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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Hospital Beds and Associated Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | $4,721.50 median of the 4 states in the free preview · View Medicaid rates for E0304 |
National average reimbursement for HCPCS E0304 by major payers:

$4,384.26

$3,614.32

$3,684.85

$5,527.24
Choose a payer to see a sample of rates for HCPCS E0304.
Emory University Hospital
Emory University
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
Chatuge Regional Hospital Inc
Screven County Hospital, LLC, Optim Medical Center - Screven
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 E0304 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0304 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 E0304 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 |
|---|---|---|
| E0303-HCPCS | High | Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress |
| E0304-HCPCS | High | Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress |
| E0305-HCPCS | Low | Bed side rails, half length |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0304. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0304 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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