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)
Average Medicare Payment
$9.93
2023 data
Total Payments (2023)
$21.0M
Services (2023)
2.1M
Price Change (2014–2023)
+106.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $4.81 | $7.8M | 1.7M | — |
| 2015 | $4.86 | $18.5M | 3.8M | +1.0% |
| 2016 | $4.86 | $18.4M | 3.8M | 0.0% |
| 2017 | $4.87 | $17.9M | 3.6M | +0.2% |
| 2018 | $4.90 | $18.0M | 3.7M | +0.6% |
| 2019 | $4.88 | $16.6M | 3.4M | -0.4% |
| 2020 | $4.95 | $12.9M | 2.6M | +1.4% |
| 2021 | $4.98 | $10.6M | 2.1M | +0.6% |
| 2022 | $4.93 | $9.6M | 1.9M | -1.0% |
| 2023 | $9.93 | $21.0M | 2.1M | +101.4% |
The most expensive state pays 1.9x more than the cheapest for this procedure. OR averages $10.36 vs MO at $5.35.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| OR | $10.36 | $19.1K | 1.8K | 1 |
| ND | $10.36 | $16.4K | 1.6K | 2 |
| UT | $10.36 | $11.1K | 1.1K | 2 |
| AL | $10.36 | $84.3K | 8.1K | 1 |
| HI | $10.36 | $14.7K | 1.4K | 1 |
| CT | $10.36 | $5.1K | 494 | 2 |
| RI | $10.36 | $196.7K | 19.0K | 1 |
| AR | $10.36 | $121.1K | 11.7K | 1 |
| AZ | $10.36 | $99.3K | 9.6K | 3 |
| PA | $10.36 | $444.2K | 42.9K | 3 |
| NV | $10.36 | $767.4K | 74.1K | 1 |
| OH | $10.35 | $3.0M | 287.9K | 5 |
| SC | $10.35 | $56.0K | 5.4K | 1 |
| IL | $10.35 | $1.7M | 160.5K | 10 |
| IN | $10.35 | $9.7K | 939 | 1 |
| CO | $10.35 | $236.2K | 22.8K | 4 |
| VA | $10.34 | $471.7K | 45.6K | 1 |
| MS | $10.34 | $10.2K | 990 | 2 |
| NY | $10.34 | $1.4M | 136.9K | 2 |
| MI | $10.33 | $28.5K | 2.8K | 4 |
| MD | $10.32 | $571.8K | 55.4K | 4 |
| NC | $10.31 | $126.1K | 12.2K | 3 |
| GA | $10.30 | $795.7K | 77.2K | 2 |
| KY | $10.30 | $74.4K | 7.2K | 1 |
| TX | $10.26 | $1.4M | 136.1K | 21 |
| WA | $10.25 | $38.3K | 3.7K | 2 |
| TN | $10.24 | $44.7K | 4.4K | 2 |
| WI | $10.17 | $79.1K | 7.8K | 2 |
| OK | $10.15 | $468.3K | 46.1K | 2 |
| FL | $10.09 | $3.8M | 375.4K | 6 |
| MA | $10.08 | $160.8K | 16.0K | 2 |
| NJ | $10.01 | $3.5M | 349.4K | 5 |
| CA | $9.85 | $942.5K | 95.7K | 10 |
| LA | $9.78 | $3.5K | 359 | 1 |
| KS | $9.51 | $316.7K | 33.3K | 2 |
| MN | $6.61 | $5.2K | 789 | 1 |
| MO | $5.35 | $49.1K | 9.2K | 3 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| American Health Mw, Llc | Clinical Laboratory | OH | $3.0M | 285.6K | $10.35 |
| American Health S, Llc | Clinical Laboratory | FL | $2.0M | 197.0K | $10.35 |
| Aculabs Inc | Clinical Laboratory | NJ | $1.6M | 160.2K | $10.25 |
| Centers Lab Nj Llc | Clinical Laboratory | NJ | $1.5M | 157.8K | $9.74 |
| Northwell Health Laboratories | Clinical Laboratory | NY | $1.3M | 123.4K | $10.36 |
| Chicago Clinical Laboratories, Ltd | Clinical Laboratory | IL | $969.6K | 93.6K | $10.36 |
| Eccolab Group Co | Clinical Laboratory | FL | $817.2K | 88.3K | $9.25 |
| Advanced Clinical Laboratories, Inc. | Clinical Laboratory | FL | $787.9K | 76.1K | $10.36 |
| Kan-Di-Ki Llc | Clinical Laboratory | NV | $767.4K | 74.1K | $10.36 |
| Clinical Laboratory Services, Inc. | Clinical Laboratory | GA | $723.3K | 69.8K | $10.36 |
| Core Analytics Laboratory, Inc | Clinical Laboratory | CA | $629.1K | 64.2K | $9.81 |
| Diamond Medical Laboratories, Llc. | Clinical Laboratory | MD | $558.3K | 54.1K | $10.33 |
| Lifescan Labs Of Illinois, Llc | Clinical Laboratory | IL | $508.7K | 49.1K | $10.36 |
| Vista Clinical Diagnostics Llc | Clinical Laboratory | VA | $471.7K | 45.6K | $10.34 |
| Alpha Medical Laboratory Llc | Clinical Laboratory | OK | $460.6K | 45.3K | $10.16 |
| Concord Life Sciences, Llc | Clinical Laboratory | TX | $330.6K | 31.9K | $10.36 |
| Heartland Health Laboratories, Inc | Clinical Laboratory | KS | $291.5K | 28.1K | $10.36 |
| Rnj Services, Inc | Clinical Laboratory | NJ | $265.4K | 25.6K | $10.36 |
| Health Network Laboratories, Llc | Clinical Laboratory | PA | $232.3K | 22.4K | $10.35 |
| New Schryver Llc | Clinical Laboratory | CO | $206.4K | 19.9K | $10.35 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.