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See a sample rate comparisonHCPCS G0445 Fee Schedule
Medicare rates as of October 2026
HCPCS G0445 is classified under Procedures / Professional Services, in the Counseling, Screening, and Prevention Services subgroup.
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Counseling, Screening, and Prevention Services |
| Hospital Outpatient Group (APC) | APC 5822 - Level 2 Health and Behavior Services |
| Common Revenue Codes | 0510 |
| Medicare Fee Schedule | $34.40 national non-facility rate (2026)View Medicare rates for G0445 |
| Medicaid Fee Schedule | $28.065 median of the 8 states in the free previewView Medicaid rates for G0445 |
National average reimbursement for HCPCS G0445 by major payers:
$32.60
BCBS / Anthem
$34.97
UnitedHealthcare
$27.85
Aetna
$28.48
Cigna
Compare published rates across providers.
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HCPCS G0445
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, St Tammany Parish Hospital Service District #2
Slidell Memorial Hospital
$207.57Published rateDoctors' Hospital Of Slidell, LLC, Sterling Surgical Hospital
Doctors Hospital Of Slidell, LLC
$103.98Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$38.13Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$28.98Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$20.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0445 vs. Other Counseling, Screening, and Prevention Services Codes
The table lists codes related to G0445. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0444-HCPCS | Annual depression screening, 5 to 15 minutes |
| G0445-HCPCS | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
| G0446-HCPCS | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0445. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0445 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 G0445 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0445 to APC 5822 (Level 2 Health and Behavior Services). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0445?
Hospital price transparency files list HCPCS G0445 under these revenue codes: 0510. A revenue code names the hospital department or charge category for the line; it does not change what the service is.