PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

Revenue Code (RC) 0280 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

General

Key FactDetail
Service Type

Oncology

Complexity LevelModerate

National average reimbursement for Revenue Code 0280 by major payers:

bcbs

$583.26

uhc

$664.45

aetna

$N/A

cigna

$2,576.18

Compare published rates across providers.

Choose a payer to see a sample of rates for RC 0280.

RC 0280
5 of 25 sample ratesHigher to lower in this preview
  1. Chca Womans Hospital Lp, Woman'S Hospital Of Texas

    Chca Womans Hospital Lp

    TXGeneral Acute Care HospitalNPI 1023065794Tax ID 62-1810381

    $1,362.00Published rate
  2. North Texas, Medical City Alliance

    North Texas

    TXGeneral Acute Care HospitalNPI 1871911016Tax ID 46-4027347

    $779.00Published rate
  3. Childress County Hospital District, Childress Regional Medical Center

    TXGeneral Acute Care HospitalNPI 1326079534Tax ID 75-1228349

    $336.00Published rate
  4. Tenet Hospitals Limited, The Hospitals Of Providence Sierra Campus

    TXGeneral Acute Care HospitalNPI 1215969787Tax ID 95-4537720

    $183.00Published rate
  5. Covenant Medical Center

    TXGeneral Acute Care HospitalNPI 1972517365Tax ID 82-2913146

    $67.00Published rate

National sample. Rates vary by location, specialty, and contract.

Get a free rate benchmark for your specialty.

Choose your state and specialty to build a report from payer-published rates.

Use market rates to prepare your payer proposal.

Rate Benchmarking

Compare your rates with similar providers.

Select a published rate, define comparable providers, and see where that rate falls in your market.

See a sample rate comparison

Payer Contract Negotiation

Draft a fee schedule renegotiation letter.

Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.

See a sample payer proposal

Revenue Code 0280 vs. Other Oncology Codes

The Revenue Code 0280 code is part of the Oncology 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 0280 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.

CodeComplexityDescription
0280-RCModerateGeneral
0281-RCModerateOncology

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0280 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.

FREE SAMPLE MARKET COMPARISON

Let's review your payer contracts side-by-side with the market.

Bring your top codes (like RC 0280) and we'll show you how you compare in 15 minutes or less.