Revenue Code (RC) 0450 Fee Schedule

Revenue Code (RC) 0450 is classified under Emergency Room.

General

Key Fact	Detail
Service Type	Emergency Room
Complexity Level	High

National average reimbursement for Revenue Code 0450 by major payers:

$45,794.85

BCBS / Anthem

$610.93

UnitedHealthcare

$1,552.54

Aetna

$2,249.06

Cigna

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RC 0450

5 of 25 sample ratesHigher to lower in this preview

Virtua
Virtu-West Jersey Health System Inc
NJGeneral Acute Care HospitalNPI 1528064409Tax ID 21-0634532
$2,728.00Published rate
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Horizon City Campus
Hcn Ep Horizon City LLC
TXGeneral Acute Care HospitalNPI 1003344334Tax ID 81-3935393
$536.00Published rate
Hmh Hospitals Corporation, Riverview Medical Center
Hackensack Meridian Health Inc
NJGeneral Acute Care HospitalNPI 1710499462Tax ID 22-1487576
$358.00Published rate
Overlook Hospital
Atlantic Health System Inc
NJGeneral Acute Care HospitalNPI 1417106907Tax ID 52-1958352
$229.00Published rate
Kell West Regional Hospital LLC
Kell West Regional Hospital, LLC
TXGeneral Acute Care HospitalNPI 1669480323Tax ID 75-2756307
$136.00Published 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 0450 vs. Other Emergency Room Codes

The table lists codes related to 0450. Select one to see its fee schedule.

Code	Complexity	Description
0450-RC	High	General
0451-RC	High	EMTALA emergency medical screening services

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0450 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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