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HCPCS G0471: what Medicare pays in 2026

Service defined by CMS CMS description: Ven blood coll snf/hha

G0471 is on Medicare's Clinical Laboratory Fee Schedule at $11.34 for 2026, one national amount that does not vary by locality.

Medicare amounts for G0471 in 2026

Hospital outpatient status A
paid from a different Medicare fee schedule, not the outpatient system
Clinical Laboratory Fee Schedule, national
$11.34

What providers charged Medicare for G0471 in 2024

From CMS's national utilization file (the most recent full year published). The charge is the provider's list price, the same kind of figure an uninsured patient is usually billed.

SettingServicesAverage chargeMedicare allowedCharge vs allowed
In an office or other non-facility setting755,968$17.45$10.511.7×
In a facility setting1,368,429$20.21$10.581.9×

Other service defined by cms codes