HCPCS G2058 at Skyline Hospital

Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)).

Skyline Hospital, White Salmon

Description from CMS's HCPCS Level II code file.

What Skyline Hospital publishes for this code: as an outpatient

Skyline Hospital’s prices for HCPCS G2058, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	—	$105 – $116
Medicare AdvantageInsurer rates	—	$401
Medicaid managed careInsurer rates	—	$545 – $572
Other government programInsurer rates	—	$229
UnknownInsurer rates	—	$91.02 – $545
Cash pricePaying yourself, without insurance	—	$88.56
List priceBefore any discount; few people pay it	—	$123

Lowest and highest amounts Skyline Hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. Its price file is dated 2026-08-21. 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 G2058 at Skyline Hospital
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	—	—

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

Compare HCPCS G2058 at every Washington hospital, with Medicare’s reference amounts.