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See a sample rate comparisonHCPCS G0257 Fee Schedule
HCPCS G0257 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $129.87 median of the 2 states in the free preview · View Medicaid rates for G0257 |
National average reimbursement for HCPCS G0257 by major payers:
$507.53
BCBS / Anthem
$54.94
UnitedHealthcare
$49.32
Aetna
$415.38
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0257.
HCPCS G0257
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$1,881.03Published rateOur Lady Of The Angels Hospital, Inc., Our Lady Of The Angels Hospital
Our Lady Of The Angels Hospital Inc
$1,118.05Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$1,028.63Published rateSavoy Medical Management Group, Inc., Savoy Medical Center Hospital Based Physicians
Savoy Medical Management Group Inc
$847.48Published rateSabine Medical Center Inc, Sabine Medical Center
$729.78Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0257 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0257. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0255-HCPCS | Low | Current perception threshold/sensory nerve conduction test, (SNCT) per limb, any nerve |
| G0257-HCPCS | Moderate | Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility |
| G0259-HCPCS | Low | Injection procedure for sacroiliac joint; arthrograpy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0257. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0257 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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