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HCPCS G0471Medical Service

Collection of Venous Blood by Venipuncture or Urine Sample by Catheterization From an Individual in a Skilled Nursing Facility Snf or by a Laboratory on Behalf of a Home Health Agency Hha

Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha). Clinical pricing breakdown and utilization metrics across 117 practicing doctors nationwide.

$15.01
Peer Median Charge
Gross billed rate
$10.36
Standard Baseline
Customary allowable
1.4x
National Markup
Charge vs baseline
117
Active Physicians
Billing this code
Planning care or already received a bill for CPT G0471?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $15.01. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $10.36 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code G0471 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"