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See a sample rate comparisonHCPCS E0260 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.
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Hospital Beds and Associated Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0260 |
National average reimbursement for HCPCS E0260 by major payers:
$502.60
$522.73
$486.94
$895.03
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HCPCS E0260
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,987.69Published rateMiguel Arenas
Miguel A Arenas Md PC
$455.16Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$114.41Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$62.66Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$39.24Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0260 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0260 code is part of the Durable Medical Equipment services used for Hospital Beds and Associated 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 E0260 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 |
|---|---|---|
| E0256-HCPCS | Moderate | Hospital bed, variable height, hi-lo, with any type side rails, without mattress |
| E0260-HCPCS | Moderate | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress |
| E0261-HCPCS | Moderate | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0260. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0260 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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