Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS P9612 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.
Catheterization for collection of specimen, single patient, all places of service
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Services Specimen Collection, Catheterization |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for P9612 |
National average reimbursement for HCPCS P9612 by major payers:
$6.06
$2.17
$4.43
$6.08
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS P9612.
HCPCS P9612
5 of 25 sample ratesHigher to lower in this preview
Progressive Acute Care Dauterive, LLC, Dauterive Hospital
Progressive Acute Care Dauterive LLC
$9.09Published rateHospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
$3.71Published rateHospital Service District 2 Of The Parish Of Tangipahoa State Of La., Hood Memorial Hospital
Hospital Service District 2 Of The Parish Of Tangipahoa State Of La
$3.00Published rateOpelousas General Hospital Authority
$3.00Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$1.25Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS P9612 vs. Other Specimen Collection, Catheterization Codes
The HCPCS P9612 code is part of the Pathology and Laboratory Services services used for Specimen Collection, Catheterization. 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 P9612 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 |
|---|---|---|
| P9604-HCPCS | Low | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge. |
| P9612-HCPCS | Low | Catheterization for collection of specimen, single patient, all places of service |
| P9615-HCPCS | Low | Catheterization for collection of specimen (s) (multiple patients) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P9612 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS P9612) and we'll show you how you compare in 15 minutes or less.