Patient self-management education session with a nonphysician

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 SELF-MGMT EDUC & TRAIN 1 PT

Payers reporting CPT 98960

Payer pricing summary

Low

Average

$2.2k

Median

$86

High

$39.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +33 other terms	211	$40	$1.9k	$5.2k	275%	—	$0 – $28.7k
2	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	208	$77	$80	$42	52%	—	$0 – $236
3	Humana fee schedule · outpatient · +25 other terms	156	$61	$184	$754	410%	—	$1 – $8.3k
4	Aetna fee schedule · outpatient · +29 other terms	120	$35	$233	$969	416%	—	$1 – $8.4k
5	Cigna fee schedule · outpatient · +29 other terms	102	$47	$78	$45	57%	—	$27 – $225
6	Anthem fee schedule · outpatient · +28 other terms	97	$32	$35	$38	108%	—	$16 – $261
7	MultiPlan fee schedule · outpatient · +18 other terms	54	$131	$135	$51	38%	—	$64 – $260
8	Kaiser fee schedule · outpatient · +17 other terms	52	$37	$78	$80	102%	—	$27 – $364
9	Molina facility · case rate · outpatient · +23 other terms	50	$52	$91	$125	137%	—	$16 – $414
10	WellCare fee schedule · outpatient · +12 other terms	29	$27	$32	$19	58%	—	$11 – $80
11	First Health fee schedule · inpatient · +18 other terms	27	$123	$118	$30	26%	—	$75 – $188
12	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$85	$67	$21	31%	—	$20 – $92
13	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	25	$24	$24	$8	34%	—	$13 – $51
14	Tricare facility · fee schedule · outpatient · +14 other terms	23	$134	$1.1k	$6.7k	619%	—	$12 – $50k
15	Devoted fee schedule · outpatient · +14 other terms	22	$32	$33	$2	5%	—	$29 – $35
16	Caresource facility · case rate · outpatient · +15 other terms	20	$37	$39	$9	24%	—	$24 – $61
17	Medicare fee schedule · outpatient · +9 other terms	19	$35	$35	$1	4%	—	$35 – $42
18	Optum fee schedule · outpatient · +18 other terms	18	$35	$51	$28	54%	—	$27 – $104
19	Highmark fee schedule · outpatient · +13 other terms	17	$34	$58	$112	193%	—	$15 – $778
20	Aetna Better Health fee schedule · outpatient · +9 other terms	16	$28	$38	$27	71%	—	$27 – $136
21	Medicaid fee schedule · outpatient · +13 other terms	16	$107	$82	$39	48%	—	$1 – $107
22	Bcbs La fee schedule · outpatient · +3 other terms	14	$0	$2	$13	562%	—	$0 – $74
23	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	14	$66	$78	$84	108%	—	$10 – $398
24	Medica fee schedule · outpatient · +18 other terms	14	$108	$105	$33	31%	—	$44 – $176
25	Phcs fee schedule · outpatient · +13 other terms	13	$77	$77	$17	22%	—	$64 – $114

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