HCPCS G0550 HCPCS - Temporary Procedures
Phone/inter for dx/treat >5m Cost
Body System: General
Medicare Facility Rate
$30
CMS PFS CY2026
Medicare Non-Facility Rate
$35
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.70
Work RVU
0.15
Facility PE RVU
0.05
Malpractice RVU
1.05
Total RVU
Frequently Asked Questions
How much does Phone/inter for dx/treat >5m cost?
The Medicare facility rate is $30. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Phone/inter for dx/treat >5m 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 $30.