Results 1 to 3 of 3

Hospital Charges / Payments?

  1. #1
    Default Hospital Charges / Payments?
    Medical Coding Books
    I have been given the task of finding out how much a procedure will be reimbursed if it was performed in an outpatient Hospital setting vs it being performed in our ASC. I am having a very difficult time trying to find a Hospital Outpatient Fee Schedule, can anyone help? I have even found information on Hospital Outpatient Prospective payment system (OPPS), but I can not locate the reimbusement amounts? Any help would be greatly appreciated.

    Thank you,
    Valarie, CPC
    Last edited by vnorman; 03-23-2011 at 09:37 AM. Reason: Misspelling

  2. #2

    The second or third option under Medicare is the Fee Schedule.

    Also, sign into any carrier's website and most have their fee schedule available.

    Also, go to your state's website, for instance and do a search on the L&I fee schedule.

    From this information you can create an Excel spreadsheet comparing different carriers allowable amount.

  3. #3
    Atlanta Perimeter
    For general info try this site:

Similar Threads

  1. OB hospital charges
    By Revenuecycle in forum OB/GYN
    Replies: 0
    Last Post: 09-18-2012, 05:59 AM
  2. Rules RE: the same person entering charges and posting payments
    By BLWilson in forum General Discussion
    Replies: 6
    Last Post: 07-28-2011, 06:03 PM
  3. Bundling Issue with Charges from a Hospital/Hospital-Owned Clinic
    By dreampeddler in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 10-06-2010, 06:05 PM
  4. hospital charges - I am unsure of how to bill for a hospital charge
    By rianne831 in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 08-23-2010, 09:46 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.