HCPCS G0553 at Prov Sacred HRT Med Ctr & Childs Hosp.

First 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing information related to the use of the dmht device, including patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month

Prov Sacred HRT Med Ctr & Childs Hosp., Spokane

Description from CMS's HCPCS Level II code file.

What Prov Sacred HRT Med Ctr & Childs Hosp. publishes for this code: as an outpatient

Prov Sacred HRT Med Ctr & Childs Hosp.’s prices for HCPCS G0553, as an outpatient
Who paysHospital’s fee (lowest – highest)Doctor’s fee the hospital lists
Commercial insuranceInsurer rates$251 – $4929 plans—
Medicare AdvantageInsurer rates$148 – $1787 plans—
Cash pricePaying yourself, without insurance——
List priceBefore any discount; few people pay it——

Lowest and highest amounts Prov Sacred HRT Med Ctr & Childs Hosp. lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-04-01. This is one line of a bill; most care brings several.

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.

Bills to expect for HCPCS G0553 at Prov Sacred HRT Med Ctr & Childs Hosp.
BillWhat it’s forOriginal Medicare allowsPrivate plan estimate
Hospital's feeThe hospitalThe clinic's facility fee, when the clinic belongs to the hospital—The price above
Doctor's visitThe doctor's practiceThe visit itself$26.31$31.05 – $47.09

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS G0553 at every Washington hospital, with Medicare’s reference amounts.