HCPCS G2025

Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only

Current codeFQHC E&M - Facility Fee24 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 G2025 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$112 – $2308 plans——
Cascade Medical CenterLeavenworth$151 – $1582 plans$202$252
Deaconess Medical CenterSpokaneFile dated 2026-08-27$4381 plan——
Island HospitalAnacortes—$260 – $390$260 – $390
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$161 – $1702 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$288 – $7732 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$106 – $4559 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$106 – $4559 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$110 – $4554 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$174 – $4372 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$104 – $3114 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1751 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$2141 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$2021 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2851 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$368 – $4142 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$175 – $2392 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$175 – $2392 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$276 – $2862 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$106 – $4559 plans——
Three Rivers HospitalBrewster—Doctor’s fee: $81.00Doctor’s fee: $81.00
Virginia Mason Medical CenterSeattle$2911 plan——
WhidbeyHealth Medical CenterCoupeville—$299$299
Yakima Valley MemorialYakimaFile dated 2026-08-27$126 – $2768 plans——

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

CMS publishes no national amount for this code.