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 |
|---|---|---|---|
| UPMC Somerset | Somerset, PA | $432.00 | $116.72 – $291.33 |
| Sentara Albemarle Regional Medical Center | Elizabeth City, NC | $456.50 | $166.82 – $170.16 |
| Providence Seaside Hospital | Seaside, OR | $476.25 | not published |
| Providence Hood River Memorial Hospital | Hood River, OR | $476.25 | not published |
| Sentara Leigh Hospital | Norfolk, VA | $476.50 | $174.72 – $179.85 |
| Sentara Virginia Beach General Hospital | Virginia Beach, VA | $476.50 | not published |
| Sentara Princess Anne Hospital | Virginia Beach, VA | $476.50 | $174.72 – $179.85 |
| Sentara Obici Hospital | Suffolk, VA | $476.50 | $174.72 – $179.85 |
| Sentara CarePlex Hospital | Hampton, VA | $476.50 | $174.72 – $179.85 |
| Sentara Northern Virginia Medical Center | Woodbridge, VA | $476.50 | $174.72 – $179.85 |
| Sentara Norfolk General Hospital | Norfolk, VA | $476.50 | $174.72 – $179.85 |
| Sentara Halifax Regional Hospital | South Boston, VA | $519.50 | not published |
| Providence Valdez Medical Center | Valdez, AK | $533.52 | not published |
| Healdsburg Hospital | Healdsburg, CA | $576.30 | not published |
| cleveland clinic main campus | Cleveland, OH | $676.00 | $0.01 – $936.00 |
| akron general | Akron, OH | $676.00 | $0.01 – $936.00 |
| cleveland clinic florida weston hospital | Weston, FL | $676.00 | $141.07 – $1,040.00 |
| martin north hospital | Stuart, FL | $676.00 | $126.22 – $1,040.00 |
| indian river hospital | Vero Beach, FL | $676.00 | $22.66 – $1,040.00 |
| mercy hospital | Canton, OH | $676.00 | $1.10 – $936.00 |
| RESEARCH PSYCHIATRIC CENTER | Kansas City, MO | not published | $143.84 – $143.84 |
| RESEARCH MEDICAL CENTER | Kansas City, MO | not published | $143.84 – $181.08 |
| MultiCare Deaconess Hospital | Spokane, WA | not published | $174.89 – $742.14 |
| OVERLAND PARK REGIONAL MEDICAL CENTER | SHAWNEE, KS | not published | $139.13 – $175.14 |
| MENORAH MEDICAL CENTER | Overland Park, KS | not published | $139.13 – $175.14 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit, MO | not published | $143.84 – $181.08 |
| CENTERPOINT MEDICAL CENTER | Independence, MO | not published | $143.84 – $181.08 |
| LAFAYETTE REGIONAL HEALTH CENTER | Lexington, MO | not published | $162.91 – $162.91 |
| Emory University Hospital Midtown | Atlanta, GA | not published | $177.06 – $375.37 |
| Emory Saint Joseph's Hospital | Atlanta, GA | not published | $177.06 – $375.37 |
| Emory Johns Creek Hospital | Johns Creek, GA | not published | $177.06 – $375.37 |
| Emory Hospital Warner Robins | Warner Robins, GA | not published | $177.06 – $375.37 |
| Emory Decatur Hospital | Decatur, GA | not published | $177.06 – $375.37 |
| HCA FLORIDA WOODMONT HOSPITAL | TAMARAC, FL | not published | $148.41 – $1,449.00 |
| HCA FLORIDA WESTSIDE HOSPITAL | PLANTATION, FL | not published | $148.41 – $1,629.00 |
| HCA FLORIDA OCALA HOSPITAL | SUMMERFIELD, FL | not published | $143.13 – $364.58 |
| HCA FLORIDA UNIVERSITY HOSPITAL | Davie, FL | not published | $178.20 – $1,629.00 |
| UCF LAKE NONA HOSPITAL | Orlando, FL | not published | $143.13 – $234.37 |
| HCA FLORIDA TWIN CITIES HOSPITAL | DEFUNIAK SPRINGS, FL | not published | $143.13 – $208.33 |
| HCA FLORIDA TRINITY HOSPITAL | TRINITY, FL | not published | $143.13 – $234.37 |
| HCA FLORIDA ST. PETERSBURG HOSPITAL | NORTH, FL | not published | $143.13 – $234.37 |
| HCA FLORIDA ST. LUCIE HOSPITAL | STUART, FL | not published | $148.41 – $1,989.00 |
| HCA FLORIDA SOUTH SHORE HOSPITAL | PARRISH, FL | not published | $143.13 – $234.37 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE, FL | not published | $143.13 – $190.97 |
| HCA FLORIDA PUTNAM HOSPITAL | Palatka, FL | not published | $143.13 – $208.33 |
| HCA FLORIDA POINCIANA HOSPITAL | DAVENPORT, FL | not published | $143.13 – $234.37 |
| HCA FLORIDA PALMS WEST HOSPITAL | LOXAHATCHEE, FL | not published | $148.41 – $1,089.00 |
| OVIEDO MEDICAL CENTER | Oviedo, FL | not published | $143.13 – $234.37 |
| HCA FLORIDA OSCEOLA HOSPITAL | ORLANDO, FL | not published | $143.13 – $234.37 |
| HCA FLORIDA ORANGE PARK HOSPITAL | MIDDLEBURG, FL | not published | $138.89 – $217.01 |
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