What is a Fee Schedule?

What is a Fee Schedule?

• A. A list of the costs of common services and procedures performed by a physician
• B. A contract between patient and provider
• C. A set of covered benefits
• D. A schedule of appointment times

Answer: (A)

A Fee Schedule is a published list of the prices charged for medical services and procedures, usually tied to the procedure code used for billing. It shows what a physician or clinic charges for each service, which helps with cost estimates, billing, and how payers determine payment. It’s not a contract between patient and provider, nor a description of what benefits insurance will cover, and it isn’t a schedule of appointment times. Keep in mind that what appears on the fee schedule isn’t necessarily what a patient will pay after insurance, discounts, or negotiated rates are applied.

A Fee Schedule is a published list of the prices charged for medical services and procedures, usually tied to the procedure code used for billing. It shows what a physician or clinic charges for each service, which helps with cost estimates, billing, and how payers determine payment. It’s not a contract between patient and provider, nor a description of what benefits insurance will cover, and it isn’t a schedule of appointment times. Keep in mind that what appears on the fee schedule isn’t necessarily what a patient will pay after insurance, discounts, or negotiated rates are applied.