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 |
|---|---|---|---|
| OSF Saint Anthony Medical Center | Rockford, IL | not published | $180.89 – $635.43 |
| Parkview Whitley Hospital & Parkview Kosciusko Hospital | Columbia City, IN | not published | $165.46 – $248.19 |
| Parkview Logansport Hospital | Logansport, IN | not published | $165.46 – $330.92 |
| Parkview Huntington Hospital | Huntington, IN | not published | $165.46 – $248.19 |
| Parkview DeKalb Hospital | Auburn, IN | not published | $165.46 – $248.19 |
| Parkview Regional Medical Center & Parkview Hospital Randallia | Fort Wayne, IN | not published | $165.46 – $248.19 |
| Parkview Bryan Hospital | Bryan, OH | not published | $167.28 – $501.84 |
| Morristown-Hamblen Hospital Association | Morristown, TN | not published | $86.85 – $86.85 |
| Parkwest Medical Center | Knoxville, TN | not published | $86.85 – $202.53 |
| Methodist Medical Center of Oak Ridge | Oak Ridge, TN | not published | $86.85 – $86.85 |
| LeConte Medical Center | Sevierville, TN | not published | $86.85 – $86.85 |
| MEDICAL CITY ARGYLE HOSPITAL | Argyle, TX | not published | $139.85 – $444.43 |
| Fort Sanders Regional Medical Center | Knoxville, TN | not published | $86.85 – $86.85 |
| Fort Loudoun Medical Center | Lenoir City, TN | not published | $86.85 – $86.85 |
| CHRISTUS Health - West Beaumont | Beaumont, TX | not published | $383.89 – $383.89 |
| Cumberland Medical Center, Inc. | Crossville, TN | not published | $104.22 – $104.22 |
| CHRISTUS St. Michael Hospital - Atlanta | Atlanta, TX | not published | $234.60 – $345.50 |
| CHRISTUS Good Shepherd Medical Center - Longview | Longview, TX | not published | $119.58 – $119.58 |
| Gerald Champion Regional Medical Center | Alamogordo, NM | not published | $113.44 – $124.78 |
| CHRISTUS St. Michael Rehabilitation | Texarkana, TX | not published | $234.60 – $345.50 |
| Claiborne Medical Center | Tazewell, TN | not published | $86.85 – $86.85 |
| Roane County Medical Center | Harriman, TN | not published | $86.85 – $86.85 |
| CHRISTUS Santa Rosa Hospital - San Marcos | San Marcos, TX | not published | $792.82 – $792.82 |
| CHRISTUS Good Shepherd Medical Center - Marshall | Marshall, TX | not published | $119.58 – $119.58 |
| AdventHealth Castle Rock | Castle Rock, CO | not published | $175.80 – $331.87 |
| Kadlec Regional Medical Center | Richland, WA | not published | $196.23 – $363.03 |
| Providence St Mary Medical Center | Walla Walla, WA | not published | $165.12 – $363.03 |
| Providence Milwaukie Hospital | Milwaukie, OR | not published | $180.44 – $366.74 |
| Providence Saint John's Health Center | Santa Monica, CA | not published | $190.40 – $436.03 |
| Marion General Hospital | Marion, OH | not published | $167.28 – $173.97 |
| SSM Health Monroe Hospital | Monroe, WI | not published | $166.99 – $166.99 |
| Providence St Joseph Hospital Orange | Orange, CA | not published | $161.84 – $352.24 |
| Doctors Hospital | Columbus, OH | not published | $167.28 – $167.28 |
| SSM Health St. Anthony Hospital - Shawnee | Shawnee, OK | not published | $164.33 – $320.44 |
| Atrium Health Carolinas Medical Center | Charlotte, NC | not published | $153.44 – $304.85 |
| Atrium Health University City | Charlotte, NC | not published | $153.44 – $304.85 |
| Carolinas Rehabilitation Charlotte | Charlotte, NC | not published | $153.44 – $304.85 |
| south pointe hospital | Warrensville Heights, OH | not published | $62.46 – $242.59 |
| medina hospital | Medina, OH | not published | $54.91 – $242.59 |
| St Patrick Hospital - Broadway Campus | Missoula, MT | not published | $176.08 – $348.68 |
| Santa Rosa Memorial Hospital | Santa Rosa, CA | not published | $177.43 – $181.05 |
| Atrium Health Union | Monroe, NC | not published | $153.44 – $304.85 |
| marymount hospital | Garfield Heights, OH | not published | $52.93 – $242.59 |
| lodi hospital | Lodi, OH | not published | $91.53 – $206.14 |
| Atrium Health Lincoln | Lincolnton, NC | not published | $153.44 – $304.85 |
| Atrium Health Cabarrus | Concord, NC | not published | $153.44 – $304.85 |
| Atrium Health Cleveland | Shelby, NC | not published | $153.44 – $304.85 |
| Atrium Health Behavioral Health Charlotte | Charlotte, NC | not published | $153.44 – $161.11 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis, MO | not published | $169.23 – $203.08 |
| AdventHealth Porter | Denver, CO | not published | $175.80 – $331.87 |
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