HCPCS G0520
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
New pt-cg dyad dem mod cmplx
Low
$0
Average
$167
Median
$88
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 8.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +3 other terms | 25 | $25 | $51 | $33 | 65% | — | $14 – $95 |
| 2 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 16 | $21 | $26 | $15 | 58% | — | $14 – $80 |
| 3 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $20 | $22 | $5 | 23% | — | $13 – $34 |
| 5 | Optum facility · case rate · outpatient | 13 | $19 | $29 | $20 | 70% | — | $17 – $76 |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 8 | $1.3k | $1.3k | $361 | 28% | — | $765 – $2.2k |
| 7 | Aetna Better Health facility · case rate · outpatient | 6 | $96 | $96 | — | — | — | $96 – $96 |
| 8 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $88 | $88 | — | — | — | $88 – $88 |
| 9 | Humana facility · case rate · outpatient · +3 other terms | 5 | $80 | $83 | $4 | 5% | — | $80 – $88 |
| 10 | Aetna fee schedule · outpatient · +3 other terms | 4 | $173 | $173 | $0 | 0% | — | $173 – $174 |
| 11 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 4 | $4 | $3 | $3 | 88% | — | $0 – $7 |
| 12 | Medicaid facility · case rate · outpatient | 2 | $80 | $80 | — | — | — | $80 – $80 |
| 13 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | $7 | 3% | — | $232 – $248 |
| 15 | WellCare facility · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
← Hospitals reporting HCPCS G0520 · Snapshot 20261113T090226Z-3ce6c0b8