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
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 | — | $362 | $905 |
| Deaconess Medical Center | — | $165 | $412 |
| Mary Bridge Children's Hospital | — | $362 | $905 |
| MultiCare Auburn Medical Center | — | $362 | $905 |
| MultiCare Covington Medical Center | — | $362 | $905 |
| MultiCare Good Samaritan Hospital | — | $362 | $905 |
| MultiCare Valley Hospital | — | $165 | $412 |
| Prov Sacred HRT Med Ctr & Childs Hosp. | — | $1,014 | $1,448 |
| Providence Centralia Hospital | — | $445 | $856 |
| Providence Holy Family Hospital | — | $1,033 | $1,476 |
| Providence Regional Medical Center Everett | — | $282 | $543 |
| Providence St Peter Hospital | — | $445 | $856 |
| Swedish Issaquah | — | $250 | $521 |
| Swedish Medical Center | — | $250 | $521 |
| Swedish Medical Center / Cherry Hill | — | $250 | $521 |
| Tacoma General Allenmore Hospital | — | $362 | $905 |
| Virginia Mason Medical Center | — | $253 | $497 |
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)