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See a sample rate comparisonHCPCS G0545 Fee Schedule
Medicare rates as of October 2026
HCPCS G0545 is classified under Procedures / Professional Services, in the Other Services subgroup.
Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $48.43 national non-facility rate (2026) · View Medicare rates for G0545 |
| Medicaid Fee Schedule | $36.35 median of the 8 states in the free preview · View Medicaid rates for G0545 |
National average reimbursement for HCPCS G0545 by major payers:
$59.48
BCBS / Anthem
$45.50
UnitedHealthcare
$55.17
Aetna
$45.74
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0545.
HCPCS G0545
5 of 25 sample ratesHigher to lower in this preview
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$117.98Published rateAnn Steck
$75.70Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$62.34Published rateScreven County Hospital
$54.95Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$48.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0545 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0545-HCPCS | Low | Visit complexity inherent to hospital inpatient or observation care associated with a confirmed or suspected infectious disease by an infectious diseases specialist, including disease transmission risk assessment and mitigation, public health investigation, analysis, and testing, and complex antimicrobial therapy counseling and treatment (add-on code, list separately in addition to hospital inpatient or observation evaluation and management visit, initial, same day discharge, subsequent or discharge) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0545. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0545 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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