HCPCS G0245
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
Current code29 hospitals with prices
What Washington hospitals publish for this code
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $151 – $166 | — | — |
| Deaconess Medical Center | $145 – $160 | — | — |
| Harborview Medical Center | $154 – $170 | $138 | $198 |
| Island Hospital | $159 – $168 | — | — |
| Kadlec Regional Medical Center | $148 – $178 | — | — |
| Legacy Salmon Creek Medical Center | $153 – $166 | — | — |
| Mary Bridge Children's Hospital | $152 – $168 | — | — |
| MultiCare Auburn Medical Center | $152 – $167 | — | — |
| MultiCare Covington Medical Center | $152 – $167 | — | — |
| MultiCare Good Samaritan Hospital | $152 – $168 | — | — |
| MultiCare Valley Hospital | $150 – $160 | — | — |
| Olympic Medical Center | $167 – $215 | — | — |
| Overlake Hospital Medical Center & Clinics | $155 – $161 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $148 – $178 | — | — |
| Providence Centralia Hospital | $154 – $247 | — | — |
| Providence Holy Family Hospital | $148 – $163 | — | — |
| Providence Regional Medical Center Everett | $152 – $167 | — | — |
| Providence St Mary Medical Center | $148 – $163 | — | — |
| Providence St Peter Hospital | $153 – $245 | — | — |
| Skagit Valley Hospital | $129 – $135 | $146 | $182 |
| Swedish Edmonds Hospital | $152 – $182 | — | — |
| Swedish Issaquah | $155 – $186 | — | — |
| Swedish Medical Center | $154 – $185 | — | — |
| Swedish Medical Center / Cherry Hill | $154 – $185 | — | — |
| Tacoma General Allenmore Hospital | $152 – $168 | — | — |
| University of Washington Medical Ctr | $154 – $170 | $78.25 | $112 |
| Virginia Mason Medical Center | $40.66 – $1,530 | $77.52 | $152 |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $156 – $174 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $74.69 in an office; $36.99 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $67.40 in an office; $35.04 in a hospital or surgery center
- Hospital outpatient payment (national)
- $136 (APC 5012)