HCPCS G9986
Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved bundled payments for care improvement advanced (bpci advanced) model episode of care, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, 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 of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology
Current code10 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 | $699 | — | — |
| Deaconess Medical Center | $362 | — | — |
| Kadlec Regional Medical Center | $204 | — | — |
| Mary Bridge Children's Hospital | $676 | — | — |
| MultiCare Auburn Medical Center | $406 | — | — |
| MultiCare Covington Medical Center | $406 | — | — |
| MultiCare Good Samaritan Hospital | $406 | — | — |
| MultiCare Valley Hospital | $396 | — | — |
| Overlake Hospital Medical Center & Clinics | $402 | — | — |
| Tacoma General Allenmore Hospital | $406 | — | — |
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)
- $192 in an office; $110 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $173 in an office; $103 in a hospital or surgery center