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See a sample rate comparisonHCPCS G0537 Fee Schedule
Medicare rates as of October 2026
HCPCS G0537 is classified under Procedures / Professional Services, in the Other Services subgroup.
Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $20.04 national non-facility rate (2026) · View Medicare rates for G0537 |
| Medicaid Fee Schedule | $14.945 median of the 8 states in the free preview · View Medicaid rates for G0537 |
National average reimbursement for HCPCS G0537 by major payers:
$15.09
BCBS / Anthem
$13.12
UnitedHealthcare
$8.96
Aetna
$81.87
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0537.
HCPCS G0537
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$58.40Published rateEmory Crawford Long Hospital
Emory University
$47.25Published rateEmory Healthcare
$37.72Published rateDonalsonville Hospital Inc
$29.12Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$22.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0537 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0537-HCPCS | Low | Administration of a standardized, evidence-based atherosclerotic cardiovascular disease (ascvd) risk assessment, 5-15 minutes, not more often than every 12 months |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0537. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0537 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
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