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 G0237 Fee Schedule
Medicare rates as of October 2026
HCPCS G0237 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $12.69 national non-facility rate (2026) · View Medicare rates for G0237 |
| Medicaid Fee Schedule | $10.46 median of the 8 states in the free preview · View Medicaid rates for G0237 |
National average reimbursement for HCPCS G0237 by major payers:
$24.37
BCBS / Anthem
$13.67
UnitedHealthcare
$11.24
Aetna
$12.54
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0237.
HCPCS G0237
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, St Tammany Parish Hospital Service District #2
Slidell Memorial Hospital
$50.54Published rateLafayette Surgical Hospital LLC, Lafayette Surgical Specialty Hospital
Lafayette Surgical Specialty Hospital
$37.36Published rateSpecialists Hospital Shreveport, LLC
Specialists Hospital Shreveport, L.L.C.
$28.84Published rateWillamette Community Health Solutions, Cascade Health Solutions
$12.47Published rateJulie Webster
Musc Community Physicians
$9.25Published 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 G0237 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0237. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0235-HCPCS | High | PET imaging, any site, not otherwise specified |
| G0237-HCPCS | Low | Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) |
| G0238-HCPCS | Low | Therapeutic procedures to improve respiratory function, other than described by G0237, one on one, face to face, per 15 minutes (includes monitoring) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0237. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0237 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 G0237) and we'll show you how you compare in 15 minutes or less.