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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Hospital Beds and Associated Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $717.30 median of the 3 states in the free preview · View Medicaid rates for E0290 |
National average reimbursement for HCPCS E0290 by major payers:

$542.83

$348.74

$372.92

$821.64
Choose a payer to see a sample of rates for HCPCS E0290.
Emory University, Emory University Hospital
Emory University
Atlanta Vamc
Colquitt Regional Medical Center
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
Ngmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalHCPCS E0290 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0290 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 E0290 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 |
|---|---|---|
| E0280-HCPCS | Low | Bed cradle, any type |
| E0290-HCPCS | Moderate | Hospital bed, fixed height, without side rails, with mattress |
| E0291-HCPCS | Moderate | Hospital bed, fixed height, without 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 E0290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0290 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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