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HCPCS E0181 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.

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
Key FactDetail
Service Type

Durable Medical Equipment

Pressure Mattresses, Pads, and Other Supplies

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for E0181

National average reimbursement for HCPCS E0181 by major payers:

bcbs

$108.12

uhc

$118.10

aetna

$122.08

cigna

$217.44

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS E0181.

HCPCS E0181
5 of 25 sample ratesHigher to lower in this preview
  1. Atl Colorectal Surgery

    GAGeneral Acute Care HospitalNPI 1689063554Tax ID 20-5040872

    $299.14Published rate
  2. Tattnall Hospital Company, LLC, Optim Medical Center - Tattnall

    GACritical Access HospitalNPI 1790942381Tax ID 30-0466706

    $130.25Published rate
  3. Leigh Taylor

    GAGeneral Acute Care HospitalNPI 1649646472Tax ID 27-3818647

    $82.55Published rate
  4. The Medical Center Inc, Piedmont Columbus Regional Midtown

    The Medical Center Inc

    GAGeneral Acute Care HospitalNPI 1255401519Tax ID 58-1685139

    $15.15Published rate
  5. Grady Memorial Hospital Corporation, Grady Health Systems

    Grady Memorial Hospital Corporation

    GAGeneral Acute Care HospitalNPI 1992799050Tax ID 26-2037695

    $9.85Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS E0181 vs. Other Pressure Mattresses, Pads, and Other Supplies Codes

The HCPCS E0181 code is part of the Durable Medical Equipment services used for Pressure Mattresses, Pads, and Other Supplies. 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 HCPCS E0181 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.

CodeComplexityDescription
E0175-HCPCSLowFoot rest, for use with commode chair, each
E0181-HCPCSLowPowered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
E0182-HCPCSLowPump for alternating pressure pad, for replacement only

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0181. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E0181 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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