HCPCS G9486

Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology

Current code11 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for HCPCS G9486 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27———
Deaconess Medical CenterSpokaneFile dated 2026-08-27———
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01———
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27———
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27———
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27———
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27———
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27———
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27———
Virginia Mason Medical CenterSeattle$17.57 – $1,08912 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

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)
$18.47 in an office; $18.47 in a hospital or surgery center
Doctor's fee, rest of Washington
$17.77 in an office; $17.77 in a hospital or surgery center