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See a sample rate comparisonRevenue Code (RC) 0403 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.
Screening mammography
| Key Fact | Detail |
|---|---|
| Service Type | Other Imaging Services |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0403 by major payers:
$689.59
$218.87
$215.86
$1,425.46
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RC 0403
5 of 25 sample ratesHigher to lower in this preview
Macon Northside Hospital, LLC, Piedmont Macon North Hospital
Macon Northside Hospital LLC
$476.00Published rateHardin County General Hospital, Hardin Medical Center
Hardin County General Hospital
$286.00Published rateClhg-Ruston LLC
$196.00Published rateIndiana University Health Tipton Hospital Inc, Iu Health Tipton Hospital
Indiana University Health Tipton Hospital Inc
$175.00Published rateHale County Hospital
$75.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0403 vs. Other Other Imaging Services Codes
The Revenue Code 0403 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 0403 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 0403. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0403 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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