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
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.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $304 – $499 | — | — |
| Kadlec Regional Medical Center | $307 | — | — |
| Legacy Salmon Creek Medical Center | $221 – $324 | — | — |
| MultiCare Auburn Medical Center | $265 – $500 | — | — |
| MultiCare Covington Medical Center | $265 – $500 | — | — |
| MultiCare Good Samaritan Hospital | $265 – $500 | — | — |
| Overlake Hospital Medical Center & Clinics | $250 – $749 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $283 | — | — |
| Providence Centralia Hospital | $489 | — | — |
| Providence Regional Medical Center Everett | $330 | — | — |
| Providence St Peter Hospital | $440 | — | — |
| Swedish Edmonds Hospital | $353 – $393 | — | — |
| Swedish Issaquah | $369 – $393 | — | — |
| Swedish Medical Center | $369 – $393 | — | — |
| Swedish Medical Center / Cherry Hill | $357 – $361 | — | — |
| Tacoma General Allenmore Hospital | $265 – $370 | — | — |
| Yakima Valley Memorial | $144 – $236 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.