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See a sample rate comparisonHCPCS E0265 Fee Schedule
Last Verified: October 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.
Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Hospital Beds and Associated Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | $1,736.40 median of the 4 states in the free preview · View Medicaid rates for E0265 |
National average reimbursement for HCPCS E0265 by major payers:
$1,149.53
$1,019.85
$915.66
$2,119.04
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HCPCS E0265
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$1,975.82Published rateDublin Vamc
$1,232.18Published rateChatuge Regional Hospital Inc
$813.61Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$616.69Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$60.81Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0265 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0265 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 E0265 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 |
|---|---|---|
| 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 |
| E0266-HCPCS | Moderate | Hospital bed, total electric (head, foot and height adjustments), 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 E0265. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0265 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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