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Revenue Code (RC) 0854 Fee Schedule

Revenue Code (RC) 0854 is classified under Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home.

Maintenance/100%

Key FactDetail
Service Type

Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home

Complexity LevelModerate

National average reimbursement for Revenue Code 0854 by major payers:

BCBS / Anthem logo

$818.27

BCBS / Anthem

UnitedHealthcare logo

$561.94

UnitedHealthcare

Aetna logo

$681.64

Aetna

Cigna logo

$766.73

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for RC 0854.

RC 0854
5 of 25 sample ratesHigher to lower in this preview
  1. Orthopedic Hospital Ltd, Texas Orthopedic Hospital

    Orthopedic Hospital Ltd

    TXGeneral Acute Care HospitalNPI 1134166192Tax ID 76-0418502

    $1,455.00Published rate
  2. Uhs Of Texoma, Inc, Texoma Medical Center

    Uhs Of Texoma Inc

    TXGeneral Acute Care HospitalNPI 1851390967Tax ID 20-5908627

    $844.00Published rate
  3. Pmc Hospital, LLC, St. Luke'S Patients Medical Center

    Pmc Hospital LLC

    TXGeneral Acute Care HospitalNPI 1407990088Tax ID 27-3280598

    $444.00Published rate
  4. Tenet Hospitals Limited, The Hospitals Of Providence East Campus

    TXGeneral Acute Care HospitalNPI 1972709970Tax ID 95-4537720

    $244.00Published rate
  5. Gonzales Healthcare Systems, Memorial Hospital

    TXRural Acute Care HospitalNPI 1932108214Tax ID 74-1625013

    $119.00Published rate

National sample. Rates vary by location, specialty, and contract.

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Revenue Code 0854 vs. Other Continuous Cycling Peritoneal Dialysis (CCPD) - Outpatient or Home Codes

The table lists codes related to 0854. Select one to see its fee schedule.

CodeComplexityDescription
0853-RCModerateHome equipment
0854-RCModerateMaintenance/100%
0855-RCHighSupport Services

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0854. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0854 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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