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HCPCS E0194 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Air fluidized bed
Key FactDetail
Service Type

Durable Medical Equipment

Pressure Mattresses, Pads, and Other Supplies

Complexity LevelHigh
Medicaid Fee ScheduleView Medicaid rates for E0194

National average reimbursement for HCPCS E0194 by major payers:

bcbs

$14,030.93

uhc

$20,060.04

aetna

$4,784.59

cigna

$39,179.79

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS E0194.

HCPCS E0194
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $83,568.19Published rate
  2. The Baxley And Appling County Hospital Authority, Appling Healthcare System

    Appling Hospital

    GAGeneral Acute Care HospitalNPI 1861615304Tax ID 58-6002659

    $26,796.10Published rate
  3. Bacon County Health Services, Inc, Bacon County Rural Health Clinic

    Bacon County Health Services Inc

    GARural Acute Care HospitalNPI 1821017831Tax ID 58-2224545

    $19,098.01Published rate
  4. The Hospital Authority Of Monroe County, Georgia, Monroe County Hospital

    The Hospital Authority Of Monroe County Georgia

    GACritical Access HospitalNPI 1770684284Tax ID 58-6010602

    $16,183.66Published rate
  5. Stephens County Hospital Authority

    GARural Acute Care HospitalNPI 1033191267Tax ID 58-6001667

    $1,798.02Published rate

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

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HCPCS E0194 vs. Other Pressure Mattresses, Pads, and Other Supplies Codes

The HCPCS E0194 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 E0194 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
E0193-HCPCSHighPowered air flotation bed (low air loss therapy)
E0194-HCPCSHighAir fluidized bed
E0196-HCPCSLowGel pressure mattress

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0194. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E0194 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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