HCPCS G9490
Cms innovation center models, home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code
Current code11 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $284 | — | — |
| Deaconess Medical Center | $147 | — | — |
| Kadlec Regional Medical Center | $76.88 | — | — |
| Mary Bridge Children's Hospital | $275 | — | — |
| MultiCare Auburn Medical Center | $165 | — | — |
| MultiCare Covington Medical Center | $165 | — | — |
| MultiCare Good Samaritan Hospital | $165 | — | — |
| MultiCare Valley Hospital | $161 | — | — |
| Overlake Hospital Medical Center & Clinics | $174 | — | — |
| Tacoma General Allenmore Hospital | $165 | — | — |
| Virginia Mason Medical Center | $1.30 – $147 | — | — |
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)
- $61.23 in an office; $61.23 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $53.28 in an office; $53.28 in a hospital or surgery center