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 G0378 Fee Schedule
HCPCS G0378 is classified under Procedures / Professional Services, in the Hospital Observation and Emergency Services subgroup.
Hospital observation service, per hour
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Hospital Observation and Emergency Services |
| Common Revenue Codes | 07620760 |
| Medicaid Fee Schedule | $5.08 median of the 2 states in the free previewView Medicaid rates for G0378 |
National average reimbursement for HCPCS G0378 by major payers:
$55.15
BCBS / Anthem
$96.49
UnitedHealthcare
$65.10
Aetna
$46.67
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0378.
HCPCS G0378
No sample rates available for this payer and code. Search provider rates to explore coverage.
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
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 G0378 vs. Other Hospital Observation and Emergency Services Codes
The table lists codes related to G0378. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0372-HCPCS | Physician service required to establish and document the need for a power mobility device |
| G0378-HCPCS | Hospital observation service, per hour |
| G0379-HCPCS | Direct admission of patient for hospital observation care |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0378. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0378 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 G0378) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
Which revenue codes are billed with HCPCS G0378?
Hospital price transparency files list HCPCS G0378 under these revenue codes: 0762 and 0760. A revenue code names the hospital department or charge category for the line; it does not change what the service is.