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Revenue Code (RC) 0945 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.

Alcohol rehabilitation

Key FactDetail
Service Type

Other Therapeutic Services - See also 095X

Complexity LevelModerate

National average reimbursement for Revenue Code 0945 by major payers:

bcbs

$443.81

uhc

$249.92

aetna

$457.06

cigna

$850.00

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Choose a payer to see a sample of rates for RC 0945.

RC 0945
5 of 25 sample ratesHigher to lower in this preview
  1. October Road Inc.

    October Road, Inc.

    NCCommunity/Behavioral Health AgencyNPI 1144375767Tax ID 20-1997771

    $485.00Published rate
  2. The Blanchard Institute

    NCSubstance Abuse Rehabilitation FacilityNPI 1134671399Tax ID 81-3016029

    $350.00Published rate
  3. Christus Health Central Louisiana, Christus St. Frances Cabrini Hospital

    Christus Health Central Louisiana

    LAGeneral Acute Care HospitalNPI 1639160799Tax ID 72-0408984

    $170.00Published rate
  4. Lubbock Regional Mhmr Center, Starcare Specialty Health System

    Lubbock Regional Mhmr Center

    TXClinic/CenterNPI 1992708705Tax ID 75-1297691

    $56.00Published rate
  5. Texas New Leaf LLC, Briarwood Detox

    Texas New Leaf LLC

    TXSubstance Abuse Rehabilitation FacilityNPI 1043613060Tax ID 46-5731849

    $50.00Published rate

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

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Revenue Code 0945 vs. Other Other Therapeutic Services - See also 095X Codes

The Revenue Code 0945 code is part of the Other Therapeutic Services - See also 095X 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 0945 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.

CodeComplexityDescription
0944-RCModerateDrug rehabilitation
0945-RCModerateAlcohol rehabilitation
0946-RCModerateComplex medical equipment - routine

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including Revenue Code 0945. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 0945 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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