HCPCS G0238 HCPCS - Temporary Procedures
Oth resp proc, indiv Cost
Body System: General
Medicare Facility Rate
$11
CMS PFS CY2026
Medicare Non-Facility Rate
$11
Office/clinic setting
Hospital Outpatient
$0
OPPS rate
Frequently Asked Questions
How much does Oth resp proc, indiv cost?
The Medicare facility rate is $11. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $0.
How much does Oth resp proc, indiv cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $11.