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See a sample rate comparisonHCPCS G0181 Fee Schedule
Medicare rates as of October 2026
HCPCS G0181 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $109.89 national non-facility rate (2026) · View Medicare rates for G0181 |
| Medicaid Fee Schedule | $91.205 median of the 8 states in the free preview · View Medicaid rates for G0181 |
National average reimbursement for HCPCS G0181 by major payers:
$135.41
BCBS / Anthem
$137.59
UnitedHealthcare
$114.63
Aetna
$113.32
Cigna
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HCPCS G0181
5 of 25 sample ratesHigher to lower in this preview
Leigh Taylor
$323.88Published rateUjuka Iloabuchi
$203.22Published rateThe Hospital Authority Of Habersham County
$146.32Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$130.66Published rateAlicia Encinas
Miguel A Arenas Md PC
$87.58Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0181 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0181. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0180-HCPCS | Low | Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
| G0181-HCPCS | Low | Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
| G0182-HCPCS | Low | Physician supervision of a patient under a Medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0181. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0181 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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