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See a sample rate comparisonHCPCS G0500 Fee Schedule
Medicare rates as of October 2026
HCPCS G0500 is classified under Procedures / Professional Services, in the Other Services subgroup.
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $66.47 national non-facility rate (2026) · View Medicare rates for G0500 |
| Medicaid Fee Schedule | $52.325 median of the 8 states in the free preview · View Medicaid rates for G0500 |
National average reimbursement for HCPCS G0500 by major payers:
$72.80
BCBS / Anthem
$74.42
UnitedHealthcare
$64.46
Aetna
$62.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0500.
HCPCS G0500
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$186.13Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$108.50Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$92.20Published rateChatuge Regional Hospital Inc
$75.81Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$13.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0500 vs. Other Other Services Codes
The table lists codes related to G0500. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0499-HCPCS | Low | Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
| G0500-HCPCS | Low | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
| G0501-HCPCS | Low | Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables, patient lift, and adjustable padded leg supports) is medically necessary and used during the provision of an office/outpatient, evaluation and management visit (list separately in addition to primary service) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0500 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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