HCPCS G0527

Dementia care management visit, low complexity

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Mgt est pt dmentia low cmplx

Payer pricing summary

Low

Average

$100

Median

$75

High

$547

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +3 other terms	25	$25	$51	$33	65%	—	$14 – $95
2	UnitedHealthcare facility · case rate · outpatient · +3 other terms	16	$21	$26	$15	58%	—	$14 – $80
3	Anthem facility · case rate · outpatient · +4 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	$556	$571	$158	28%	—	$334 – $944
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 · +2 other terms	5	$80	$83	$4	5%	—	$80 – $88
10	Aetna fee schedule · outpatient · +2 other terms	4	$173	$173	$0	0%	—	$173 – $174
11	Blue Cross Blue Shield fee schedule · outpatient	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	WellCare facility · case rate · outpatient	1	$80	$80	—	—	—	$80 – $80