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 |
|---|---|---|---|
| Ocean University Medical Center | Brick, NJ | $206.14 | $206.14 – $289.84 |
| Raritan Bay Medical Center | Perth Amboy, NJ | $206.14 | $206.14 – $300.52 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison, NJ | $206.14 | $206.14 – $300.52 |
| Jersey Shore University Medical Center | Neptune City, NJ | $206.14 | $164.91 – $289.84 |
| Palisades Medical Center | North Bergen, NJ | $206.14 | $206.14 – $300.52 |
| Riverview Medical Center | Red Bank, NJ | $206.14 | $206.14 – $289.84 |
| Southern Ocean Medical Center | Manahawkin, NJ | $206.14 | $206.14 – $289.84 |
| United Hospital Center | Bridgeport, WV | $206.50 | $121.21 – $290.64 |
| Camden Clark Medical Center | Parkersburg, WV | $206.50 | $121.21 – $290.64 |
| Barnesville Hospital | Barnesville, OH | $209.00 | not published |
| Rochester General Hospital | Rochester, NY | $211.28 | not published |
| Newark Wayne Community Hospital | Newark, NY | $211.28 | $168.57 – $351.25 |
| MID-COLUMBIA MEDICAL CENTER | The Dalles, OR | $212.64 | $58.00 – $443.00 |
| Jackson General Hospital | Ripley, WV | $213.00 | not published |
| Mercy Medical Center Merced | Merced, CA | $213.73 | $165.96 – $390.10 |
| Corewell Health Gross Pointe | Grosse Pointe, MI | $218.00 | $156.21 – $498.09 |
| Corewell Health Taylor | Taylor, MI | $218.00 | $156.21 – $876.59 |
| Corewell Health Trenton | Trenton, MI | $218.00 | $156.21 – $667.61 |
| Corewell Health Troy | Troy, MI | $218.00 | $156.21 – $839.45 |
| Corewell Health Wayne | Wayne, MI | $218.00 | $156.21 – $748.49 |
| Sentara Martha Jefferson Hospital | Charlottesville, VA | $218.50 | not published |
| Sentara RMH Medical Center | Harrisonburg, VA | $218.50 | $174.72 – $179.85 |
| Braxton County Memorial Hospital | Gassaway, WV | $222.00 | not published |
| University Hospitals Conneaut Medical Center | Conneaut, OH | $225.00 | not published |
| University Hospitals Geneva Medical Center | Geneva, OH | $225.00 | not published |
| NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK | Tillamook, OR | $231.93 | $298.49 – $319.03 |
| West Virginia University Hospitals | Morgantown, WV | $234.50 | $107.95 – $703.60 |
| Henry Ford Hospital | Detroit MI 48202 | 19401 Hubbard Dr., MI | $242.02 | $0.01 – $475.28 |
| Henry Ford West Bloomfield Hospital | West Bloomfield, MI | $242.02 | $0.01 – $378.82 |
| Henry Ford Wyandotte Hospital: | Wyandotte, MI | $242.02 | $0.01 – $378.82 |
| Henry Ford Macomb Hospital | Clinton Twp, MI | $242.02 | $0.01 – $378.82 |
| University Hospitals Beachwood Medical Center | Beachwood, OH | $243.00 | $78.96 – $301.10 |
| University Hospitals Elyria Medical Center | Elyria, OH | $243.00 | $167.28 – $301.10 |
| University Hospitals St. John Medical Center | Westlake OH, OH | $243.00 | $167.28 – $301.10 |
| University Hospitals Samaritan Medical Center | Ashland, OH | $243.00 | $167.28 – $301.10 |
| University Hospitals Lake West Medical Center | Willoughby OH 44094|7590 Auburn Road, OH | $243.00 | $95.35 – $301.10 |
| University Hospitals Parma Medical Center | Parma OH 44129|7007 Powers Boulevard, OH | $243.00 | $167.28 – $301.10 |
| University Hospitals Portage Medical Center | Ravenna OH 44266, OH | $243.00 | $167.28 – $301.10 |
| University Hospitals Cleveland Medical Center | Cleveland OH 44106|3999 Richmond Road, OH | $243.00 | $167.28 – $334.56 |
| University Hospitals Regional Hospitals - Geauga Medical Center | Chardon, OH | $243.00 | $167.28 – $301.10 |
| University Hospitals Ahuja Medical Center | Beachwood, OH | $243.00 | $71.60 – $301.10 |
| Providence St Joseph Medical Center | Polson, MT | $246.40 | not published |
| Ascension St. Vincent's Riverside (St. Vincent's Medical Center, Inc.) | Jacksonville, FL | $253.36 | $396.48 – $396.48 |
| Ascension St. Vincent's Southside (St. Luke's-St. Vincent's HealthCare, Inc.) | Jacksonville, FL | $253.36 | $396.48 – $396.48 |
| Redwood Memorial Hospital | Fortuna, CA | $270.30 | not published |
| MercyOne Genesis Davenport West Medical Center | Davenport, IA | $270.60 | not published |
| Ascension Calumet Hospital, Inc. | Chilton, WI | $273.60 | $182.28 – $374.21 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg, CA | $273.90 | $166.32 – $601.75 |
| MercyOne Genesis Davenport Medical Center | Davenport, IA | $284.40 | not published |
| MercyOne Genesis Silvis Medical Center | Silvis, IL | $284.40 | $436.08 – $474.00 |
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