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See a sample rate comparisonCPT 80430 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Pituitary Gland Tests, Hgh Suppression Is A Type Of Human Growth Hormone Test That Helps To Diagnose An Overactive Pituitary Gland. Blood Samples Are Taken At Timed Intervals To Measure Growth Hormone Levels After Drinking A Glucose Solution.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Evocative/Suppression Testing Procedures |
| Common Place of Service | 11 - Office 81 - Independent Laboratory |
| Common Modifiers | None |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 80430 |
| Medicaid Fee Schedule | View Medicaid rates for 80430 |
National average reimbursement for CPT 80430 by major payers:
$97.97
$72.28
$119.80
$179.14
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CPT 80430
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$284.53Published rateChristopher Raio
Mercy Medical Center
$149.52Published ratePrisma Health-Upstate, Prisma Health Op Surgery Spartanburg
Prisma Health - Upstate
$116.40Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$65.76Published rateLeon Home Health, LLC, Leon At Home
$44.86Published rate
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See a sample payer proposalCPT 80430 vs. Other Evocative/Suppression Testing Procedures Codes
The CPT 80430 code is part of the Pathology and Laboratory Procedures services used for Evocative/Suppression Testing Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 80430 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 80422-CPT | Low | Glucagon Test Series, The Glucagon Tolerance Test Helps Diagnose Hypoglycemic And Insulin Conditions. A Two-Minute Glucagon Iv Injection Causes An Insulin Peak. Glucose And Insulin Levels Are Measured At Baseline And Timed Intervals. |
| 80428-CPT | Low | Pituitary Gland Tests, Hgh Stimulation Is One Type Of Human Growth Hormone Test. It Helps To Diagnose Low Pituitary Gland Function. Insulin Or Arginine Is Given By Iv With Blood Samples Taken At Timed Intervals To See If The Pituitary Gland Produces Growth Hormone. |
| 80430-CPT | Low | Pituitary Gland Tests, Hgh Suppression Is A Type Of Human Growth Hormone Test That Helps To Diagnose An Overactive Pituitary Gland. Blood Samples Are Taken At Timed Intervals To Measure Growth Hormone Levels After Drinking A Glucose Solution. |
| 81000-CPT | Low | Urine Analysis, Urine Test That Checks Ph And Looks For Substances Such As Blood Crystals Bile And White Blood Cells (Antibodies). These May Be Viewed Under A Microscope Or Detected With Dip Sticks Or Colorizing Tablets. A Computer Analysis May Be Done As Well. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 80430. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 80430 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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