
| ADVENTIST HEALTH TULARE | Tulare, CA | $78.85 | $136.38 – $415.00 |
| Hancock County Hospital | SNEEDVILLE, TN | $78.89 | $83.22 – $275.17 |
| WHITE MEMORIAL MEDICAL CENTER | MONTEBELLO, CA | $79.20 | $8.58 – $616.00 |
| 64-0881013 MBMC Jackson | Jackson, MS | $79.59 | $114.94 – $175.00 |
| UKIAH ADVENTIST HOSPITAL | Ukiah, CA | $83.00 | $66.41 – $415.00 |
| Thomas Hospitals | South Charleston, WV | $90.00 | $121.21 – $840.51 |
| Swedish Edmonds Hospital | Edmonds, WA | $91.20 | $196.23 – $691.48 |
| ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI | Tehachapi, CA | $112.05 | $8.77 – $535.35 |
| UPMC Wellsboro | Wellsboro, PA | $121.80 | $129.92 – $129.92 |
| WILLITS HOSPITAL INC | Willits, CA | $124.50 | $8.77 – $273.00 |
| MultiCare Yakima Memorial Hospital | Yakima, WA | $130.00 | $178.39 – $316.35 |
| CASTLE MEDICAL CENTER | Kailua, HI | $136.96 | $29.27 – $253.75 |
| Covenant Hospital Plainview | Plainview, TX | $141.12 | $167.87 – $182.58 |
| Covenant Hospital Levelland | Levelland, TX | $141.12 | $167.87 – $182.58 |
| 39-3714515 BMH Oktibbeha County | STARKVILLE, MS | $142.40 | $148.71 – $222.50 |
| MEDICAL CITY NORTH HILLS HOSPITAL | North Richland Hills, TX | $152.00 | $142.85 – $453.94 |
| Reynolds Memorial Hospital | Glen Dale, WV | $176.00 | $107.95 – $290.64 |
| Potomac Valley Hospital | Keyser, WV | $177.00 | not published |
| HSHS St. Clare Memorial Hospital | OCONTO FALLS, WI | $177.54 | $95.40 – $166.99 |
| Wetzel County Hospital | New Martinsville, WV | $180.00 | $121.21 – $290.64 |
| Metropolitan Hospital Center | New York, NY | $181.11 | $0.01 – $645.00 |
| Berkeley Medical Center | Martinsburg, WV | $182.00 | $121.21 – $290.64 |
| Elmhurst Hospital Center | NY 11373, NY | $182.17 | $0.01 – $645.00 |
| Lincoln Medical Center | Bronx, NY | $184.85 | $0.01 – $645.00 |
| Harlem Hospital Center | New York, NY | $184.85 | $0.01 – $645.00 |
| Jacobi Medical Center | Bronx, NY | $184.85 | $0.01 – $645.00 |
| South Brooklyn Health | Brooklyn, NY | $184.85 | $0.01 – $645.00 |
| North Central Bronx | Bronx, NY | $184.85 | $0.01 – $645.00 |
| Jefferson Medical Center | Ranson, WV | $190.00 | not published |
| Princeton Community Hospital | Princeton, WV | $190.00 | $121.21 – $967.35 |
| St. Joseph's Hospital | Buckhannon, WV | $190.00 | not published |
| Bellevue Hospital Center | NY 10016, NY | $196.49 | $0.01 – $645.00 |
| Mercy Medical Center Redding | Redding, CA | $196.72 | $165.96 – $380.24 |
| Queens Hospital Center | Jamaica, NY | $197.31 | $0.01 – $645.00 |
| Mercy Primary Care - Bernie | Bernie, MO | $198.00 | $115.04 – $264.00 |
| Kings County Hospital Center | Brooklyn, NY | $200.24 | $0.01 – $645.00 |
| Woodhull Medical Center | Brooklyn, NY | $200.24 | $0.01 – $645.00 |
| Bayshore Medical Center | Holmdel, NJ | $206.14 | $206.14 – $247.37 |
| Hackensack University Medical Center | Hackensack, NJ | $206.14 | $164.91 – $300.52 |
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