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See a sample rate comparisonCPT 83050 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 Test Methemoglobin, This Test Checks For Methemoglobin In The Blood. Methemoglobin Cuts Off Oxygen To Blood Cells And A Common Symptom Is A Bluish Skin Color. The Condition May Be Genetic Or Caused By Exposure To Chemicals.
| 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 | $8.20 national lab fee schedule rate (2026) · View Medicare rates for 83050 |
| Medicaid Fee Schedule | $7.545 median of the 8 states in the free preview · View Medicaid rates for 83050 |
National average reimbursement for CPT 83050 by major payers:
$6.83
$5.24
$8.81
$12.05
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CPT 83050
5 of 25 sample ratesHigher to lower in this preview
Henderson Hospital, LLC, Uthealth East Texas Henderson Hospital
$24.00Published rateNatchitoches Parish Hospital Service District, Natchitoches Regional Medical Center
Natchitoches Regional Medical Center
$9.61Published rateCoastal Carolina Medical Center, Inc., Coastal Carolina Hospital
$8.19Published rateFairfield Hospital District, Freestone Medical Center
$6.21Published rateBsa Hospital LLC
$3.44Published rate
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See a sample payer proposalCPT 83050 vs. Other Chemistry Procedures Codes
The CPT 83050 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 83050 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 |
|---|---|---|
| 83020-CPT | Low | Blood Oxygen Capacity Test, Blood Or Urine Is Tested For Hemoglobin (Hb) A Protein That Carries Oxygen In Red Blood Cells. Excessive Amounts Of The Various Types Of Hb Are Linked To Anemia And Premature Cell Death. |
| 83036-CPT | Low | Blood Sugar (Glucose) Test, This Test Measures Glucose Bound To Hemoglobin In Blood Samples. The Results Show An Average Of Blood Glucose (Sugar) Levels Over The Previous Three Months. |
| 83045-CPT | Low | Blood Test Methemoglobin, This Test Checks For Methemoglobin In The Blood. Methemoglobin Cuts Off Oxygen To Blood Cells And A Common Symptom Is A Bluish Skin Color. The Condition May Be Genetic Or Caused By Exposure To Chemicals. |
| 83050-CPT | Low | Blood Test Methemoglobin, This Test Checks For Methemoglobin In The Blood. Methemoglobin Cuts Off Oxygen To Blood Cells And A Common Symptom Is A Bluish Skin Color. The Condition May Be Genetic Or Caused By Exposure To Chemicals. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83050 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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