Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes
Medicare pricing data for 1,309 providers across 39 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes (HCPCS code G0396) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $33.21, but hospitals typically charge $83.52 — a 2.5x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $33.21, your out-of-pocket cost would be approximately $6.64. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.5x more than what Medicare allows for this procedure. Medicare actually pays $24.65 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $45 | $50 | 9 | 228 | +34.2% |
| District of Columbia | $38 | $57 | 4 | 11 | +12.9% |
| Washington | $37 | $87 | 9 | 2,950 | +12.3% |
| Maryland | $37 | $58 | 78 | 2,623 | +11.3% |
| Virginia | $37 | $56 | 13 | 510 | +10.5% |
| New Jersey | $36 | $94 | 26 | 629 | +9.8% |
| Utah | $35 | $89 | 6 | 130 | +5.9% |
| New York | $35 | $83 | 145 | 2,736 | +5.5% |
| California | $35 | $89 | 115 | 5,715 | +4.5% |
| New Hampshire | $34 | $128 | 5 | 433 | +3.5% |
| Nevada | $34 | $147 | 19 | 1,278 | +3.0% |
| Texas | $33 | $100 | 138 | 9,253 | +0.7% |
| Florida | $33 | $80 | 122 | 4,375 | +0.5% |
| Illinois | $33 | $69 | 23 | 104 | +0.4% |
| Missouri | $33 | $164 | 16 | 570 | +0.3% |
| Massachusetts | $33 | $62 | 23 | 964 | +0.1% |
| Idaho | $33 | $44 | 3 | 22 | -0.4% |
| Michigan | $33 | $64 | 35 | 980 | -1.2% |
| South Carolina | $33 | $104 | 10 | 444 | -1.7% |
| New Mexico | $33 | $48 | 10 | 108 | -1.8% |
| Connecticut | $33 | $71 | 16 | 312 | -2.0% |
| Alabama | $32 | $54 | 22 | 1,598 | -2.3% |
| Pennsylvania | $32 | $85 | 28 | 1,464 | -2.3% |
| Oklahoma | $32 | $89 | 10 | 719 | -2.6% |
| Nebraska | $32 | $50 | 7 | 71 | -3.9% |
| Georgia | $32 | $61 | 27 | 1,124 | -4.7% |
| North Carolina | $31 | $104 | 28 | 956 | -5.2% |
| Delaware | $31 | $55 | 9 | 1,089 | -5.5% |
| Oregon | $31 | $51 | 25 | 304 | -6.3% |
| Minnesota | $31 | $95 | 20 | 488 | -7.1% |
| Louisiana | $31 | $54 | 14 | 49 | -7.8% |
| Colorado | $30 | $62 | 15 | 168 | -10.1% |
| Mississippi | $30 | $56 | 7 | 12 | -10.2% |
| Arizona | $30 | $94 | 50 | 1,003 | -10.9% |
| Indiana | $29 | $55 | 47 | 598 | -12.6% |
| Tennessee | $29 | $68 | 69 | 5,662 | -13.3% |
| Kentucky | $29 | $60 | 40 | 483 | -13.5% |
| Arkansas | $28 | $60 | 8 | 75 | -16.7% |
| Ohio | $26 | $71 | 16 | 86 | -21.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber