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See a sample rate comparisonHCPCS G0400 Fee Schedule
HCPCS G0400 is classified under Procedures / Professional Services, in the Sleep Studies, In Home subgroup.
Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Sleep Studies, In Home |
| Hospital Outpatient Group (APC) | APC 5722 - Level 2 Diagnostic Tests and Related Services |
| Common Revenue Codes | 05190740Sign up to view all 16 |
| Medicaid Fee Schedule | $76.945 median of the 6 states in the free previewView Medicaid rates for G0400 |
National average reimbursement for HCPCS G0400 by major payers:
$129.27
BCBS / Anthem
$196.65
UnitedHealthcare
$161.71
Aetna
$172.52
Cigna
Compare published rates across providers.
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HCPCS G0400
5 of 25 sample ratesHigher to lower in this preview
Christopher Thompson
Head And Neck Associates Of Orange County, Inc.
$158.33Published rateSunil Saini
Head And Neck Associates Of Orange County, Inc.
$87.83Published rateQuang Luu
Head And Neck Associates Of Orange County, Inc.
$87.83Published rateHead And Neck Associates Of Orange County An Incorprate
Head And Neck Associates Of Orange County, Inc.
$70.50Published rateChongjia Chen
Head And Neck Associates Of Orange County, Inc.
$70.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0400 vs. Other Sleep Studies, In Home Codes
The table lists codes related to G0400. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0399-HCPCS | Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation |
| G0400-HCPCS | Home sleep test (HST) with type IV portable monitor, unattended; minimum of 3 channels |
| G0402-HCPCS | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of Medicare enrollment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0400. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0400 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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Frequently Asked Questions
What APC is HCPCS G0400 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0400 to APC 5722 (Level 2 Diagnostic Tests and Related Services). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0400?
Hospital price transparency files list HCPCS G0400 under these revenue codes: including 0519, 0740, 0920, 0929 and 0921. A revenue code names the hospital department or charge category for the line; it does not change what the service is.