Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS P2028 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cephalin flocculation, blood
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Services Laboratory Tests of Blood and Hair |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for P2028 |
National average reimbursement for HCPCS P2028 by major payers:
$5.96
$3.30
$13.98
$4.30
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS P2028.
HCPCS P2028
5 of 25 sample ratesHigher to lower in this preview
Hospital Service District #2 Of Lasalle Parish, Lasalle General Hospital
Hospital Service District 2 Of Lasalle Parish
$6.11Published rateNmc Operating Company LLC, The Spine Hospital Of Louisiana
Nmc Operating Company, LLC
$4.94Published rateOpelousas General Hospital Authority
$4.94Published rateWest Carroll Health Systems LLC, West Carroll Memorial Hospital
West Carroll Health Systems L.L.C.
$3.67Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$1.77Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS P2028 vs. Other Laboratory Tests of Blood and Hair Codes
The HCPCS P2028 code is part of the Pathology and Laboratory Services services used for Laboratory Tests of Blood and Hair. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS P2028 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| P2028-HCPCS | Low | Cephalin flocculation, blood |
| P2029-HCPCS | Low | Congo red, blood |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P2028. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P2028 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS P2028) and we'll show you how you compare in 15 minutes or less.