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See a sample rate comparisonRevenue Code (RC) 0126 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Detoxification
| Key Fact | Detail |
|---|---|
| Service Type | Room and Board Semi-private (two beds) |
| Complexity Level | High |
| ASAM Level | Level 4 - Medically Managed Inpatient |
| Care Type | Treatment Withdrawal Mgmt |
| Setting | Inpatient |
National average reimbursement for Revenue Code 0126 by major payers:
$7,938.04
$1,127.21
$1,932.19
$1,250.16
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RC 0126
5 of 25 sample ratesHigher to lower in this preview
University Of Southern California, Keck Hospital Of Usc
Keck Medical Center Of Usc
$21,567.00Published rateSun City Hospital Inc, Hca Florida South Shore Hospital
Sun City Hospital Inc
$9,000.00Published rateWesley Medical Center LLC, Wesley Medical Center
Wesley Medical Center LLC
$3,580.00Published rateBuena Vista Recovery, LLC, Buena Vista Recovery LLC
$893.00Published rateStanley Street Treatment And Resources, Inc., Sstar
Stanley Street Treatment And Resources
$499.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0126 vs. Other Room and Board Semi-private (two beds) Codes
The Revenue Code 0126 code is part of the Room and Board Semi-private (two beds) services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The Revenue Code 0126 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0126. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0126 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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