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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 | $1,266.90 median of the 5 states in the free preview · View Medicaid rates for E0297 |
National average reimbursement for HCPCS E0297 by major payers:

$783.93

$717.53

$625.74

$1,460.96
Choose a payer to see a sample of rates for HCPCS E0297.
Emory University Hospital
Emory University
Redmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
St. Francis Radiologists, LLC
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Ujuka Iloabuchi
Atlanta Womens Health Group, P.C.
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E0297 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0297 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 E0297 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 |
|---|---|---|
| E0296-HCPCS | Moderate | Hospital bed, total electric (head, foot and height adjustments). without side rails, with mattress |
| E0297-HCPCS | Moderate | Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress |
| E0300-HCPCS | High | Pediatric crib, hospital grade, fully enclosed, with or without top enclosure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0297. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0297 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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