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See a sample rate comparisonRevenue Code (RC) 0820 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.
General
| Key Fact | Detail |
|---|---|
| Service Type | Hemodialysis - Outpatient or Home |
| Complexity Level | Moderate |
National average reimbursement for Revenue Code 0820 by major payers:
$748.20
$660.71
$902.61
$928.05
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RC 0820
5 of 25 sample ratesHigher to lower in this preview
Emerus Bhs Sa Thousand Oaks, LLC, Baptist Neighborhood Hospital Hausman
Emerus Bhs Sa Thousand Oaks LLC
$923.00Published rateChi St. Luke'S Health Baylor College Of Medicine Medical Center
Chi St Lukes Health Baylor College Of Medicine Medical Center
$524.00Published rateColumbia Medical Center Of Denton Subsidiary Lp, Medical City Denton
Columbia Medical Center Of Denton Subsidiary Lp
$447.00Published rateSt. Davids Healthcare Partnership, L.P., LLP
$351.00Published rateTenet Hospitals Limited, The Hospitals Of Providence Sierra Campus
$206.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalRevenue Code 0820 vs. Other Hemodialysis - Outpatient or Home Codes
The Revenue Code 0820 code is part of the Hemodialysis - Outpatient or Home 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 0820 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 |
|---|---|---|
| 0820-RC | Moderate | General |
| 0821-RC | High | Composite or other rate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0820. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 0820 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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