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See a sample rate comparisonHCPCS G0427 Fee Schedule
Medicare rates as of October 2026
HCPCS G0427 is classified under Procedures / Professional Services, in the Initial Telehealth Consultations subgroup.
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Telehealth Consultations |
| Common Revenue Codes | 0960 |
| Medicare Fee Schedule | $168.34 national non-facility rate (2026)View Medicare rates for G0427 |
| Medicaid Fee Schedule | $147.605 median of the 8 states in the free previewView Medicaid rates for G0427 |
National average reimbursement for HCPCS G0427 by major payers:
$248.77
BCBS / Anthem
$255.27
UnitedHealthcare
$215.13
Aetna
$197.24
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0427.
HCPCS G0427
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$552.79Published rateEmory Healthcare
$375.91Published rateKevin Schlessel
$300.07Published rateJulie Webster
Carolina Radiology Associates, LLC
$258.04Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$173.83Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0427 vs. Other Initial Telehealth Consultations Codes
The table lists codes related to G0427. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0426-HCPCS | Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
| G0427-HCPCS | Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth |
| G0428-HCPCS | Collagen meniscus implant procedure for filling meniscal defects (e.g., CMI, collagen scaffold, Menaflex) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0427. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0427 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
Which revenue codes are billed with HCPCS G0427?
Hospital price transparency files list HCPCS G0427 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.