Video follow-up visit for returning patient, low complexity

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

Synchronous Audio-Video Visit Est Low Mdm 20 Min

Tricare pricing summary

Low

$30

Average

$799

Median

$62

High

$25.0k

Tricare rate distribution

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40 hospital rates

#		Plans
1	Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · both	1	$68	$68	—	—	1–10	$68 – $68
2	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$58	$58	$5	9%	—	$50 – $66
3	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$50k	$50k	—	—	—	$50k – $50k
4	Anderson Hospital Maryville, IL professional · other · outpatient	1	$67	$67	—	—	—	$67 – $67
5	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$63	$64	$6	10%	—	$55 – $72
6	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$30	$30	—	—	—	$30 – $30
7	GLENS FALLS HOSPITAL INC Falls, NY professional · fee schedule · outpatient	4	$58	$58	$5	9%	—	$50 – $66
8	HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges	1	$62	$62	—	—	—	$62 – $62
9	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both	1	$60	$60	—	—	—	$60 – $60
10	Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient	1	$55	$55	—	—	—	$55 – $55
11	Mayo Clinic Health System Sparta, WI professional · fee schedule · outpatient	1	$65	$65	—	—	—	$65 – $65
12	Mayo Clinic Health System Cannon Falls 55009-5003 facility · fee schedule · both	1	$51	$51	—	—	—	$51 – $51
13	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both	1	$55	$55	—	—	—	$55 – $55
14	Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · both	1	$55	$55	—	—	—	$55 – $55
15	Mercy Health Saint Marys Rockford, MI professional · fee schedule · both	1	$55	$55	—	—	—	$55 – $55
16	Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · inpatient	1	$58	$58	—	—	—	$58 – $58
17	Mercy Health Services-Iowa Corp. Mason City, IA professional · fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
18	Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both	1	$64	$64	—	—	—	$64 – $64
19	Mount Carmel East Reynoldsburg, OH professional · fee schedule · both	1	$65	$65	—	—	—	$65 – $65
20	Mount Carmel Grove City Grove City, OH professional · fee schedule · both	1	$65	$65	—	—	—	$65 – $65
21	Mount Carmel St Ann's Lewis Center, OH professional · fee schedule · both	1	$65	$65	—	—	—	$65 – $65
22	NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH professional · fee schedule · outpatient	1	$62	$62	—	—	—	$62 – $62
23	Nationwide Children's Hospital Columbus, OH professional · fee schedule · outpatient	1	$62	$62	—	—	—	$62 – $62
24	PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC percent of total billed charges · bothfrom % of charges	1	$170	$170	—	—	—	$170 – $170
25	Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both	1	$140	$143	$6	4%	—	$140 – $154