Outpatient pulmonary rehabilitation session without continuous oxygen monitoring

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

Professional services for outpatient pulmonary rehabilitation, per session

Payers reporting CPT 94625

Payer pricing summary

Low

Average

$689

Median

$125

High

$12.5k

Payer rate distribution

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#
1	Wellmark case rate · outpatient · +19 other terms	14	$57	$87	$52	60%	42–60	$56 – $186
2	Bcbs In other · both	8	$223	$226	$20	9%	35	$205 – $265
3	Humana fee schedule · outpatient · +30 other terms	297	$61	$78	$56	72%	23–41	$1 – $362
4	Bcbs Al facility · other · outpatient · +2 other terms	3	$52	$54	$5	10%	2–20	$49 – $61
5	Bcbs Wy other · both · +3 other terms	1	$242	$242	—	—	2–20	$242 – $242
6	Medicare fee schedule · outpatient · +18 other terms	31	$17	$36	$21	60%	1–10	$16 – $66
7	Aetna fee schedule · outpatient · +30 other terms	453	$64	$148	$591	400%	—	$1 – $8.4k
8	UnitedHealthcare fee schedule · outpatient · +36 other terms	404	$66	$147	$237	162%	—	$1 – $2.1k
9	Blue Cross Blue Shield fee schedule · outpatient · +30 other terms	372	$76	$96	$69	72%	—	$0 – $563
10	Cigna fee schedule · outpatient · +27 other terms	196	$66	$102	$65	64%	—	$16 – $358
11	WellCare fee schedule · outpatient · +21 other terms	152	$64	$67	$19	29%	—	$4 – $139
12	Molina fee schedule · outpatient · +29 other terms	148	$62	$67	$41	61%	—	$1 – $240
13	Anthem facility · fee schedule · outpatient · +27 other terms	116	$77	$142	$370	261%	—	$0 – $6.0k
14	Ambetter facility · fee schedule · outpatient · +20 other terms	98	$105	$174	$659	378%	—	$55 – $7.0k
15	Kaiser fee schedule · outpatient · +23 other terms	90	$98	$130	$109	84%	—	$16 – $487
16	Devoted facility · fee schedule · outpatient · +14 other terms	80	$58	$117	$520	445%	—	$48 – $4.9k
17	MultiPlan fee schedule · outpatient · +18 other terms	80	$238	$222	$139	62%	—	$21 – $581
18	Tricare facility · fee schedule · outpatient · +16 other terms	61	$59	$149	$683	459%	—	$14 – $5.7k
19	Highmark facility · fee schedule · outpatient · +16 other terms	57	$87	$85	$62	73%	—	$13 – $269
20	Oscar fee schedule · outpatient · +19 other terms	53	$109	$94	$47	50%	—	$1 – $168
21	Caresource fee schedule · outpatient · +18 other terms	48	$69	$113	$37	33%	—	$1 – $142
22	Optum fee schedule · outpatient · +20 other terms	43	$55	$67	$40	59%	—	$17 – $218
23	First Health fee schedule · outpatient · +17 other terms	39	$116	$174	$143	83%	—	$19 – $554
24	Clover facility · fee schedule · outpatient · +10 other terms	35	$62	$62	$4	6%	—	$55 – $70
25	Medica fee schedule · outpatient · +19 other terms	35	$75	$106	$116	109%	—	$15 – $569

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