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See a sample rate comparisonHCPCS G0307 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Complete (CBC), automated (HgB, HCT, RBC, WBC; without platelet count)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0307 |
National average reimbursement for HCPCS G0307 by major payers:
$5.66
$4.56
$6.89
$5.75
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HCPCS G0307
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$14.23Published rateWoman'S Hospital Foundation, Woman'S Hospital
Womans Hospital Foundation
$6.46Published rateSt Helena Parish Hospital, St Helena Parish Hospital
St Helena Parish Hospital
$5.55Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$3.79Published rateWillamette Community Health Solutions, Cascade Health Solutions
$2.72Published rate
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See a sample payer proposalHCPCS G0307 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The HCPCS G0307 code is part of the Procedures / Professional Services services used for Miscellaneous Diagnostic and Therapeutic Services. 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 G0307 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 |
|---|---|---|
| G0306-HCPCS | Low | Complete CBC, automated (HgB, HCT, RBC, WBC, without platelet count) and automated WBC differential count |
| G0307-HCPCS | Low | Complete (CBC), automated (HgB, HCT, RBC, WBC; without platelet count) |
| G0310-HCPCS | Low | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0307. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0307 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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