UCR Pricing, What is it?

by  Christine Woolstenhulme, CPC, CMRS, QCC, QMCS
January 25th, 2018

UCR (Usual, Customary, and Reasonable) pricing is a method of generating healthcare pricing based on the average pricing in a particular geographic location.  Gathering information on pricing based on what other providers in that area is charging is commonly used for a fee or payment reference, as it gives a basis on what is considered customary and reasonable.

If a provider is not contracted or in the absence of a contract, providers can set their fees and are entitled to a reasonable value for the service provided.  It is important to get your UCR data from a reliable source to arrive at a reasonable value. Find-A-Code offers UCR fees gathered from the VA or US Department of Veterans Administration; this information can be found on the code information page and is offered as a fee comparison with a fee analysis or the with Compare-A-Fee.

UCR Pricing, What is it?. (2018, January 25). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/ucr-pricing-what-is-it-32840.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Reimbursement Guides
2021 Edition

Find-A-Code's 2021 specialty specific Reimbursement Guides give you the coding, billing, and documentation support you need to get paid properly and keep it.

  • Medicare
  • Procedure & Supply codes
  • Documentation
  • Compliance
  • HCC information
  • ICD-10-CM codes

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (8-5 Mountain)
free demo
request yours today
free subscription
for any budget

Thank you for choosing Find-A-Code, please Sign In to remove ads.