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HCPCS G9488Medical Service

Remote In-home Visit for the Evaluation and Management of an Established Patient for Use Only in a Standard Insurance-approved Cms Innovation Center Demonstration Project

Remote in-home visit for the evaluation and management of an established patient for use only in a standard insurance-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed ex. Clinical pricing breakdown and utilization metrics across 53 practicing doctors nationwide.

$145.00
Peer Median Charge
Gross billed rate
$57.81
Standard Baseline
Customary allowable
2.5x
National Markup
Charge vs baseline
53
Active Physicians
Billing this code
Planning care or already received a bill for CPT G9488?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $145.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $57.81 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code G9488 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"