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See a sample rate comparisonHCPCS G0473 Fee Schedule
Medicare rates as of October 2026
HCPCS G0473 is classified under Procedures / Professional Services, in the Other Services subgroup.
Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Hospital Outpatient Group (APC) | APC 5821 - Level 1 Health and Behavior Services |
| Common Revenue Codes | 0942 |
| Medicare Fee Schedule | $12.69 national non-facility rate (2026)View Medicare rates for G0473 |
| Medicaid Fee Schedule | $10.905 median of the 8 states in the free previewView Medicaid rates for G0473 |
National average reimbursement for HCPCS G0473 by major payers:
$17.10
BCBS / Anthem
$16.29
UnitedHealthcare
$15.56
Aetna
$13.26
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0473.
HCPCS G0473
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, St Tammany Parish Hospital Service District #2
Slidell Memorial Hospital
$66.84Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$21.56Published rateChatuge Regional Hospital Inc
$15.35Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$13.38Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$10.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0473 vs. Other Other Services Codes
The table lists codes related to G0473. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0472-HCPCS | Hepatitis C antibody screening, for individual at high risk and other covered indication(s) |
| G0473-HCPCS | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
| G0475-HCPCS | Hiv antigen/antibody, combination assay, screening |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0473. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0473 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 G0473 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0473 to APC 5821 (Level 1 Health and Behavior Services). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0473?
Hospital price transparency files list HCPCS G0473 under these revenue codes: 0942. A revenue code names the hospital department or charge category for the line; it does not change what the service is.