Rate Benchmarking
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See a sample rate comparisonRevenue Code (RC) 0469 Fee Schedule
Revenue Code (RC) 0469 is classified under Pulmonary Function.
Other
| Key Fact | Detail |
|---|---|
| Service Type | Pulmonary Function |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0469 by major payers:
$456.71
BCBS / Anthem
$446.61
UnitedHealthcare
$N/A
Aetna
$N/A
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for RC 0469.
RC 0469
5 of 25 sample ratesHigher to lower in this preview
Hcn Ep Horizon City, LLC, The Hospitals Of Providence Horizon City Campus
Hcn Ep Horizon City LLC
$1,336.00Published rateEmerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Overlook
Emerus Bhs Sa Thousand Oaks LLC
$371.00Published rateSt. Davids Healthcare Partnership, L.P., LLP, Heart Hospital Of Austin
$331.00Published rateHouston, Hca Houston Healthcare Medical Center
$235.00Published rateCrosbyton Clinic Hospital
$55.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0469 vs. Other Pulmonary Function Codes
The table lists codes related to 0469. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 0468-RC | Moderate | Pulmonary Function |
| 0469-RC | Moderate | Other |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0469. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0469 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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