HCPCS G2086 at Virginia Mason Medical Center
Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month
What Virginia Mason Medical Center publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $11.31 – $950 | — |
| Medicare Advantage | $123 – $431 | — |
| Cash price | $84.66 | — |
| List price | $166 | — |
What Virginia Mason Medical Center publishes for this code: during a hospital stay
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $106 – $133 | — |
| Cash price | $84.66 | — |
| List price | $166 | — |
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.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
| Doctor's visit | The visit itself | $387 | $457 – $693 |
Compare HCPCS G2086 at every Washington hospital, with Medicare’s reference amounts.