Patient health risk assessment questionnaire

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

PT-FOCUSED HLTH RISK ASSMT

Payers reporting CPT 96160

Payer pricing summary

Low

Average

$45

Median

$36

High

$436

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +37 other terms	297	$30	$46	$65	140%	1–10	$1 – $875
2	Aetna fee schedule · outpatient · +32 other terms	321	$35	$123	$706	572%	—	$2 – $8.4k
3	Humana fee schedule · outpatient · +26 other terms	281	$30	$26	$14	55%	—	$2 – $102
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	258	$31	$31	$33	105%	—	$0 – $210
5	Cigna fee schedule · outpatient · +29 other terms	160	$38	$44	$41	92%	—	$3 – $194
6	WellCare fee schedule · outpatient · +22 other terms	132	$35	$37	$14	37%	—	$2 – $70
7	Molina fee schedule · outpatient · +26 other terms	112	$31	$40	$33	82%	—	$2 – $300
8	Anthem fee schedule · outpatient · +27 other terms	86	$27	$27	$52	192%	—	$2 – $443
9	Ambetter facility · fee schedule · outpatient · +16 other terms	69	$67	$152	$780	512%	—	$3 – $7.0k
10	Kaiser fee schedule · outpatient · +20 other terms	64	$37	$52	$47	90%	—	$3 – $233
11	Devoted fee schedule · outpatient · +14 other terms	57	$31	$29	$11	38%	—	$3 – $41
12	Optum fee schedule · outpatient · +18 other terms	43	$31	$34	$32	94%	—	$2 – $138
13	Clover fee schedule · outpatient · +8 other terms	33	$33	$33	$4	11%	—	$28 – $42
14	Regence professional · fee schedule · outpatient · +14 other terms	28	$3	$4	$2	48%	—	$3 – $8
15	Medicare fee schedule · outpatient · +14 other terms	26	$3	$9	$11	116%	—	$3 – $29
16	Bcbs Tx fee schedule · outpatient · +2 other terms	25	$13	$14	$7	51%	—	$4 – $30
17	Oscar fee schedule · outpatient · +18 other terms	24	$25	$27	$33	125%	—	$1 – $107
18	Caresource facility · case rate · outpatient · +14 other terms	23	$42	$47	$15	32%	—	$25 – $77
19	MultiPlan fee schedule · outpatient · +16 other terms	21	$46	$38	$17	43%	—	$2 – $68
20	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	21	$40	$39	$1	2%	—	$38 – $40
21	Tricare fee schedule · outpatient · +16 other terms	21	$34	$30	$8	25%	—	$3 – $44
22	Highmark fee schedule · outpatient · +16 other terms	20	$25	$25	$23	91%	—	$2 – $146
23	Medica professional · fee schedule · outpatient · +11 other terms	19	$3	$4	$2	41%	—	$2 – $9
24	Cigna Healthspring fee schedule · outpatient · +7 other terms	18	$30	$23	$13	56%	—	$2 – $40
25	Medical Mutual facility · fee schedule · outpatient · +10 other terms	16	$36	$340	$1.3k	379%	—	$19 – $6.0k

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