Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS E0465 Fee Schedule
Last Verified: September 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.
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Oxygen Delivery Systems and Related Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E0465 |
National average reimbursement for HCPCS E0465 by major payers:
$2,310.33
$6,480.72
$852.03
$12,706.88
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS E0465.
HCPCS E0465
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$24,511.41Published rateChildrens National Medical Center
Childrens Hospital
$6,853.31Published rateBrooks County Hospital
$5,049.54Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$1,108.91Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
$633.14Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E0465 vs. Other Oxygen Delivery Systems and Related Supplies Codes
The HCPCS E0465 code is part of the Durable Medical Equipment services used for Oxygen Delivery Systems and Related 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 E0465 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 |
|---|---|---|
| E0462-HCPCS | High | Rocking bed with or without side rails |
| E0465-HCPCS | High | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) |
| E0466-HCPCS | High | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0465. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0465 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS E0465) and we'll show you how you compare in 15 minutes or less.