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 |
|---|---|---|---|
| HCA HEALTHCARE BRIGHTON PARK ER | MONCKS CORNER, SC | not published | $126.40 – $351.29 |
| LIVE OAK MENTAL HEALTH AND WELLNESS | Ladson, SC | not published | $137.92 – $351.29 |
| CHRISTUS Santa Rosa Emergency Center - Alon | San Antonio, TX | not published | $119.58 – $320.47 |
| SUMMIT MEDICAL CENTER | MT JULIET, TN | not published | $147.85 – $241.49 |
| STONECREST MEDICAL CENTER | Smyrna, TN | not published | $147.85 – $241.49 |
| SOUTHERN HILLS MEDICAL CENTER | ANTIOCH, TN | not published | $118.28 – $241.49 |
| SKYLINE MADISON CAMPUS | NASHVILLE, TN | not published | $118.28 – $241.49 |
| NORTHCREST MEDICAL CENTER | SPRINGFIELD, TN | not published | $164.28 – $241.49 |
| HORIZON MEDICAL CENTER | DICKSON, TN | not published | $147.85 – $241.49 |
| HENDERSONVILLE MEDICAL CENTER | HENDERSONVILLE, TN | not published | $159.35 – $241.49 |
| CENTENNIAL MEDICAL CENTER AT ASHLAND CITY | Ashland City, TN | not published | $164.28 – $241.49 |
| GREENVIEW REGIONAL HOSPITAL | BOWLING GREEN, KY | not published | $137.27 – $169.73 |
| MEDICAL CITY ALLIANCE HOSPITAL | SAGINAW, TX | not published | $142.85 – $453.94 |
| MEDICAL CITY DALLAS HOSPITAL | Dallas, TX | not published | $143.46 – $455.88 |
| MEDICAL CITY FRISCO HOSPITAL | Frisco, TX | not published | $139.85 – $444.43 |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE | FORT WORTH, TX | not published | $173.26 – $453.94 |
| MEDICAL CITY LEWISVILLE HOSPITAL | LEWISVILLE, TX | not published | $139.85 – $444.43 |
| MEDICAL CITY LAS COLINAS HOSPITAL | Irving, TX | not published | $143.46 – $455.88 |
| MUSC Health Lancaster Medical Center | Lancaster, SC | not published | $167.28 – $184.01 |
| MUSC Health Kershaw Medical Center | Camden, SC | not published | $167.28 – $184.01 |
| MUSC Health Orangeburg Medical Center | Orangeburg, SC | not published | $167.28 – $184.01 |
| MUSC Health Florence Medical Center | Florence, SC | not published | $167.28 – $184.01 |
| MUSC Health Main Campus - Charleston | Charleston, SC | not published | $167.28 – $184.01 |
| Virginia Mason Medical Center | Seattle, WA | not published | $4.85 – $1,113.89 |
| Canton-Potsdam Hospital | Potsdam, NY | not published | $151.71 – $177.00 |
| Clifton Springs Hospital and Clinic | Clifton Springs, NY | not published | $144.97 – $189.40 |
| MultiCare Allenmore Hospital | Tacoma, WA | not published | $174.89 – $770.43 |
| MultiCare Valley Hospital | Spokane Valley, WA | not published | $180.14 – $740.48 |
| MultiCare Mary Bridge Children's Hospital | Tacoma, WA | not published | $180.14 – $1,308.74 |
| MultiCare Good Samaritan Hospital | Puyallup, WA | not published | $174.89 – $770.43 |
| MultiCare Covington Medical Center | Covington, WA | not published | $180.95 – $770.43 |
| MultiCare Capital Medical Center | Olympia, WA | not published | $174.89 – $323.55 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS, TX | not published | $147.90 – $455.88 |
| MultiCare Auburn Medical Center | Auburn, WA | not published | $180.95 – $770.43 |
| MEDICAL CITY FORT WORTH HOSPITAL | FT WORTH, TX | not published | $142.85 – $453.94 |
| Houston Methodist Cypress Hospital | Cypress, TX | not published | $173.06 – $337.47 |
| Houston Methodist The Woodlands Hospital | The Woodlands, TX | not published | $173.06 – $346.12 |
| Houston Methodist Clear Lake Hospital | Nassau Bay, TX | not published | $173.06 – $337.47 |
| Houston Methodist Willowbrook Hospital | Houston, TX | not published | $173.06 – $337.47 |
| Houston Methodist Baytown Hospital | Baytown, TX | not published | $173.06 – $337.47 |
| Houston Methodist West Hospital | Houston, TX | not published | $173.06 – $692.24 |
| Houston Methodist Sugar Land Hospital | Sugar Land, TX | not published | $173.06 – $337.47 |
| Houston Methodist Hospital | Houston, TX | not published | $173.06 – $692.24 |
| OSF Healthcare Saint Katharine Medical Center | Dixon, IL | not published | $181.55 – $181.55 |
| OSF St Mary Medical Center | Galesburg, IL | not published | $181.55 – $185.18 |
| OSF St Joseph Medical Center | Bloomington, IL | not published | $181.55 – $185.18 |
| OSF Saint James John W Albrecht Medical Center | Pontiac, IL | not published | $181.55 – $185.18 |
| OSF Saint Francis Medical Center | Peoria, IL | not published | $180.89 – $386.70 |
| OSF Saint Elizabeth Medical Center | Ottawa, IL | not published | $181.55 – $185.18 |
| OSF Saint Anthony's Health Center | Alton, IL | not published | $181.55 – $185.18 |
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