HCPCS G2004

Comprehensive (60 minutes) in-home visit for a new patient post-discharge. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.)

Current code10 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 G2004 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$9221 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4781 plan——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$2981 plan——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$8921 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$5351 plan——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$5351 plan——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$5351 plan——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$5231 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$5231 plan——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$5351 plan——

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)
$179 in an office; $179 in a hospital or surgery center
Doctor's fee, rest of Washington
$166 in an office; $166 in a hospital or surgery center