Phone-only new patient doctor visit, high 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

Psych Synchronous Audio-Only Visit New High Mdm 60 Min

Payers reporting CPT 98011

Payer pricing summary

Low

Average

$23.2k

Median

$296

High

$384.9k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	91	$497	$532	$232	44%	—	$0 – $1.1k
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	80	$161	$246	$121	49%	—	$50 – $600
3	Humana fee schedule · outpatient · +19 other terms	67	$161	$196	$79	40%	—	$114 – $418
4	Aetna fee schedule · outpatient · +20 other terms	64	$161	$644	$1.5k	238%	—	$79 – $8.4k
5	Cigna fee schedule · outpatient · +18 other terms	40	$170	$203	$65	32%	—	$124 – $481
6	Anthem fee schedule · outpatient · +16 other terms	38	$161	$161	$7	4%	—	$152 – $170
7	Kaiser fee schedule · outpatient · +6 other terms	26	$165	$165	$4	3%	—	$160 – $170
8	Molina facility · case rate · outpatient · +11 other terms	25	$77	$128	$86	67%	—	$44 – $338
9	Devoted fee schedule · outpatient · +7 other terms	22	$161	$165	$5	3%	—	$159 – $172
10	Caresource facility · case rate · outpatient · +6 other terms	20	$69	$122	$95	78%	—	$42 – $330
11	Medicare fee schedule · outpatient · +2 other terms	19	$170	$169	$2	1%	—	$160 – $170
12	Bcbs Tx fee schedule · outpatient	18	$492	$515	$192	37%	—	$184 – $876
13	Optum professional · fee schedule · outpatient · +9 other terms	17	$167	$163	$12	8%	—	$128 – $175
14	Medica professional · fee schedule · outpatient · +13 other terms	16	$173	$181	$35	19%	—	$128 – $297
15	WellCare case rate · outpatient · +9 other terms	14	$169	$171	$11	6%	—	$152 – $186
16	Ucare professional · fee schedule · outpatient · +8 other terms	13	$177	$172	$11	7%	—	$136 – $183
17	Wellmark fee schedule · both · +3 other terms	13	$220	$216	$14	6%	—	$153 – $220
18	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$161	$161	—	—	—	$161 – $161
19	Medical Mutual facility · fee schedule · outpatient · +4 other terms	10	$165	$203	$43	21%	—	$165 – $260
20	Ambetter facility · fee schedule · outpatient · +11 other terms	9	$297	$281	$43	15%	—	$159 – $297
21	Aetna Better Health professional · fee schedule · both · +6 other terms	8	$0	$10	$34	346%	—	$0 – $129
22	Bcbs Il professional · fee schedule · both · +3 other terms	8	$39	$64	$98	152%	—	$0 – $310
23	Bcbs Mn fee schedule · both · +4 other terms	8	$280	$280	$2	1%	—	$277 – $282
24	First Health professional · fee schedule · both · +12 other terms	8	$0	$86	$68	79%	—	$0 – $144
25	Tricare professional · fee schedule · outpatient · +6 other terms	8	$143	$142	$13	9%	—	$119 – $170

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