Revenue Code (RC) 0472 Fee Schedule

Revenue Code (RC) 0472 is classified under Audiology.

Treatment

Key Fact	Detail
Service Type	Audiology
Complexity Level	Moderate

National average reimbursement for Revenue Code 0472 by major payers:

$470.72

BCBS / Anthem

$266.87

UnitedHealthcare

$N/A

Aetna

$207.25

Cigna

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RC 0472

5 of 25 sample ratesHigher to lower in this preview

North Texas, Medical City Alliance
North Texas
TXGeneral Acute Care HospitalNPI 1871911016Tax ID 46-4027347
$418.00Published rate
Uhs Of Texoma, Inc, Texoma Medical Center
Uhs Of Texoma Inc
TXGeneral Acute Care HospitalNPI 1851390967Tax ID 20-5908627
$368.00Published rate
St Lukes Community Development Corporation, St Lukes Sugar Land Hospital
St Lukes Community Development Corporation
TXGeneral Acute Care HospitalNPI 1659559573Tax ID 26-1947374
$217.00Published rate
Covenant Medical Center
TXGeneral Acute Care HospitalNPI 1972517365Tax ID 82-2913146
$112.00Published rate
Corinth Investor Holdings LLC, Horizon Medical Center Rehabilitation
Corinth Investor Holdings, LLC
TXRehabilitation Hospital UnitNPI 1376168724Tax ID 20-4864120
$55.00Published 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 0472 vs. Other Audiology Codes

The table lists codes related to 0472. Select one to see its fee schedule.

Code	Complexity	Description
0471-RC	Moderate	Diagnostic
0472-RC	Moderate	Treatment
0473-RC	High	Audiology

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0472. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0472 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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