Revenue Code (RC) 0761 Fee Schedule
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.
Treatment room
| Key Fact | Detail |
|---|---|
| Service Type | • Specialty Services |
| Complexity Level | High |
National average reimbursement for Revenue Code 0761 by major payers:

$1,013.66

$674.58

$342.46

$5,530.93
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for RC 0761 | ||||||
United | 0761 | $613.00 | 1093793036 - EMERSON HOSPITAL | 42103565 - (MA) EMERSON HOSPITAL | MA | Rural Acute Care Hospital (282NR1301X) |
United | 0761 | $629.00 | 1255384533 - COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP, MEDICAL CITY LEWISVILLE | 621682210 - (TX) COLUMBIA MEDICAL CENTER OF LEWISVILLE SUBSIDIARY LP | TX | General Acute Care Hospital (282N00000X) |
United | 0761 | $2028.00 | 1710087127 - CHILDREN'S HOSPITAL CORPORATION, BOSTON CHILDREN'S HOSPITAL | 42774441 - CHILDRENS HOSPITAL CORPORATION | MA | Children's Hospital (282NC2000X) |
United | 0761 | $56.00 | 1992708705 - LUBBOCK REGIONAL MHMR CENTER, STARCARE SPECIALTY HEALTH SYSTEM | 751297691 - (TX) LUBBOCK REGIONAL MHMR CENTER | TX | Clinic/Center (261Q00000X) |
United | 0761 | $391.00 | 1720033947 - ST. DAVIDS HEALTHCARE PARTNERSHIP, L.P., LLP, HEART HOSPITAL OF AUSTIN | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 0761 | $760.00 | 1245284223 - METHODIST HEALTHCARE SYSTEM OF SAN ANTONIO, LTD., L.L.P., METHODIST HOSPITAL | 742730328 | TX | Psychiatric Hospital Unit (273R00000X) |
United | 0761 | $2095.00 | 1710087127 - CHILDREN'S HOSPITAL CORPORATION, BOSTON CHILDREN'S HOSPITAL | 42774441 - CHILDRENS HOSPITAL CORPORATION | MA | Children's Hospital (282NC2000X) |
United | 0761 | $423.00 | 1831140698 - GREEN OAKS HOSPITAL SUBSIDIARY LP, MEDICAL CITY GREEN OAKS HOSPITAL | 621797829 | TX | Psychiatric Hospital (283Q00000X) |
United | 0761 | $391.00 | 1629021845 - ST DAVIDS HEALTHCARE PARTNERSHIP LP LLP, NORTH AUSTIN MEDICAL CENTER | 742781812 | TX | General Acute Care Hospital (282N00000X) |
United | 0761 | $300.00 | 1689628984 - COLUMBIA HOSPITAL AT MEDICAL CITY DALLAS SUBSIDIARY LP, MEDICAL CITY DALLAS | 621682198 | TX | General Acute Care Hospital (282N00000X) |
United | 0761 | $695.29 | 1346218294 - BOSTON MEDICAL CENTER CORPORATION | 43314093 - (MA) BOSTON MEDICAL CENTER CORPORATION | MA | General Acute Care Hospital (282N00000X) |
United | 0761 | $412.00 | 1992779482 - ANNA JAQUES HOSPITAL | 42104338 - (MA) ANNA JAQUES HOSPITAL | MA | General Acute Care Hospital (282N00000X) |
United | 0761 | $450.00 | 1831140698 - GREEN OAKS HOSPITAL SUBSIDIARY LP, MEDICAL CITY GREEN OAKS HOSPITAL | 621797829 | TX | Psychiatric Hospital (283Q00000X) |
United | 0761 | $450.00 | 1134808553 - SOLSTICE SOUTHWEST | 844910684 - (TX) SOLSTICE SOUTHWEST | TX | Psychiatric Residential Treatment Facility (323P00000X) |
United | 0761 | $419.00 | 1811942238 - KPH-CONSOLIDATION, INC., HCA HOUSTON HEALTHCARE NORTH CYPRESS A CAMPUS OF HCA HOUSTON HEALTHCAR | 621619857 | TX | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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Revenue Code 0761 vs. Other Specialty Services Codes
The Revenue Code 0761 code is part of the Specialty Services 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 0761 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 0761. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0761 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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