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See a sample rate comparisonRevenue Code (RC) 0551 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Visit charge
| Key Fact | Detail |
|---|---|
| Service Type | Skilled Nursing |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0551 by major payers:
$585.45
$121.89
$112.94
$168.15
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RC 0551
5 of 25 sample ratesHigher to lower in this preview
Omni Home Health District 2, LLC, Suncrest Omni
$140.00Published rateCareservices Of Bethesda LLC, Enhabit Home Health Of Bethesda
Careservices Of Bethesda LLC
$135.00Published rateKey West Hha, LLC
$130.00Published rateCaresouth Hha Holdings Of The Treasure Coast, LLC, Enhabit Home Health Of Jupiter Medical Center
Caresouth Hha Holdings Of The Treasure Coast LLC
$120.00Published rateEmpath Home Health LLC, Empath Home Health
Empath Home Health LLC
$110.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0551 vs. Other Skilled Nursing Codes
The Revenue Code 0551 code is part of the Skilled Nursing 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 0551 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 0551. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0551 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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