HCPCS G0245 at Overlake Hospital Medical Center & Clinics
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education
What Overlake Hospital Medical Center & Clinics publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $170 – $1,167 | — |
| Medicare Advantage | $155 – $161 | — |
| Cash price | — | — |
| List price | — | — |
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in Seattle (King County) for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
| Doctor's visit | The visit itself | $36.99 | $43.65 – $66.21 |
Compare HCPCS G0245 at every Washington hospital, with Medicare’s reference amounts.