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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. G0471
  4. Cost Analysis

How Much Does Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Cost on Medicare?

Cost analysis for CPT G0471 — Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha)

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Average Medicare Payment

$9.93

2023 data

Total Payments (2023)

$21.0M

Services (2023)

2.1M

Price Change (2014–2023)

+106.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$4.81$7.8M1.7M—
2015$4.86$18.5M3.8M+1.0%
2016$4.86$18.4M3.8M0.0%
2017$4.87$17.9M3.6M+0.2%
2018$4.90$18.0M3.7M+0.6%
2019$4.88$16.6M3.4M-0.4%
2020$4.95$12.9M2.6M+1.4%
2021$4.98$10.6M2.1M+0.6%
2022$4.93$9.6M1.9M-1.0%
2023$9.93$21.0M2.1M+101.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.9x more than the cheapest for this procedure. OR averages $10.36 vs MO at $5.35.

StateAvg PaymentTotal PaymentsServicesProviders
OR$10.36$19.1K1.8K1
ND$10.36$16.4K1.6K2
UT$10.36$11.1K1.1K2
AL$10.36$84.3K8.1K1
HI$10.36$14.7K1.4K1
CT$10.36$5.1K4942
RI$10.36$196.7K19.0K1
AR$10.36$121.1K11.7K1
AZ$10.36$99.3K9.6K3
PA$10.36$444.2K42.9K3
NV$10.36$767.4K74.1K1
OH$10.35$3.0M287.9K5
SC$10.35$56.0K5.4K1
IL$10.35$1.7M160.5K10
IN$10.35$9.7K9391
CO$10.35$236.2K22.8K4
VA$10.34$471.7K45.6K1
MS$10.34$10.2K9902
NY$10.34$1.4M136.9K2
MI$10.33$28.5K2.8K4
MD$10.32$571.8K55.4K4
NC$10.31$126.1K12.2K3
GA$10.30$795.7K77.2K2
KY$10.30$74.4K7.2K1
TX$10.26$1.4M136.1K21
WA$10.25$38.3K3.7K2
TN$10.24$44.7K4.4K2
WI$10.17$79.1K7.8K2
OK$10.15$468.3K46.1K2
FL$10.09$3.8M375.4K6
MA$10.08$160.8K16.0K2
NJ$10.01$3.5M349.4K5
CA$9.85$942.5K95.7K10
LA$9.78$3.5K3591
KS$9.51$316.7K33.3K2
MN$6.61$5.2K7891
MO$5.35$49.1K9.2K3

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
American Health Mw, LlcClinical LaboratoryOH$3.0M285.6K$10.35
American Health S, LlcClinical LaboratoryFL$2.0M197.0K$10.35
Aculabs IncClinical LaboratoryNJ$1.6M160.2K$10.25
Centers Lab Nj LlcClinical LaboratoryNJ$1.5M157.8K$9.74
Northwell Health LaboratoriesClinical LaboratoryNY$1.3M123.4K$10.36
Chicago Clinical Laboratories, LtdClinical LaboratoryIL$969.6K93.6K$10.36
Eccolab Group CoClinical LaboratoryFL$817.2K88.3K$9.25
Advanced Clinical Laboratories, Inc.Clinical LaboratoryFL$787.9K76.1K$10.36
Kan-Di-Ki LlcClinical LaboratoryNV$767.4K74.1K$10.36
Clinical Laboratory Services, Inc.Clinical LaboratoryGA$723.3K69.8K$10.36
Core Analytics Laboratory, IncClinical LaboratoryCA$629.1K64.2K$9.81
Diamond Medical Laboratories, Llc.Clinical LaboratoryMD$558.3K54.1K$10.33
Lifescan Labs Of Illinois, LlcClinical LaboratoryIL$508.7K49.1K$10.36
Vista Clinical Diagnostics LlcClinical LaboratoryVA$471.7K45.6K$10.34
Alpha Medical Laboratory LlcClinical LaboratoryOK$460.6K45.3K$10.16
Concord Life Sciences, LlcClinical LaboratoryTX$330.6K31.9K$10.36
Heartland Health Laboratories, IncClinical LaboratoryKS$291.5K28.1K$10.36
Rnj Services, IncClinical LaboratoryNJ$265.4K25.6K$10.36
Health Network Laboratories, LlcClinical LaboratoryPA$232.3K22.4K$10.35
New Schryver LlcClinical LaboratoryCO$206.4K19.9K$10.35

🤔 Is Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) Overpriced?

Based on the data, CPT G0471 shows a 1.9x variation in pricing across states — moderate variation by Medicare standards.

Costs have increased 106.4% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.