HCPCS G0528 at Yakima Valley Memorial
Management of established patient with dementia, moderate to high complexity, for use in cmmi model
What Yakima Valley Memorial publishes for this code: as an outpatient
| Who pays | Hospital’s fee (lowest – highest) | Doctor’s fee the hospital lists |
|---|---|---|
| Commercial insurance | $598 | — |
| Cash price | — | — |
| List price | — | — |
Bills to expect
The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.
| Bill | What it’s for | Original Medicare allows | Private plan estimate |
|---|---|---|---|
| Hospital's fee | The clinic's facility fee, when the clinic belongs to the hospital | — | The price above |
| Doctor's visit | The visit itself | — | — |
Compare HCPCS G0528 at every Washington hospital, with Medicare’s reference amounts.