HCPCS G0511

Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month

Retired codeChronic, Principal, and Transitional Care Management21 hospitals with prices

Description from CMS's HCPCS Level II code file.

This code is retired. Some hospitals still list it.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS G0511 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$84.64 – $1678 plans——
Cascade Medical CenterLeavenworth$88.35 – $1352 plans$173$216
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$124 – $1312 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$2171 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$79.62 – $1508 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$79.62 – $1508 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$79.62 – $1503 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$1311 plan——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$75.11 – $2254 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$1271 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$1551 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$1471 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$2071 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$267 – $3002 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$127 – $1742 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$127 – $1742 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$200 – $2082 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$79.62 – $1118 plans——
Virginia Mason Medical CenterSeattle$89.91 – $2383 plans——
WhidbeyHealth Medical CenterCoupeville—$150$150
Yakima Valley MemorialYakimaFile dated 2026-08-27$94.77 – $2007 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

CMS publishes no national amount for this code.