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See a sample rate comparisonHCPCS E0272 Fee Schedule
Last Verified: October 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.
Mattress, foam rubber
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Hospital Beds and Associated Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $156.625 median of the 4 states in the free preview · View Medicaid rates for E0272 |
National average reimbursement for HCPCS E0272 by major payers:
$105.19
$115.33
$115.39
$203.27
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HCPCS E0272
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$400.20Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$131.53Published rateJacob Holloway
$94.00Published rateUjuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$28.71Published rateMichael Koch
Pathology Lab Of Georgia LLC
$8.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0272 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0272 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 E0272 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 |
|---|---|---|
| E0271-HCPCS | Low | Mattress, innerspring |
| E0272-HCPCS | Low | Mattress, foam rubber |
| E0273-HCPCS | Low | Bed board |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0272. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0272 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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