Revenue Code (RC) 0351 Fee Schedule

Revenue Code (RC) 0351 is classified under CT Scan.

Head scan

Key Fact	Detail
Service Type	CT Scan
Complexity Level	Moderate

National average reimbursement for Revenue Code 0351 by major payers:

$783.66

BCBS / Anthem

$1,028.64

UnitedHealthcare

$974.53

Aetna

$1,207.18

Cigna

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RC 0351

5 of 25 sample ratesHigher to lower in this preview

Mountain States Health Alliance, Russell County Hospital
VAGeneral Acute Care HospitalNPI 1891973939Tax ID 54-1594711
$3,410.00Published rate
Sentara Hospitals, Sentara Williamsburg Regional Medical Center
Sentara Hospitals
VAGeneral Acute Care HospitalNPI 1619938149Tax ID 54-0634958
$1,246.00Published rate
Concordia Parish Hospital Service District Number One, Trinity Medical
Concordia Parish Hospital Service District Number One
LACritical Access HospitalNPI 1144227935Tax ID 72-0578642
$800.00Published rate
Gainesville Community Hospital, Inc., North Texas Medical Center
Gainesville Community Hospital Inc
TXGeneral Acute Care HospitalNPI 1972071991Tax ID 83-1683025
$563.00Published rate
Crosbyton Clinic Hospital
TXRural Acute Care HospitalNPI 1063500270Tax ID 75-0711276
$275.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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Revenue Code 0351 vs. Other CT Scan Codes

The table lists codes related to 0351. Select one to see its fee schedule.

Code	Complexity	Description
0350-RC	Moderate	General
0351-RC	Moderate	Head scan
0352-RC	Moderate	Body scan

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0351. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0351 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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