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See a sample rate comparisonHCPCS E0261 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, without mattress
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Hospital Beds and Associated Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0261 |
National average reimbursement for HCPCS E0261 by major payers:
$468.78
$643.80
$503.54
$898.04
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HCPCS E0261
5 of 25 sample ratesHigher to lower in this preview
Stephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$908.10Published rateElbert Memorial Hospital
$621.55Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$510.64Published rateIrwin County Hospital
$94.80Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$39.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0261 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0261 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 E0261 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 |
|---|---|---|
| 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 |
| E0265-HCPCS | High | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0261 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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