HCPCS G0249

Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests

Current codeClinical Chemistry29 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0249 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$226 – $77819 plans$362$905
Deaconess Medical CenterSpokaneFile dated 2026-08-27$153 – $53916 plans$165$412
Harborview Medical CenterSeattleFile dated 2026-04-01$247 – $3283 plans——
Island HospitalAnacortes$206 – $2865 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$80.32 – $4538 plans——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$297 – $4794 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$226 – $1,25218 plans$362$905
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$226 – $77820 plans$362$905
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$226 – $77820 plans$362$905
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$226 – $77820 plans$362$905
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$153 – $53816 plans$165$412
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$170 – $1,16712 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$251 – $49212 plans$407 – $1,014$581 – $1,448
Providence Centralia HospitalCentraliaFile dated 2026-04-01$261 – $9699 plans$445$856
Providence Holy Family HospitalSpokaneFile dated 2026-04-01$178 – $54411 plans$345 – $1,033$493 – $1,476
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$182 – $48711 plans$282$543
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01$117 – $7319 plans——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$130 – $64913 plans$445$856
Skagit Valley HospitalMount Vernon$114 – $59911 plans$114$143
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$227 – $54613 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$232 – $65614 plans$250$521
Swedish Medical CenterSeattleFile dated 2026-04-01$231 – $65422 plans$250$521
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$231 – $65416 plans$250$521
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$226 – $67920 plans$362$905
University of Washington Medical CtrSeattleFile dated 2026-04-01$247 – $55311 plans——
Virginia Mason Medical CenterSeattle$1.70 – $47510 plans$253$497
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27$3921 plan——
Yakima Valley MemorialYakimaFile dated 2026-08-27$212 – $44213 plans——

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

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)
$80.60 in an office; $80.60 in a hospital or surgery center
Doctor's fee, rest of Washington
$69.19 in an office; $69.19 in a hospital or surgery center
Hospital outpatient payment (national)
$136 (APC 5012)