HCPCS G0554

Each additional 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 data generated from the dmht device from 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

Current code2 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicaid managed care: Rate for an Apple Health managed-care plan. Applies only to members of that plan.

Prices for HCPCS G0554 by hospital
HospitalMedicaid managed care rates (lowest – highest)Cash priceList price (before discounts)
Island HospitalAnacortes$48.14 – $52.233 plans——
Olympic Medical CenterPort AngelesFile dated 2026-06-24$59.64 – $65.325 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

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)
$46.80 in an office; $27.13 in a hospital or surgery center
Doctor's fee, rest of Washington
$42.50 in an office; $25.62 in a hospital or surgery center