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See a sample rate comparisonHCPCS S0174 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.
Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180)
| Key Fact | Detail |
|---|---|
| Service Type | Temporary National Codes (Non-Medicare) Non-Medicare Drug Codes |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for S0174 |
National average reimbursement for HCPCS S0174 by major payers:
$31.71
$32.67
$33.64
$36.85
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HCPCS S0174
5 of 25 sample ratesHigher to lower in this preview
Gail Apte
$38.08Published rateBrittany Reeves
Willamette Community Health Solutions
$29.55Published rateAnn Bowers
Physicians Immediate Care Medical Centers Ps
$29.55Published rateMarcus Braman
Doctors Emergency Room Corp PC
$29.55Published rateKyle Kurzet
Planned Parenthood Of Southwestern Oregon
$29.55Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS S0174 vs. Other Non-Medicare Drug Codes Codes
The HCPCS S0174 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 S0174 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 |
|---|---|---|
| S0172-HCPCS | Moderate | Chlorambucil, oral, 2 mg |
| S0174-HCPCS | Low | Dolasetron mesylate, oral 50 mg (for circumstances falling under the Medicare statute, use Q0180) |
| S0175-HCPCS | Low | Flutamide, oral, 125 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S0174. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the S0174 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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