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See a sample rate comparisonRevenue Code (RC) 0451 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
EMTALA emergency medical screening services
| Key Fact | Detail |
|---|---|
| Service Type | Emergency Room |
| Complexity Level | High |
National average reimbursement for Revenue Code 0451 by major payers:
$6,574.57
$607.95
$1,545.53
$2,252.96
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RC 0451
5 of 25 sample ratesHigher to lower in this preview
Saint Peter'S University Hospital
Saint Peters University Hospital
$1,164.00Published rateInova Health Care Services, Inova Fairfax Hospital
Inova Health Care Services
$550.00Published rateLubbock Heritage Hospital, LLC., Grace Surgical Hospital
Lubbock Heritage Hospital LLC
$450.00Published rateOrthopedic Hospital Ltd, Texas Orthopedic Hospital
Orthopedic Hospital Ltd
$272.00Published rateNorth Texas, Medical City Alliance
North Texas
$212.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0451 vs. Other Emergency Room Codes
The Revenue Code 0451 code is part of the Emergency Room 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 0451 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 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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