Antepartum prenatal care visits, 4 to 6 visits

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Antepartum Care Only 4-6 Visits

Payers reporting CPT 59425

Payer pricing summary

Low

$276

Average

$1.1k

Median

$765

High

$7.6k

Payer rate distribution

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#
1	Optum professional · fee schedule · outpatient · +17 other terms	26	$501	$464	$100	22%	1–10	$228 – $625
2	Ucare professional · fee schedule · outpatient · +13 other terms	18	$442	$453	$88	19%	1–10	$278 – $609
3	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	190	$924	$3.1k	$2.7k	86%	—	$0 – $14.4k
4	Aetna fee schedule · outpatient · +28 other terms	167	$551	$2.1k	$3.9k	188%	—	$79 – $33.6k
5	Cigna case rate · outpatient · +26 other terms	131	$6.7k	$8.1k	$7.9k	98%	—	$82 – $40.7k
6	UnitedHealthcare fee schedule · outpatient · +33 other terms	129	$493	$577	$343	59%	—	$50 – $1.8k
7	Humana fee schedule · outpatient · +26 other terms	119	$519	$866	$1.1k	123%	—	$114 – $8.3k
8	Anthem fee schedule · outpatient · +20 other terms	70	$515	$975	$1.1k	110%	—	$298 – $5.1k
9	Molina case rate · outpatient · +25 other terms	65	$2.3k	$2.3k	$856	37%	—	$215 – $3.2k
10	Oscar case rate · outpatient · +16 other terms	57	$3.6k	$4.2k	$1.3k	30%	—	$3.3k – $7.3k
11	Healthcare Highways case rate · outpatient	42	$5.8k	$7.6k	$5.1k	67%	—	$2.1k – $14.6k
12	WellCare fee schedule · both · +22 other terms	37	$370	$444	$182	41%	—	$0 – $969
13	Superior Healthplan case rate · outpatient · +2 other terms	33	$948	$944	$8	1%	—	$929 – $948
14	Kaiser fee schedule · outpatient · +19 other terms	32	$544	$647	$434	67%	—	$152 – $1.9k
15	Regence professional · fee schedule · outpatient · +14 other terms	31	$483	$912	$424	47%	—	$285 – $1.8k
16	Medica fee schedule · outpatient · +18 other terms	27	$775	$1.0k	$511	49%	—	$66 – $1.8k
17	Aetna Better Health facility · fee schedule · outpatient · +10 other terms	25	$453	$699	$341	49%	—	$94 – $1.2k
18	Bcbs Tx fee schedule · outpatient · +2 other terms	25	$567	$620	$251	41%	—	$327 – $1.5k
19	Devoted fee schedule · outpatient · +14 other terms	24	$540	$479	$80	17%	—	$319 – $608
20	Highmark fee schedule · outpatient · +14 other terms	23	$551	$568	$276	49%	—	$292 – $2.5k
21	Ambetter fee schedule · both · +16 other terms	20	$595	$609	$190	31%	—	$0 – $941
22	Caresource facility · case rate · outpatient · +14 other terms	20	$128	$334	$359	108%	—	$53 – $1.1k
23	Medicare fee schedule · outpatient · +11 other terms	20	$408	$401	$12	3%	—	$367 – $417
24	Cigna Healthspring fee schedule · outpatient · +2 other terms	17	$534	$468	$73	16%	—	$379 – $534
25	Tricare professional · fee schedule · outpatient · +15 other terms	17	$460	$458	$60	13%	—	$319 – $603

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