Revenue Code (RC) 0652 Fee Schedule

Revenue Code (RC) 0652 is classified under Hospice Service.

Continuous home care

Key Fact	Detail
Service Type	Hospice Service
Complexity Level	Moderate

National average reimbursement for Revenue Code 0652 by major payers:

$584.73

BCBS / Anthem

$43.26

UnitedHealthcare

$201.09

Aetna

$133.42

Cigna

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RC 0652

5 of 25 sample ratesHigher to lower in this preview

Heart 'N Home Hospice And Palliative Care, LLC, Heart 'N Home Hospice & Palliative Care
Heart N Home Hospice And Palliative Care LLC
ORCommunity Based Hospice Care AgencyNPI 1003251307Tax ID 52-2440817
$62.20Published rate
Caretenders Visiting Services Of District 6, LLC, Mederi Caretenders
FLHome Health AgencyNPI 1083885198Tax ID 30-0425709
$59.68Published rate
Lhcg Cliv, LLC, Mederi Caretenders
FLHome Health AgencyNPI 1063045961Tax ID 84-4776384
$59.68Published rate
Seasons Hospice & Palliative Care Of Pinellas County LLC, Accentcare Hospice & Palliative Care Of Pinellas County
FLCommunity Based Hospice Care AgencyNPI 1821503756Tax ID 47-3708162
$36.84Published rate
Seasons Hospice & Palliative Care Of Southern Florida, LLC, Accentcare Hospice & Palliative Care Of Southern Florida
FLCommunity Based Hospice Care AgencyNPI 1841517281Tax ID 27-2344658
$32.25Published 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 0652 vs. Other Hospice Service Codes

The table lists codes related to 0652. Select one to see its fee schedule.

Code	Complexity	Description
0651-RC	Moderate	Routine home care
0652-RC	Moderate	Continuous home care
0653-RC	Moderate	Hospice Service

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0652. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0652 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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