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

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS G0249 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$362$905
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$165$412
Harborview Medical CenterSeattleFile dated 2026-04-01———
Island HospitalAnacortes$1591 plan——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$362$905
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$362$905
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$362$905
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$362$905
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$165$412
Olympic Medical CenterPort AngelesFile dated 2026-06-24———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$407 – $1,014$581 – $1,448
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$445$856
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$345 – $1,033$493 – $1,476
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$282$543
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01———
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$445$856
Skagit Valley HospitalMount Vernon$1481 plan$114$143
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01———
Swedish IssaquahIssaquahFile dated 2026-04-01—$250$521
Swedish Medical CenterSeattleFile dated 2026-04-01—$250$521
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$250$521
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$362$905
University of Washington Medical CtrSeattleFile dated 2026-04-01———
Virginia Mason Medical CenterSeattle—$253$497
Wellfound Behavioral Health HospitalTacomaFile dated 2026-08-27———
Yakima Valley MemorialYakimaFile dated 2026-08-27———

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)