HCPCS G0323
Care management services for behavioral health conditions, at least 20 minutes of clinical psychologist, clinical social worker, mental health counselor, or marriage and family therapist time, per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy, coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services, counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team)
Current code29 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 | $55.60 – $194 | — | — |
| Deaconess Medical Center | $53.96 – $132 | — | — |
| Harborview Medical Center | $69.42 – $92.36 | — | — |
| Island Hospital | $57.97 – $80.50 | — | — |
| Kadlec Regional Medical Center | $49.34 – $117 | — | — |
| Legacy Salmon Creek Medical Center | $83.51 – $123 | — | — |
| Mary Bridge Children's Hospital | $55.60 – $233 | — | — |
| MultiCare Auburn Medical Center | $55.60 – $180 | — | — |
| MultiCare Covington Medical Center | $55.60 – $180 | — | — |
| MultiCare Good Samaritan Hospital | $55.60 – $180 | — | — |
| MultiCare Valley Hospital | $52.46 – $132 | — | — |
| Olympic Medical Center | — | — | — |
| Overlake Hospital Medical Center & Clinics | $47.86 – $114 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $57.64 – $139 | — | — |
| Providence Centralia Hospital | $73.33 – $210 | — | — |
| Providence Holy Family Hospital | $50.10 – $153 | — | — |
| Providence Regional Medical Center Everett | $51.20 – $132 | — | — |
| Providence St Mary Medical Center | $25.43 – $159 | — | — |
| Providence St Peter Hospital | $36.63 – $168 | — | — |
| Swedish Edmonds Hospital | $64.00 – $154 | — | — |
| Swedish Issaquah | $63.46 – $185 | — | — |
| Swedish Medical Center | $65.08 – $184 | — | — |
| Swedish Medical Center / Cherry Hill | $65.08 – $184 | — | — |
| Tacoma General Allenmore Hospital | $55.60 – $180 | — | — |
| University of Washington Medical Ctr | $69.42 – $136 | — | — |
| Virginia Mason Medical Center | $54.00 – $110 | $45.90 | $90.00 |
| Wellfound Behavioral Health Hospital | $110 | — | — |
| WhidbeyHealth Medical Center | — | $58.00 | $58.00 |
| Yakima Valley Memorial | $70.12 – $95.87 | — | — |
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)
- $64.85 in an office; $40.26 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $59.21 in an office; $38.11 in a hospital or surgery center
- Hospital outpatient payment (national)
- $38.28 (APC 5821)