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See a sample rate comparisonRevenue Code (RC) 0540 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.
General
| Key Fact | Detail |
|---|---|
| Service Type | Ambulance |
| Complexity Level | High |
National average reimbursement for Revenue Code 0540 by major payers:
$1,664.57
$650.97
$1,550.00
$1,615.83
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RC 0540
5 of 25 sample ratesHigher to lower in this preview
Covenant Medical Center
$3,308.00Published rateEastland Memorial Hospital District, Eastland Memorial Hospital
$500.00Published rateAthens Hospital, LLC
$400.00Published rateBaptist Hospitals Of Southeast Texas, Memorial Hermann Baptist Beaumont Hospital
Baptist Hospitals Of Southeast Texas
$350.00Published rateSt. Davids Healthcare Partnership, L.P., LLP, Heart Hospital Of Austin
$217.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0540 vs. Other Ambulance Codes
The Revenue Code 0540 code is part of the Ambulance 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 0540 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.
| Code | Complexity | Description |
|---|---|---|
| 0540-RC | High | General |
| 0541-RC | High | Supplies |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0540. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0540 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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