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See a sample rate comparisonHCPCS G0414 Fee Schedule
Medicare rates as of October 2026
HCPCS G0414 is classified under Procedures / Professional Services, in the Fracture Treatment subgroup.
Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Fracture Treatment |
| Hospital Outpatient Group (APC) | APC 5114 - Level 4 Musculoskeletal Procedures |
| Surgery Center Payment (ASC) | J8 - Device-intensive procedure, paid at an adjusted rate |
| Common Revenue Codes | 0360 |
| Medicare Fee Schedule | $924.20 national non-facility rate (2026)View Medicare rates for G0414 |
| Medicaid Fee Schedule | $763.395 median of the 8 states in the free previewView Medicaid rates for G0414 |
National average reimbursement for HCPCS G0414 by major payers:
$1,203.15
BCBS / Anthem
$1,357.75
UnitedHealthcare
$1,052.98
Aetna
$1,069.92
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0414.
HCPCS G0414
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$22,760.00Published rateMaricopa County Special Health Care District, Valleywise Chc - Mesa Behavioral Health Specialty Clinic
$7,224.00Published rateChristus Cabrini Surgery Center, LLC, Christus Cabrini Surgery Center
Christus Cabrini Surgery Center LLC
$5,450.00Published rateOutpatient Eye Surgery Center
$2,056.00Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$839.46Published rate
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See a sample payer proposalHCPCS G0414 vs. Other Fracture Treatment Codes
The table lists codes related to G0414. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0413-HCPCS | Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum) |
| G0414-HCPCS | Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami) |
| G0415-HCPCS | Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0414. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0414 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 G0414 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0414 to APC 5114 (Level 4 Musculoskeletal Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
How does Medicare pay for HCPCS G0414 in an ambulatory surgery center?
CMS lists HCPCS G0414 with ASC payment indicator J8: Device-intensive procedure, paid at an adjusted rate.
Which revenue codes are billed with HCPCS G0414?
Hospital price transparency files list HCPCS G0414 under these revenue codes: 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.