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See a sample rate comparisonCPT 82805 Fee Schedule
Last Verified: October 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.
Blood Gases W O2 Saturation, Gases Blood Any Combination Of Ph Pco2 Po2 Co2 Hco3 Including Calculated O2 Saturation With O2 Saturation By Direct Measurement Except Pulse Oximetry
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 26 - Professional component 91 - Repeat Lab Test |
| Complexity Level | Low |
| Medicare Fee Schedule | $78.77 national lab fee schedule rate (2026) · View Medicare rates for 82805 |
| Medicaid Fee Schedule | $72.47 median of the 8 states in the free preview · View Medicaid rates for 82805 |
National average reimbursement for CPT 82805 by major payers:
$54.83
$36.43
$65.90
$106.41
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CPT 82805
5 of 25 sample ratesHigher to lower in this preview
St. Luke'S Community Health Services, St. Luke'S The Woodlands Hospital
St Lukes Community Health Services
$118.16Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital
Emerus Bhs Sa Thousand Oaks LLC
$78.76Published rateEctor County Hospital District, Medical Center Hospital
$78.76Published rateKell West Regional Hospital LLC
Kell West Regional Hospital, LLC
$35.95Published rateBsa Hospital LLC
$16.22Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 82805 vs. Other Chemistry Procedures Codes
The CPT 82805 code is part of the Pathology and Laboratory Procedures services used for Chemistry 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 82805 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 |
|---|---|---|
| 82757-CPT | Low | Semen Analysis For Fructose, Fructose Is Discharged From The Seminal Vesicles Along With Sperm. This Test Follows A Semen Analysis That Shows Few Sperm Present. Absence Of Fructose Indicates A Blockage In The Seminal Vesicles. |
| 82785-CPT | Low | Allergy Antibody Test (Ig E), This Antibody Test Checks For The Ig E (Or Immunoglobulin) Antibody Produced During Allergic Reactions Or Anaphylaxis. Ig E Is Measured In A Blood Or Spinal Fluid Sample. |
| 82800-CPT | Low | Blood Acid-Alkaline (Ph) Test, This Is A Basic Test To Find Out If The Blood Is Too Acid Or Too Alkaline (Ph). Normal Blood Should Be Slightly Alkaline. |
| 82805-CPT | Low | Blood Gases W O2 Saturation, Gases Blood Any Combination Of Ph Pco2 Po2 Co2 Hco3 Including Calculated O2 Saturation With O2 Saturation By Direct Measurement Except Pulse Oximetry |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 82805. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 82805 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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