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See a sample rate comparisonHCPCS S0170 Fee Schedule
Last Verified: September 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.
Anastrozole, oral, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Non-Medicare Drug Codes |
| Common Place of Service | 11 - Office None 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for S0170 |
National average reimbursement for HCPCS S0170 by major payers:
$3.16
$1.19
$0.75
$2.80
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HCPCS S0170
5 of 25 sample ratesHigher to lower in this preview
Piedmont Mountainside Hospital, Inc., Piedmont Mountainside Hospital
Piedmont Mountainside Hospital Inc
$28.68Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$0.54Published rateMain Line Pathology Associates, PC
Main Line Pathology Associates, P.C
$0.50Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$0.47Published rateChristopher Raio
St Francis Hospital
$0.46Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS S0170 vs. Other Non-Medicare Drug Codes Codes
The HCPCS S0170 code is part of the Temporary National Codes (Non-Medicare) services used for Non-Medicare Drug Codes. 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 S0170 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 |
|---|---|---|
| S0169-HCPCS | Low | Calcitrol, 0.25 microgram |
| S0170-HCPCS | Low | Anastrozole, oral, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S0170. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S0170 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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