HCPCS G0522
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
Mgt nw pt dementia low cmplx
Low
$13
Average
$71
Median
$25
High
$191
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26 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 2 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $61 | $69 | $10 | 15% | — | $61 – $82 |
| 4 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 6 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 7 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 8 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 9 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 10 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 11 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 12 | Fairview Hospital Cleveland, OH facility · case rate · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Fisher-Titus Medical Center Norwalk, OH facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 14 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 15 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 17 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 18 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 19 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | Riverside Hospital Inc Newport News, VA fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 21 | Riverside Middle Peninsula Hospital, Inc Gloucester, VA fee schedule · outpatient | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 22 | SHORE HEALTH SERVICES INC. Onancock, VA fee schedule · outpatient | 1 | $174 | $174 | — | — | — | $174 – $174 |
| 23 | THE UNION HOSPITAL ASSOCIATION Dover, OH facility · case rate · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 24 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 25 | VCU HEALTH TAPPAHANNOCK HOSPITAL Tappahannock, VA case rate · outpatient | 1 | $187 | $187 | — | — | — | $187 – $187 |
← Payers reporting HCPCS G0522 · Snapshot 20261113T090226Z-3ce6c0b8