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See a sample rate comparisonHCPCS G0425 Fee Schedule
Medicare rates as of October 2026
HCPCS G0425 is classified under Procedures / Professional Services, in the Initial Telehealth Consultations subgroup.
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Telehealth Consultations |
| Common Revenue Codes | 0960 |
| Medicare Fee Schedule | $84.17 national non-facility rate (2026)View Medicare rates for G0425 |
| Medicaid Fee Schedule | $73.96 median of the 8 states in the free previewView Medicaid rates for G0425 |
National average reimbursement for HCPCS G0425 by major payers:
$125.88
BCBS / Anthem
$127.08
UnitedHealthcare
$108.33
Aetna
$97.98
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0425.
HCPCS G0425
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$286.50Published rateChristopher Raio
Mercy Medical Center
$166.78Published rateChristopher Raio
Mercy Medical Center
$141.54Published rateBradley Smith
Emergeortho, P.A.
$112.51Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$103.23Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0425 vs. Other Initial Telehealth Consultations Codes
The table lists codes related to G0425. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0423-HCPCS | Intensive cardiac rehabilitation; with or without continuous ECG monitoring; without exercise, per session |
| G0425-HCPCS | Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
| G0426-HCPCS | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0425. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0425 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
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Frequently Asked Questions
Which revenue codes are billed with HCPCS G0425?
Hospital price transparency files list HCPCS G0425 under these revenue codes: 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.