Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS G0460 Fee Schedule
HCPCS G0460 is classified under Procedures / Professional Services, in the Miscellaneous Services subgroup.
Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Services |
| Hospital Outpatient Group (APC) | APC 5054 - Level 4 Skin Procedures |
| Common Revenue Codes | 03610761 |
| Medicaid Fee Schedule | View Medicaid rates for G0460 |
National average reimbursement for HCPCS G0460 by major payers:
$516.16
BCBS / Anthem
$226.88
UnitedHealthcare
$538.41
Aetna
$475.44
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0460.
HCPCS G0460
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, St Tammany Parish Hospital Service District #2
Slidell Memorial Hospital
$3,658.71Published rateJulie Webster
Musc Community Physicians
$969.84Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$216.89Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$97.47Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$60.50Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Looking for other data?
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0460 vs. Other Miscellaneous Services Codes
The table lists codes related to G0460. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0459-HCPCS | Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy |
| G0460-HCPCS | Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment |
| G0463-HCPCS | Hospital outpatient clinic visit for assessment and management of a patient |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0460. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0460 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G0460) and we'll show you how you compare in 15 minutes or less.
Frequently Asked Questions
What APC is HCPCS G0460 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0460 to APC 5054 (Level 4 Skin Procedures). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0460?
Hospital price transparency files list HCPCS G0460 under these revenue codes: 0361 and 0761. A revenue code names the hospital department or charge category for the line; it does not change what the service is.