HCPCS G0491 at MultiCare Covington Medical Center

Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd

MultiCare Covington Medical Center, Covington

Description from CMS's HCPCS Level II code file.

What MultiCare Covington Medical Center publishes for this code: as an outpatient

MultiCare Covington Medical Center’s prices for HCPCS G0491, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Medicaid managed careInsurer rates	$531 – $5735 plans	—
Cash pricePaying yourself, without insurance	—	—
List priceBefore any discount; few people pay it	—	—

Lowest and highest amounts MultiCare Covington Medical Center lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-27. 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 Seattle (King County) 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 G0491 at MultiCare Covington Medical Center
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The service	—	The price above

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

Compare HCPCS G0491 at every Washington hospital, with Medicare’s reference amounts.