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See a sample rate comparisonRevenue Code (RC) 0499 Fee Schedule
Revenue Code (RC) 0499 is classified under Ambulatory Surgical Care.
Other
| Key Fact | Detail |
|---|---|
| Service Type | Ambulatory Surgical Care |
| Complexity Level | High |
National average reimbursement for Revenue Code 0499 by major payers:
$2,664.45
BCBS / Anthem
$20,221.18
UnitedHealthcare
$30,250.00
Aetna
$1,450.48
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for RC 0499.
RC 0499
5 of 25 sample ratesHigher to lower in this preview
Inova Health Care Services, Inova Mount Vernon Hospital
Inova Health Care Services
$68,452.00Published rateMilan General Hospital, Inc., West Tennessee Healthcare Milan Hospital
Milan General Hospital Inc
$22,834.00Published rateVhs Of Phoenix Inc, Abrazo Mesa Hospital
$14,023.00Published rateHighline Medical Center
$8,133.00Published rateMarion Regional Medical Center, Inc., Marion Regional Medical Center
Marion Regional Medical Center Inc
$1,500.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0499 vs. Other Ambulatory Surgical Care Codes
The table lists codes related to 0499. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 0498-RC | Moderate | Ambulatory Surgical Care |
| 0499-RC | High | 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 0499. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0499 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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