HCPCS G0426 at Forks Community Hospital

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth

Forks Community Hospital, Forks

Description from CMS's HCPCS Level II code file.

What Forks Community Hospital publishes for this code: as an outpatient

Forks Community Hospital’s prices for HCPCS G0426, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	—	$118 – $182
Medicare AdvantageInsurer rates	—	$56.00 – $137
Medicaid managed careInsurer rates	—	$160 – $170
Other government programInsurer rates	—	$118 – $119
UnknownInsurer rates	—	$64.00 – $183
Cash pricePaying yourself, without insurance	—	$128
List priceBefore any discount; few people pay it	—	$160

Lowest and highest amounts Forks Community Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-10-27. This is one line of a bill; most care brings several.

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 the rest of Washington 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.

Bills to expect for HCPCS G0426 at Forks Community Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	$118	$139 – $211

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0426 at every Washington hospital, with Medicare’s reference amounts.