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
$14
Average
$64
Median
$34
High
$200
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34 hospital rates
iThe hospitals that file a Molina 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 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 | $200 | $200 | — | — | — | $200 – $200 |
| 10 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 11 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 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 | $14 | $14 | — | — | — | $14 – $14 |
| 14 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 15 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 2 | $82 | $82 | $2 | 2% | — | $80 – $84 |
| 16 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · case rate · outpatient | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 17 | LODI COMMUNITY HOSPITAL Lodi, OH facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 18 | LUTHERAN HOSPITAL Cleveland, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 19 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · case rate · outpatient | 2 | $84 | $84 | — | — | — | $84 – $84 |
| 20 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 21 | MEDINA HOSPITAL Medina, OH facility · case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 22 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 23 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 24 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · case rate · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 25 | Sarasota Memorial Hospital Sarasota, FL case rate · outpatient | 2 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting HCPCS G0522 · Snapshot 20261113T090226Z-3ce6c0b8