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Revenue Code (RC) 0451 Fee Schedule

Revenue Code (RC) 0451 is classified under Emergency Room.

EMTALA emergency medical screening services

Key FactDetail
Service Type

Emergency Room

Complexity LevelHigh

National average reimbursement for Revenue Code 0451 by major payers:

BCBS / Anthem logo

$6,574.57

BCBS / Anthem

UnitedHealthcare logo

$607.95

UnitedHealthcare

Aetna logo

$1,545.53

Aetna

Cigna logo

$2,252.96

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for RC 0451.

RC 0451
5 of 25 sample ratesHigher to lower in this preview
  1. Saint Peter'S University Hospital

    Saint Peters University Hospital

    NJGeneral Acute Care HospitalNPI 1114924834Tax ID 22-1487330

    $1,164.00Published rate
  2. Inova Health Care Services, Inova Fairfax Hospital

    Inova Health Care Services

    VAGeneral Acute Care HospitalNPI 1831220714Tax ID 54-0620889

    $550.00Published rate
  3. Lubbock Heritage Hospital, LLC., Grace Surgical Hospital

    Lubbock Heritage Hospital LLC

    TXGeneral Acute Care HospitalNPI 1225289499Tax ID 26-4021016

    $450.00Published rate
  4. Orthopedic Hospital Ltd, Texas Orthopedic Hospital

    Orthopedic Hospital Ltd

    TXGeneral Acute Care HospitalNPI 1134166192Tax ID 76-0418502

    $272.00Published rate
  5. North Texas, Medical City Alliance

    North Texas

    TXGeneral Acute Care HospitalNPI 1871911016Tax ID 46-4027347

    $212.00Published rate

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

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Payer Contract Negotiation

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Revenue Code 0451 vs. Other Emergency Room Codes

The table lists codes related to 0451. Select one to see its fee schedule.

CodeComplexityDescription
0450-RCHighGeneral
0451-RCHighEMTALA emergency medical screening services
0452-RCHighER beyond EMTALA screening

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0451. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0451 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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