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 Q2004 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.
Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Miscellaneous Drug and New Technology Codes |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q2004 |
National average reimbursement for HCPCS Q2004 by major payers:
$98.69
$103.55
$101.28
$15.30
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS Q2004.
HCPCS Q2004
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$223.70Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$147.44Published rateDoctors' Hospital Of Slidell, LLC, Sterling Surgical Hospital
Doctors Hospital Of Slidell, LLC
$146.91Published rateThe Hospital Authority Of Habersham County
$101.68Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$67.55Published 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 Q2004 vs. Other Miscellaneous Drug and New Technology Codes Codes
The HCPCS Q2004 code is part of the Temporary Codes services used for Miscellaneous Drug and New Technology Codes. 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 Q2004 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 |
|---|---|---|
| Q1005-HCPCS | Low | New technology intraocular lens category 5 as defined in Federal Register notice |
| Q2004-HCPCS | Low | Irrigation solution for treatment of bladder calculi, for example renacidin, per 500 ml |
| Q2009-HCPCS | Low | Injection, fosphenytoin, 50 mg phenytoin equivalent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q2004. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q2004 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 Q2004) and we'll show you how you compare in 15 minutes or less.