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See a sample rate comparisonHCPCS G0455 Fee Schedule
Medicare rates as of October 2026
HCPCS G0455 is classified under Procedures / Professional Services, in the Miscellaneous Services subgroup.
Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Services |
| Hospital Outpatient Group (APC) | APC 5311 - Level 1 Lower GI Procedures |
| Common Revenue Codes | 07500360 |
| Medicare Fee Schedule | $146.30 national non-facility rate (2026)View Medicare rates for G0455 |
| Medicaid Fee Schedule | $114.13 median of the 8 states in the free previewView Medicaid rates for G0455 |
National average reimbursement for HCPCS G0455 by major payers:
$142.50
BCBS / Anthem
$161.59
UnitedHealthcare
$145.91
Aetna
$140.99
Cigna
Compare published rates across providers.
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HCPCS G0455
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$2,681.58Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$170.08Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$148.75Published rateJulie Webster
Musc Community Physicians
$134.19Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$63.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0455 vs. Other Miscellaneous Services Codes
The table lists codes related to G0455. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0454-HCPCS | Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
| G0455-HCPCS | Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen |
| G0458-HCPCS | Low dose rate (LDR) prostate brachytherapy services, composite rate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0455 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 G0455 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0455 to APC 5311 (Level 1 Lower GI Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0455?
Hospital price transparency files list HCPCS G0455 under these revenue codes: 0750 and 0360. A revenue code names the hospital department or charge category for the line; it does not change what the service is.