HCPCS G2025 at Three Rivers Hospital

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

Three Rivers Hospital, Brewster

Description from CMS's HCPCS Level II code file.

What Three Rivers Hospital publishes for this code: as an outpatient

Three Rivers Hospital’s prices for HCPCS G2025, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Medicaid managed careInsurer rates	—	$56.70
Medicaid (state program)Insurer rates	—	$56.70
UnknownInsurer rates	—	$66.42
Cash pricePaying yourself, without insurance	—	$81.00
List priceBefore any discount; few people pay it	—	$81.00

Lowest and highest amounts Three Rivers Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. 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 G2025 at Three Rivers 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	—	—

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

Compare HCPCS G2025 at every Washington hospital, with Medicare’s reference amounts.