HCPCS G2065

Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities

Retired codeChronic, Principal, and Transitional Care Management17 hospitals with prices

Description from CMS's HCPCS Level II code file.

This code is retired. Some hospitals still list it.

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 G2065 by hospital
HospitalCommercial insurance rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27$304 – $4993 plans——
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01$3071 plan——
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01$221 – $3243 plans——
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27$265 – $5003 plans——
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27$265 – $5003 plans——
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27$265 – $5003 plans——
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01$250 – $7494 plans——
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01$2831 plan——
Providence Centralia HospitalCentraliaFile dated 2026-04-01$4891 plan——
Providence Regional Medical Center EverettEverettFile dated 2026-04-01$3301 plan——
Providence St Peter HospitalOlympiaFile dated 2026-04-01$4401 plan——
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01$353 – $3932 plans——
Swedish IssaquahIssaquahFile dated 2026-04-01$369 – $3932 plans——
Swedish Medical CenterSeattleFile dated 2026-04-01$369 – $3932 plans——
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01$357 – $3612 plans——
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27$265 – $3703 plans——
Yakima Valley MemorialYakimaFile dated 2026-08-27$144 – $2362 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

CMS publishes no national amount for this code.