HCPCS S9083: Global Fee Urgent Care Centers
Commercial payers pay $82 on average nationally for this procedure.
HCPCS Level II code S9083 denotes a global fee for urgent care centers covering evaluation and management and related onsite services provided in an urgent care setting; the service type is urgent care visit and the typical site of service is an urgent care center where same-day, episodic outpatient care is delivered for acute, non-life-threatening conditions.
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National Reimbursement Benchmarks
Commercial rates for HCPCS S9083 cluster around BUCA’s average commercial rate of $82.4, with notable payer-specific patterns. Cigna and UnitedHealth Group show higher central tendencies—Cigna’s median at $122.6 and UnitedHealth Group’s median at $68.3—while Blue Cross Blue Shield and Aetna exhibit broader tails driven by low minimums and high maximums; Aetna’s max is $174.6 and Blue Cross Blue Shield’s max is $166.6.
Dispersion (P75 minus P25) highlights variation across payers: Blue Cross Blue Shield’s spread is $37.2 ($81.5 − $42.8), Aetna’s spread is $16.0 ($106.0 − $45.0), BUCA’s spread is $25.7 ($92.0 − $64.3), Cigna’s spread is $0.0 ($122.6 − $122.6), and UnitedHealth Group’s spread is $0.0 ($68.3 − $68.3). Cigna and UnitedHealth Group are the tightest by this measure; Blue Cross Blue Shield shows the widest interquartile dispersion.