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HCPCS G2077Medical Service

Periodic Assessment

Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a standard insurance-enrolled opioid treatment program); list separately in addition to code for. Clinical pricing breakdown and utilization metrics across 352 practicing doctors nationwide.

$122.13
Peer Median Charge
Gross billed rate
$113.90
Standard Baseline
Customary allowable
1.1x
National Markup
Charge vs baseline
352
Active Physicians
Billing this code
Planning care or already received a bill for CPT G2077?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 $122.13. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $113.90 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 G2077 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"