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
Advanced primary care management services for a patient with one chronic condition [expected to last at least 12 months, or until the death of the patient, which place the patient at significant risk of death, acute exacerbation/decompensation, or functio
Clovis, CA
See all hospitals reporting HCPCS G0556 →Price type
Clovis Community Medical Center’s median price of $48 is 35% above the median hospital's median price ($36), higher than 77% of the 727 hospitals reporting HCPCS G0556. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare advantage facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Aetna medicare hmo for chp facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Aetna ppo facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Blue Cross Blue Shield medicare advantage facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Cigna access (pffs) facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 6 | Cigna healthspring facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 8 | Kaiser commercial facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 9 | Kaiser senior advantage medicare facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 10 | WellCare medicare advantage facility · case rate · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 12 | Aetna medicare hmo for non-chp facility · case rate · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 13 | Blue Cross Blue Shield epn facility · fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
Last updated: Sep 11, 2026
See Primary care management for one chronic condition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.