HCPCS G0535

Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-advocacy and communication skills with care providers, and to promote patient-driven action plans and goals; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)

Current code10 hospitals with prices

Description from CMS's HCPCS Level II code file.

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 G0535 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$65.141 plan——
Deaconess Medical CenterSpokaneFile dated 2026-08-27$65.14 – $1862 plans——
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27$3281 plan——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$65.14 – $1932 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$65.14 – $1932 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$65.14 – $1932 plans——
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27$65.14 – $1862 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$65.14 – $1932 plans——
Virginia Mason Medical CenterSeattle$145 – $1652 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$1161 plan——

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.