HCPCS G0276 HCPCS - Temporary Procedures
Pild/placebo control clin tr Cost
Body System: General
Medicare Facility Rate
$359
CMS PFS CY2026
Medicare Non-Facility Rate
$359
Office/clinic setting
Hospital Outpatient
$7
OPPS rate
Surgery Center (ASC)
$3
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
6.99
Work RVU
3.03
Facility PE RVU
0.72
Malpractice RVU
10.74
Total RVU
Frequently Asked Questions
How much does Pild/placebo control clin tr cost?
The Medicare facility rate is $359. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $7. Ambulatory surgery center rate: $3.
How much does Pild/placebo control clin tr 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 $359.