Charge & Cost measures

Direct and Indirect Cost measures

Charge measures are built on the same logic, but without direct/indirect options.

Measure name Measure description Medicare benchmarks available All Payer benchmarks available
Cost - Direct - Accommodation - Coronary Care

Sum of Coronary Care costs divided by Volume of Cases

Revenue Codes: 0210, 0211, 0212, 0213, 0214, 0219

Yes Yes
Cost - Direct - Accommodation - Intensive Care

Sum of Intensive Care costs divided by Volume of Cases

Revenue Codes: 0200, 0201, 0202, 0203, 0204, 0206, 0207, 0208, 0209

Yes Yes
Cost - Direct - Accommodation - Private

Sum of Private Room costs divided by Volume of Cases

Revenue Codes: 0110, 0111, 0112, 0113, 0114, 0115, 0116, 0117, 0118, 0119, 0140, 0141, 0142, 0143, 0144, 0145, 0146, 0147, 0148, 0149

No Yes
Cost - Direct - Accommodation - Private, Semi Private, Ward - Inpatient Sum of Costs Accommodation Private, Costs Semi-Private, Costs - Ward, divided by Volume of Cases Yes Yes
Cost - Direct - Accommodation - Semi Private

Sum of Semi-Private Room costs divided by Volume of Cases

Revenue Codes: 0100, 0101, 0120, 0121, 0122, 0123, 0124, 0125, 0126, 0127, 0128, 0129, 0130, 0131, 0132, 0133, 0134, 0135, 0136, 0137, 0138, 0139, 0160, 0164, 0167, 0169, 0170, 0171, 0172, 0173, 0174, 0179, 0180, 0182, 0183, 0184, 0185, 0189, 0190, 0191, 0192, 0193, 0194, 0199

No Yes
Cost - Direct - Accommodation - Ward

Sum of Ward costs divided by Volume of Cases

Revenue Codes: 0150, 0151, 0152, 0153, 0154, 0155, 0156, 0157, 0158, 0159

No Yes
Cost - Direct - Accommodations - Total

Sum of all Accommodation costs divided by Volume of Cases

Revenue Codes: 0100 - 0219

No No
Cost - Direct - Ambulance

Sum of Ambulance costs divided by Volume of Cases

Revenue Codes: 0540, 0541, 0542, 0543, 0544, 0545, 0546, 0547, 0548, 0549

No No
Cost - Direct - Anesthesiology

Sum of Anesthesiology Costs divided by Volume of Cases

Anesthesiology Revenue Codes: 0370, 0371, 0372, 0374, 0379

Yes Yes
Cost - Direct - Blood Administration

Sum of Blood Administration costs divided by Volume of Cases

Revenue Codes: 0390, 0391, 0399

Yes Yes
Cost - Direct - Blood Use

Sum of Blood Use Costs divided by Volume of Cases

Blood Use Revenue Codes: 0380, 0381, 0382, 0383, 0384, 0385, 0386, 0387, 0389

Yes Yes
Cost - Direct - Cardiology

Sum of Cardiology Costs divided by Volume of Cases

Cardiology Revenue Codes: 0480, 0481, 0482, 0483, 0489, 0730, 0731, 0732, 0739

Yes Yes
Cost - Direct - Clinic Visit

Sum of Clinic Visit costs divided by Volume of Cases

Revenue Codes: 0510, 0511, 0512, 0513, 0514, 0515, 0516, 0517, 0519

Yes Yes
Cost - Direct - Critical Care / Intermediate ICU Sum of ICU and CCU Costs (Revenue Center 20X) divided by Volume of Cases Yes Yes
Cost - Direct - Critical Care Without Intermediate ICU/CCU

Sum of ICU/ CCU Costs (excluding intermediate care), divided by Volume of Cases

Revenue Codes: 200-204, 207, 208-213, 219

No Yes
Cost - Direct - Durable Medical Equipment

Sum of Durable Medical Equipment costs divided by Volume of Cases

Revenue Codes: 0290, 0291, 0292, 0294, 0299

No No
Cost - Direct - Emergency Department

Sum of Emergency Room Department Costs divided by Volume of Cases

Emergency Room Department Revenue Codes: 0450, 0451, 0452, 0456, 0459

Yes Yes
Cost - Direct - ESRD Revenue Setting

Sum of ESRD Revenue Setting costs divided by Volume of Cases

Revenue Codes: 0800, 0801, 0802, 0803, 0804, 0809, 0820, 0821, 0822, 0823, 0824, 0825, 0829, 0830, 0831, 0832, 0833, 0834, 0835, 0839, 0840, 0841, 0842, 0843, 0844, 0845, 0849, 0850, 0851, 0852, 0853, 0854, 0855, 0859, 0860, 0861, 0862, 0863, 0864, 0865, 0866, 0867, 0868, 0869, 0870, 0871, 0872, 0873, 0874, 0875, 0876, 0877, 0878, 0879, 0880, 0881, 0882, 0889

No No
Cost - Direct - Intermediate ICU/CCU

Sum of Intermediate ICU/ CCU Costs divided by Volume of Cases

Revenue Codes: 206 and 214

No Yes
Cost - Direct - Labor and Delivery

Sum of Labor and Delivery Costs divided by Volume of Cases

Labor and Delivery Revenue Codes: 0720, 0721, 0722, 0723, 0724, 0729

No No
Cost - Direct - Laboratory and Pathology

Sum of Laboratory& Pathology Costs divided by Volume of Cases. Laboratory and Pathology

Revenue Codes: 0300, 0301, 0302, 0303, 0304, 0305, 0306, 0307, 0309, 0310, 0311, 0312, 0314, 0319, 0740, 0749, 0750, 0759

Yes Yes
Cost - Direct - Lithotripsy

Sum of Lithotripsy costs divided by Volume of Cases

Revenue Codes: 0790, 0799

Yes Yes
Cost - Direct - Medical/Surgical Supplies

Sum of Medical/Surgical Supplies divided by Volume of Cases

Medical/ Surgical Supplies Revenue Codes: 0270, 0271, 0272, 0273, 0274, 0275, 0276, 0277, 0278, 0279, 0620, 0621, 0622, 0623, 0624

Yes Yes
Cost - Direct - MRI

Sum of MRI costs divided by Volume of Cases

Revenue Codes: 0610, 0611, 0612, 0614, 0615, 0616, 0618, 0619

Yes Yes
Cost - Direct - Nuclear Medicine

Sum of Nuclear Medicine Costs divided by Volume of Cases

Revenue Codes: 340, 341, 342, and 349

No Yes
Cost - Direct - Nursery and NICU

Sum of Nursery and NICU Costs divided by Volume of Cases

Revenue Codes: 0230, 0231, 0232, 0234, 0235, 0239, 0240, 0249

No No
Cost - Direct - Occupation Therapy

Sum of Occupational Therapy costs divided by Volume of Cases

Revenue Codes: 0430, 0431, 0432, 0433, 0434, 0439

Yes Yes
Cost - Direct - Oncology

Sum of Oncology Costs divided by Volume of Cases

Oncology Revenue Codes: 0280, 0289, 0331, 0332, 0333, 0335

No No
Cost - Direct - Operating Room and Labor & Delivery

Sum of Operating Room Labor and Delivery Costs divided by Volume of Cases

Operating Room Revenue Codes: 0360, 0361, 0362, 0367, 0369, 0710, 0719, 0720, 0721, 0722, 0723, 0724, 0729

No No
Cost - Direct - Organ Acquisition

Sum of Organ Acquisition costs divided by Volume of Cases

Revenue Codes: 0810, 0811, 0812, 0813, 0814, 0819, 0890, 0891, 0892, 0893, 0899

No No
Cost - Direct - Other

Sum of Other costs divided by Volume of Cases

Revenue Codes: 0220, 0221 ,0222, 0223, 0224, 0229, 0230, 0231, 0232, 0233, 0234, 0235, 0239, 0240, 0249, 0520, 0521, 0522, 0523, 0526, 0529, 0530, 0531, 0539, 0550, 0551, 0552, 0553, 0559, 0560, 0561, 0562, 0569, 0570, 0571, 0572, 0579, 0580, 0581, 0582, 0583, 0589, 0590, 0599, 0600, 0601, 0602, 0603, 0604, 0640, 0641, 0642, 0643, 0644, 0645, 0646, 0647, 0648, 0649, 0650, 0651, 0652, 0655, 0656, 0657, 0658, 0659, 0660, 0661, 0662, 0663, 0669, 0670, 0671, 0672, 0679, 0681, 0682, 0683, 0684, 0689, 0700, 0709, 0760, 0761, 0762, 0769, 0770, 0771, 0779, 0780, 0900, 0901, 0902, 0903, 0904, 0905, 0906, 0907, 0909, 0910, 0911, 0912, 0913, 0914, 0915, 0916, 0917, 0918, 0919, 0920, 0921, 0922, 0923, 0924, 0925, 0929, 0931, 0932, 0940, 0941, 0942, 0943, 0944, 0945, 0946, 0947, 0949, 0950, 0951, 0952, 0990, 0991, 0992, 0993, 0994, 0995, 0996, 0997, 0998, 0999

Yes Yes
Cost - Direct - Other Not Including Nursery and NICU and Psych

Sum of Other Costs (without NICU or Psych) divided by Volume of Cases

Revenue Codes: 0220, 0221 ,0222, 0223, 0224, 0229, 0520, 0521, 0522, 0523, 0526, 0529, 0530, 0531, 0539, 0550, 0551, 0552, 0553, 0559, 0560, 0561, 0562, 0569, 0570, 0571, 0572, 0579, 0580, 0581, 0582, 0583, 0589, 0590, 0599, 0600, 0601, 0602, 0603, 0604, 0640, 0641, 0642, 0643, 0644, 0645, 0646, 0647, 0648, 0649, 0650, 0651, 0652, 0655, 0656, 0657, 0658, 0659, 0660, 0661, 0662, 0663, 0669, 0670, 0671, 0672, 0679, 0681, 0682, 0683, 0684, 0689, 0700, 0709, 0760, 0761, 0762, 0769, 0770, 0771, 0779, 0780, 0920, 0921, 0922, 0923, 0924, 0925, 0929, 0931, 0932, 0940, 0941, 0942, 0943, 0944, 0945, 0946, 0947, 0949, 0950, 0951, 0952, 0990, 0991, 0992, 0993, 0994, 0995, 0996, 0997, 0998, 0999

No Yes
Cost - Direct - Outpatient Services

Sum of Outpatient Services costs divided by Volume of Cases

Revenue codes: 0490, 0499, 0500, and 0509

Yes Yes
Cost - Direct - Pathology

Sum of Pathology Costs divided by Volume of Cases

Laboratory and Pathology Revenue Codes: 0310, 0311, 0312, 0314, 0319

No No
Cost - Direct - Pharmacy

Sum of Pharmacy Costs divided by Volume of Cases

Pharmacy Revenue Codes: 0250, 0251, 0252, 0253, 0254, 0255, 0256, 0257, 0258, 0259, 0260, 0261, 0262, 0263, 0264, 0269, 0630, 0631, 0632, 0633, 0634, 0635, 0636, 0637

Yes Yes
Cost - Direct - Physical Therapy

Sum of Physical Therapy costs divided by Volume of Cases

Revenue Codes: 0420, 0421, 0422, 0423, 0424, 0429

Yes Yes
Cost - Direct - Professional Fee

Sum of Professional Fees costs

Revenue Codes: 0960, 0961, 0962, 0963, 0964, 0969, 0971, 0972, 0973, 0974, 0975, 0976, 0977, 0978, 0979, 0981, 0982, 0983, 0984, 0985, 0986, 0987, 0988, 0989

Yes Yes
Cost - Direct - Psych Services

Sum of Psych Costs divided by Volume of Cases

Revenue Codes: 0900, 0901, 0902, 0903, 0904, 0905, 0906, 0907, 0909, 0910, 0911, 0912, 0913, 0914, 0915, 0916, 0917, 0918, 0919

No No
Cost - Direct - Radiology and CT Scan

Sum of Radiology and CT Scan Costs divided by Volume of Cases

Revenue Codes: 0320, 0321, 0322, 0323, 0324, 0329, 0350, 0351, 0352, 0359, 0400, 0401, 0402, 0403, 0404, 0409

No Yes
Cost - Direct - Radiology, CT, Oncology & Nuc. Med.

Sum of Radiology Costs divided by Volume of Cases

Radiology Revenue Codes: 0280, 0289, 0320, 0321, 0322, 0323, 0324, 0329, 0330, 0331, 0332, 0333, 0335, 0339, 0340, 0341, 0342, 0349, 0350, 0351, 0352, 0359, 0400, 0401, 0402, 0403, 0404, 0409

No No
Cost - Direct - Respiratory Services

Sum of Respiratory Services Costs divided by Volume of Cases

Respiratory Services Revenue Codes: 0410, 0412, 0413, 0419

No No
Cost - Direct - Respiratory Therapy

Sum of Inhalation Therapy costs divided by Volume of Cases

Revenue Codes: 0410, 0412, 0413, 0419

Yes Yes
Cost - Direct - Speech Pathology

Sum of Speech Pathology costs divided by Volume of Cases

Revenue Codes: 0440, 0441, 0442, 0443, 0444, 0449, 0470, 0471, 0472, 0479

Yes Yes
Cost - Direct - Therapy: Physical, Occupational, Speech

Sum of Physician, Occupational, and Speech Therapy divided by Volume of Cases

Physician Therapy Revenue Codes: 0420, 0421, 0422, 0423, 0424, 0429

Occupational Therapy Revenue Codes: 0430, 0431, 0432, 0433, 0434, 0439

Speech Pathology Revenue Codes: 0440, 0441, 0442, 0443, 0444, 0449, 0470, 0471, 0472, 0479

No No
Cost - Direct - Used Durable Medical Equipment

Sum of Used Durable Medical Equipment costs divided by Volume of Cases

Revenue Code: 0293

No No
Cost - Indirect - Accommodation - Coronary Care

Sum of Coronary Care costs divided by Volume of Cases

Revenue Codes: 0210, 0211, 0212, 0213, 0214, 0219

Yes Yes
Cost - Indirect - Accommodation - Intensive Care

Sum of Intensive Care costs divided by Volume of Cases

Revenue Codes: 0200, 0201, 0202, 0203, 0204, 0206, 0207, 0208, 0209

Yes Yes
Cost - Indirect - Accommodation - Private

Sum of Private Room costs divided by Volume of Cases

Revenue Codes: 0110, 0111, 0112, 0113, 0114, 0115, 0116, 0117, 0118, 0119, 0140, 0141, 0142, 0143, 0144, 0145, 0146, 0147, 0148, 0149

No Yes
Cost - Indirect - Accommodation - Private, Semi Private, Ward - Inpatient Sum of Costs Accommodation Private, Costs Semi-Private, Costs - Ward, divided by Volume of Cases Yes Yes
Cost - Indirect - Accommodation - Semi Private

Sum of Semi-Private Room costs divided by Volume of Cases

Revenue Codes: 0100, 0101, 0120, 0121, 0122, 0123, 0124, 0125, 0126, 0127, 0128, 0129, 0130, 0131, 0132, 0133, 0134, 0135, 0136, 0137, 0138, 0139, 0160, 0164, 0167, 0169, 0170, 0171, 0172, 0173, 0174, 0179, 0180, 0182, 0183, 0184, 0185, 0189, 0190, 0191, 0192, 0193, 0194, 0199

No Yes
Cost - Indirect - Accommodation - Ward

Sum of Ward costs divided by Volume of Cases

Revenue Codes: 0150, 0151, 0152, 0153, 0154, 0155, 0156, 0157, 0158, 0159

No Yes
Cost - Indirect - Accommodations - Total

Sum of all Accommodation costs divided by Volume of Cases

Revenue Codes: 0100 - 0219

No No
Cost - Indirect - Ambulance

Sum of Ambulance costs divided by Volume of Cases

Revenue Codes: 0540, 0541, 0542, 0543, 0544, 0545, 0546, 0547, 0548, 0549

No No
Cost - Indirect - Anesthesiology

Sum of Anesthesiology Costs divided by Volume of Cases

Anesthesiology Revenue Codes: 0370, 0371, 0372, 0374, 0379

Yes Yes
Cost - Indirect - Blood Administration

Sum of Blood Administration costs divided by Volume of Cases

Revenue Codes: 0390, 0391, 0399

Yes Yes
Cost - Indirect - Blood Use

Sum of Blood Use Costs divided by Volume of Cases

Blood Use Revenue Codes: 0380, 0381, 0382, 0383, 0384, 0385, 0386, 0387, 0389

Yes Yes
Cost - Indirect - Cardiology

Sum of Cardiology Costs divided by Volume of Cases

Cardiology Revenue Codes: 0480, 0481, 0482, 0483, 0489, 0730, 0731, 0732, 0739

Yes Yes
Cost - Indirect - Clinic Visit

Sum of Clinic Visit costs divided by Volume of Cases

Revenue Codes: 0510, 0511, 0512, 0513, 0514, 0515, 0516, 0517, 0519

Yes Yes
Cost - Indirect - Critical Care / Intermediate ICU Sum of ICU and CCU Costs (Revenue Center 20X) divided by Volume of Cases Yes Yes
Cost - Indirect - Critical Care Without Intermediate ICU/CCU

Sum of ICU/ CCU Costs (excluding intermediate care), divided by Volume of Cases

Revenue Codes: 200-204, 207, 208-213, 219

No Yes
Cost - Indirect - Durable Medical Equipment

Sum of Durable Medical Equipment costs divided by Volume of Cases

Revenue Codes: 0290, 0291, 0292, 0294, 0299

No No
Cost - Indirect - Emergency Department

Sum of Emergency Room Department Costs divided by Volume of Cases

Emergency Room Department Revenue Codes: 0450, 0451, 0452, 0456, 0459

Yes Yes
Cost - Indirect - ESRD Revenue Setting

Sum of ESRD Revenue Setting costs divided by Volume of Cases

Revenue Codes: 0800, 0801, 0802, 0803, 0804, 0809, 0820, 0821, 0822, 0823, 0824, 0825, 0829, 0830, 0831, 0832, 0833, 0834, 0835, 0839, 0840, 0841, 0842, 0843, 0844, 0845, 0849, 0850, 0851, 0852, 0853, 0854, 0855, 0859, 0860, 0861, 0862, 0863, 0864, 0865, 0866, 0867, 0868, 0869, 0870, 0871, 0872, 0873, 0874, 0875, 0876, 0877, 0878, 0879, 0880, 0881, 0882, 0889

No No
Cost - Indirect - Intermediate ICU/CCU

Sum of Intermediate ICU/ CCU Costs divided by Volume of Cases

Revenue Codes: 206 and 214

No Yes
Cost - Indirect - Labor and Delivery

Sum of Labor and Delivery Costs divided by Volume of Cases

Labor and Delivery Revenue Codes: 0720, 0721, 0722, 0723, 0724, 0729

No No
Cost - Indirect - Laboratory and Pathology

Sum of Laboratory& Pathology Costs divided by Volume of Cases

Laboratory and Pathology Revenue Codes: 0300, 0301, 0302, 0303, 0304, 0305, 0306, 0307, 0309, 0310, 0311, 0312, 0314, 0319, 0740, 0749, 0750, 0759

Yes Yes
Cost - Indirect - Lithotripsy

Sum of Lithotripsy costs divided by Volume of Cases

Revenue Codes: 0790, 0799

Yes Yes
Cost - Indirect - Medical/Surgical Supplies

Sum of Medical/Surgical Supplies divided by Volume of Cases

Medical/ Surgical Supplies Revenue Codes: 0270, 0271, 0272, 0273, 0274, 0275, 0276, 0277, 0278, 0279, 0620, 0621, 0622, 0623, 0624

Yes Yes
Cost - Indirect - MRI

Sum of MRI costs divided by Volume of Cases

Revenue Codes: 0610, 0611, 0612, 0614, 0615, 0616, 0618, 0619

Yes Yes
Cost - Indirect - Nuclear Medicine

Sum of Nuclear Medicine Costs divided by Volume of Cases

Revenue Codes: 340, 341, 342, and 349

No Yes
Cost - Indirect - Nursery and NICU

Sum of Nursery and NICU Costs divided by Volume of Cases

Revenue Codes: 0230, 0231, 0232, 0234, 0235, 0239, 0240, 0249

No No
Cost - Indirect - Occupation Therapy

Sum of Occupational Therapy costs divided by Volume of Cases

Revenue Codes: 0430, 0431, 0432, 0433, 0434, 0439

Yes Yes
Cost - Indirect - Oncology

Sum of Oncology Costs divided by Volume of Cases

Oncology Revenue Codes: 0280, 0289, 0331, 0332, 0333, 0335

No No
Cost - Indirect - Operating Room and Labor & Delivery

Sum of Operating Room Labor and Delivery Costs divided by Volume of Cases

Operating Room Revenue Codes: 0360, 0361, 0362, 0367, 0369, 0710, 0719, 0720, 0721, 0722, 0723, 0724, 0729

No No
Cost - Indirect - Organ Acquisition

Sum of Organ Acquisition costs divided by Volume of Cases

Revenue Codes: 0810, 0811, 0812, 0813, 0814, 0819, 0890, 0891, 0892, 0893, 0899

No No
Cost - Indirect - Other

Sum of Other costs divided by Volume of Cases

Revenue Codes: 0220, 0221 ,0222, 0223, 0224, 0229, 0230, 0231, 0232, 0233, 0234, 0235, 0239, 0240, 0249, 0520, 0521, 0522, 0523, 0526, 0529, 0530, 0531, 0539, 0550, 0551, 0552, 0553, 0559, 0560, 0561, 0562, 0569, 0570, 0571, 0572, 0579, 0580, 0581, 0582, 0583, 0589, 0590, 0599, 0600, 0601, 0602, 0603, 0604, 0640, 0641, 0642, 0643, 0644, 0645, 0646, 0647, 0648, 0649, 0650, 0651, 0652, 0655, 0656, 0657, 0658, 0659, 0660, 0661, 0662, 0663, 0669, 0670, 0671, 0672, 0679, 0681, 0682, 0683, 0684, 0689, 0700, 0709, 0760, 0761, 0762, 0769, 0770, 0771, 0779, 0780, 0900, 0901, 0902, 0903, 0904, 0905, 0906, 0907, 0909, 0910, 0911, 0912, 0913, 0914, 0915, 0916, 0917, 0918, 0919, 0920, 0921, 0922, 0923, 0924, 0925, 0929, 0931, 0932, 0940, 0941, 0942, 0943, 0944, 0945, 0946, 0947, 0949, 0950, 0951, 0952, 0990, 0991, 0992, 0993, 0994, 0995, 0996, 0997, 0998, 0999

Yes Yes
Cost - Indirect - Other Not Including Nursery and NICU and Psych

Sum of Other Costs (without NICU or Psych) divided by Volume of Cases

Revenue Codes: 0220, 0221 ,0222, 0223, 0224, 0229, 0520, 0521, 0522, 0523, 0526, 0529, 0530, 0531, 0539, 0550, 0551, 0552, 0553, 0559, 0560, 0561, 0562, 0569, 0570, 0571, 0572, 0579, 0580, 0581, 0582, 0583, 0589, 0590, 0599, 0600, 0601, 0602, 0603, 0604, 0640, 0641, 0642, 0643, 0644, 0645, 0646, 0647, 0648, 0649, 0650, 0651, 0652, 0655, 0656, 0657, 0658, 0659, 0660, 0661, 0662, 0663, 0669, 0670, 0671, 0672, 0679, 0681, 0682, 0683, 0684, 0689, 0700, 0709, 0760, 0761, 0762, 0769, 0770, 0771, 0779, 0780, 0920, 0921, 0922, 0923, 0924, 0925, 0929, 0931, 0932, 0940, 0941, 0942, 0943, 0944, 0945, 0946, 0947, 0949, 0950, 0951, 0952, 0990, 0991, 0992, 0993, 0994, 0995, 0996, 0997, 0998, 0999

No Yes
Cost - Indirect - Outpatient Services

Sum of Outpatient Services costs divided by Volume of Cases

Revenue codes: 0490, 0499, 0500, and 0509

Yes Yes
Cost - Indirect - Pathology

Sum of Pathology Costs divided by Volume of Cases

Laboratory and Pathology Revenue Codes: 0310, 0311, 0312, 0314, 0319

No No
Cost - Indirect - Pharmacy

Sum of Pharmacy Costs divided by Volume of Cases

Pharmacy Revenue Codes: 0250, 0251, 0252, 0253, 0254, 0255, 0256, 0257, 0258, 0259, 0260, 0261, 0262, 0263, 0264, 0269, 0630, 0631, 0632, 0633, 0634, 0635, 0636, 0637

Yes Yes
Cost - Indirect - Physical Therapy

Sum of Physical Therapy costs divided by Volume of Cases

Revenue Codes: 0420, 0421, 0422, 0423, 0424, 0429

Yes Yes
Cost - Indirect - Professional Fee

Sum of Professional Fees costs

Revenue Codes: 0960, 0961, 0962, 0963, 0964, 0969, 0971, 0972, 0973, 0974, 0975, 0976, 0977, 0978, 0979, 0981, 0982, 0983, 0984, 0985, 0986, 0987, 0988, 0989

Yes Yes
Cost - Indirect - Psych Services

Sum of Psych Costs divided by Volume of Cases

Revenue Codes: 0900, 0901, 0902, 0903, 0904, 0905, 0906, 0907, 0909, 0910, 0911, 0912, 0913, 0914, 0915, 0916, 0917, 0918, 0919

No No
Cost - Indirect - Radiology and CT Scan

Sum of Radiology and CT Scan Costs divided by Volume of Cases

Revenue Codes: 0320, 0321, 0322, 0323, 0324, 0329, 0350, 0351, 0352, 0359, 0400, 0401, 0402, 0403, 0404, 0409

No Yes
Cost - Indirect - Radiology, CT, Oncology & Nuc. Med.

Sum of Radiology Costs divided by Volume of Cases

Radiology Revenue Codes: 0280, 0289, 0320, 0321, 0322, 0323, 0324, 0329, 0330, 0331, 0332, 0333, 0335, 0339, 0340, 0341, 0342, 0349, 0350, 0351, 0352, 0359, 0400, 0401, 0402, 0403, 0404, 0409

No No
Cost - Indirect - Respiratory Services

Sum of Respiratory Services Costs divided by Volume of Cases

Respiratory Services Revenue Codes: 0410, 0412, 0413, 0419

No No
Cost - Indirect - Respiratory Therapy

Sum of Inhalation Therapy costs divided by Volume of Cases

Revenue Codes: 0410, 0412, 0413, 0419

Yes Yes
Cost - Indirect - Speech Pathology

Sum of Speech Pathology costs divided by Volume of Cases

Revenue Codes: 0440, 0441, 0442, 0443, 0444, 0449, 0470, 0471, 0472, 0479

Yes Yes
Cost - Indirect - Therapy: Physical, Occupational, Speech

Sum of Physician, Occupational, and Speech Therapy divided by Volume of Cases.

Physician Therapy Revenue Codes: 0420, 0421, 0422, 0423, 0424, 0429

Occupational Therapy Revenue Codes: 0430, 0431, 0432, 0433, 0434, 0439

Speech Pathology Revenue Codes: 0440, 0441, 0442, 0443, 0444, 0449, 0470, 0471, 0472, 0479

No No
Cost - Indirect - Used Durable Medical Equipment

Sum of Used Durable Medical Equipment costs divided by Volume of Cases

Revenue Code: 0293

No No
Total Direct Costs Sum of all direct costs Yes Yes
Total Indirect Costs Sum of all indirect costs Yes Yes

Return to top