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See a sample rate comparisonHCPCS G0471 Fee Schedule
Medicare rates as of January 2026
HCPCS G0471 is classified under Procedures / Professional Services, in the Other Services subgroup.
Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Common Revenue Codes | 0300 |
| Medicare Fee Schedule | $11.34 national lab fee schedule rate (2026)View Medicare rates for G0471 |
| Medicaid Fee Schedule | $10.65 median of the 8 states in the free previewView Medicaid rates for G0471 |
National average reimbursement for HCPCS G0471 by major payers:
$7.12
BCBS / Anthem
$3.33
UnitedHealthcare
$5.85
Aetna
$7.75
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0471.
HCPCS G0471
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$27.02Published rateBrooks County Hospital
$5.00Published rateSt. Francis Radiologists, LLC
$3.00Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$2.09Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$2.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0471 vs. Other Other Services Codes
The table lists codes related to G0471. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0470-HCPCS | Federally qualified health center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
| G0471-HCPCS | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA) |
| G0472-HCPCS | Hepatitis C antibody screening, for individual at high risk and other covered indication(s) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0471. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0471 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 G0471?
Hospital price transparency files list HCPCS G0471 under these revenue codes: 0300. A revenue code names the hospital department or charge category for the line; it does not change what the service is.