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See a sample rate comparisonHCPCS C2638 Fee Schedule
Last Verified: October 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.
Brachytherapy source, stranded, iodine-125, per source
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Brachytherapy Sources |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C2638 |
National average reimbursement for HCPCS C2638 by major payers:
$24.23
$51.74
$31.16
$36.96
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HCPCS C2638
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$108.94Published rateAnna Jaques Hospital
$64.73Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$56.08Published rateSpecialists Hospital Shreveport, LLC
Specialists Hospital Shreveport, L.L.C.
$43.61Published rateWillis Knighton Medical Center, Inc.
Willis-Knighton Medical Center
$29.62Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS C2638 vs. Other Brachytherapy Sources Codes
The HCPCS C2638 code is part of the Outpatient PPS services used for Brachytherapy Sources. 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 HCPCS C2638 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 |
|---|---|---|
| C2637-HCPCS | Low | Brachytherapy source, non-stranded, ytterbium-169, per source |
| C2638-HCPCS | Low | Brachytherapy source, stranded, iodine-125, per source |
| C2639-HCPCS | Low | Brachytherapy source, non-stranded, iodine-125, per source |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C2638. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C2638 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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