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Revenue Code (RC) 0401 Fee Schedule

Last Verified: April 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.

Diagnostic mammography

Key FactDetail
Service Type

Other Imaging Services

Complexity LevelModerate

National average reimbursement for Revenue Code 0401 by major payers:

bcbs

$588.21

uhc

$218.87

aetna

$181.90

cigna

$1,420.38

Preview provider-level rates for...
For billing codeRC 0401
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for RC 0401

United
0401$193.001699765453 - MILAN GENERAL HOSPITAL, INC., WEST TENNESSEE HEALTHCARE MILAN HOSPITAL621753289 - (TN) MILAN GENERAL HOSPITAL INCTNGeneral Acute Care Hospital (282N00000X)
United
0401$100.001760417646 - FANNIN COUNTY HOSPITAL AUTHORITY, DBA TMC BONHAM HOSPITAL461353294TXCritical Access Hospital (282NC0060X)
United
0401$286.001699754812 - HARDIN COUNTY GENERAL HOSPITAL, HARDIN MEDICAL CENTER626002428 - (TN) HARDIN COUNTY GENERAL HOSPITALTNGeneral Acute Care Hospital (282N00000X)
United
0401$129.001528162534 - RIVERSIDE MIDDLE PENINSULA HOSPITAL INC, RIVERSIDE WALTER REED HOSPITAL521241836 - (VA) RIVERSIDE MIDDLE PENINSULA HOSPITAL INCVAGeneral Acute Care Hospital (282N00000X)
United
0401$175.001225195340 - INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL, INC.350867958 - (IN) INDIANA UNIVERSITY HEALTH BALL MEMORIAL HOSPITAL INCINGeneral Acute Care Hospital (282N00000X)
United
0401$160.001447230388 - OPELOUSAS GENERAL HOSPITAL AUTHORITY720708111LAGeneral Acute Care Hospital (282N00000X)
United
0401$87.001942784715 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - DEL CITY352635546 - (OK) IACCEHI NW LLCOKGeneral Acute Care Hospital (282N00000X)
United
0401$356.161366545311 - SSM HEALTH CARE OF OKLAHOMA, INC., SSM HEALTH ST. ANTHONY HOSPITAL - OKLAHOMA CITY730657693 - SSM HEALTH CARE OF OKLAHOMA INCOKGeneral Acute Care Hospital (282N00000X)
United
0401$196.001962024026 - CLHG-RUSTON LLC844422249LAGeneral Acute Care Hospital (282N00000X)
United
0401$208.001629057229 - AHS HILLCREST MEDICAL CENTER, LLC, HILLCREST MEDICAL CENTER770633896 - (OK) AHS HILLCREST MEDICAL CENTER LLCOKGeneral Acute Care Hospital (282N00000X)
United
0401$110.001144227935 - CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONE, TRINITY MEDICAL720578642 - (LA) CONCORDIA PARISH HOSPITAL SERVICE DISTRICT NUMBER ONELACritical Access Hospital (282NC0060X)
United
0401$87.001336623198 - IACC/EHI NW, LLC, INTEGRIS COMMUNITY HOSPITAL - OKC WEST352635546 - (OK) IACCEHI NW LLCOKGeneral Acute Care Hospital (282N00000X)
United
0401$189.001447303227 - GULF HEALTH HOSPITALS, INC, THOMAS HOSPITAL630891904 - (AL) GULF HEALTH HOSPITALS INCALGeneral Acute Care Hospital (282N00000X)
United
0401$427.001801826912 - WELLMONT HEALTH SYSTEM, LONESOME PINE HOSPITAL621636465 - WELLMONT HEALTH SYSTEMVAGeneral Acute Care Hospital (282N00000X)
United
0401$142.001629025648 - SAINT THOMAS WEST HOSPITAL, ASCENSION SAINT THOMAS HOSPITAL620347580 - (TN) SAINT THOMAS WEST HOSPITALTNGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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Revenue Code 0401 vs. Other Other Imaging Services Codes

The Revenue Code 0401 code is part of the Other Imaging Services 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 0401 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
0400-RCModerateGeneral
0401-RCModerateDiagnostic mammography
0402-RCModerateUltrasound

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0401. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0401 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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