APC 05821

Health and behavior assessment visit, level 1

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DEPRESSION SCREEN ANNUAL

Payers reporting APC 05821

Payer pricing summary

Low

$27

Average

$68

Median

$46

High

$220

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +2 other terms	86	$37	$37	$2	5%	—	$27 – $40
2	Caresource fee schedule · outpatient · +1 other terms	20	$38	$38	$0	0%	—	$38 – $38
3	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	13	$44	$74	$63	85%	—	$21 – $210
4	Aetna facility · fee schedule · outpatient · +4 other terms	12	$37	$44	$21	48%	—	$35 – $116
5	Medicare facility · fee schedule · outpatient · +2 other terms	12	$38	$230	$783	341%	—	$34 – $3.5k
6	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$36	$37	$1	2%	—	$36 – $37
7	Molina facility · fee schedule · outpatient · +1 other terms	8	$43	$254	$844	332%	—	$35 – $3.6k
8	Anthem facility · fee schedule · outpatient	5	$109	$92	$37	41%	—	$35 – $146
9	Clover fee schedule · outpatient	5	$39	$39	$0	1%	—	$39 – $39
10	Kaiser fee schedule · outpatient · +2 other terms	5	$38	$38	$0	1%	—	$38 – $38
11	WellCare fee schedule · outpatient · +2 other terms	5	$38	$38	$0	1%	—	$38 – $38
12	Aetna Better Health facility · other · outpatient · +1 other terms	4	$22	$22	—	—	—	$22 – $22
13	Cigna facility · fee schedule · outpatient · +1 other terms	4	$112	$110	$38	35%	—	$40 – $152
14	Ambetter facility · fee schedule · outpatient	3	$72	$55	$11	21%	—	$47 – $72
15	Amerihealth Caritas facility · fee schedule · outpatient	3	$62	$54	$22	41%	—	$37 – $84
16	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$37	$37	$1	2%	—	$36 – $38
17	Devoted facility · fee schedule · outpatient	3	$39	$37	$2	5%	—	$36 – $39
18	Medica facility · fee schedule · outpatient	3	$40	$40	—	—	—	$40 – $40
19	Tricare facility · fee schedule · outpatient · +1 other terms	3	$40	$42	$2	6%	—	$38 – $44
20	Bcbs Ca facility · fee schedule · outpatient	2	$149	$138	$64	46%	—	$48 – $183
21	Carefirst facility · fee schedule · outpatient	2	$42	$42	$3	6%	—	$39 – $44
22	Medical Mutual facility · other · outpatient	2	$129	$129	$11	9%	—	$118 – $140
23	MultiPlan facility · other · outpatient · +1 other terms	2	$57	$57	$3	6%	—	$55 – $63
24	Cigna Healthspring facility · fee schedule · outpatient	1	$36	$36	—	—	—	$36 – $36
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$30	$30	$5	16%	—	$26 – $38

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