Group educational services for patients, unscheduled

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

EDUCATION PROVIDED IN A GROUP SETTING

Payers reporting CPT 99078

Payer pricing summary

Low

Average

$253

Median

$69

High

$3.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	54	$260	$261	$168	64%	—	$5 – $791
2	Aetna fee schedule · outpatient · +21 other terms	49	$48	$688	$1.8k	265%	—	$12 – $8.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	46	$69	$67	$71	107%	—	$0 – $227
4	Molina facility · case rate · outpatient · +18 other terms	28	$38	$39	$11	27%	—	$27 – $69
5	Anthem fee schedule · outpatient · +15 other terms	26	$10	$15	$25	164%	—	$9 – $196
6	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$45	$43	$9	20%	—	$16 – $55
7	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	25	$14	$16	$7	42%	—	$7 – $40
8	Caresource facility · case rate · outpatient · +6 other terms	15	$41	$44	$10	23%	—	$28 – $70
9	Cigna professional · fee schedule · both · +20 other terms	13	$32	$21	$15	72%	—	$1 – $32
10	Medcost percent of total billed charges · outpatientfrom % of charges · +4 other terms	13	$104	$101	$34	34%	—	$9 – $176
11	Optum facility · case rate · outpatient · +8 other terms	13	$37	$39	$10	27%	—	$26 – $62
12	Wellmark fee schedule · both · +4 other terms	13	$33	$34	$2	7%	—	$33 – $48
13	Amerihealth Caritas fee schedule · both · +7 other terms	12	$253	$253	—	—	—	$253 – $253
14	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$57	$36	$31	86%	—	$0 – $71
15	Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$165	$165	$5	3%	—	$159 – $176
16	Humana fee schedule · outpatient · +17 other terms	12	$46	$1.4k	$2.7k	192%	—	$22 – $8.3k
17	WellCare fee schedule · both · +6 other terms	12	$253	$252	$1	0%	—	$250 – $253
18	Highmark fee schedule · outpatient · +6 other terms	10	$11	$11	—	—	—	$11 – $11
19	Medicaid fee schedule · outpatient · +4 other terms	10	$21	$21	—	—	—	$21 – $21
20	Aetna Better Health fee schedule · inpatient · +8 other terms	9	$26	$48	$41	86%	—	$26 – $124
21	Medica fee schedule · both · +9 other terms	9	$18	$18	—	—	—	$18 – $18
22	Ucare fee schedule · both · +2 other terms	9	$18	$18	$0	3%	—	$17 – $18
23	Bcbs Il professional · fee schedule · both	8	$12	$15	$22	151%	—	$0 – $48
24	First Health professional · fee schedule · both · +11 other terms	8	$1	$11	$13	121%	—	$1 – $28
25	Kaiser fee schedule · outpatient · +8 other terms	5	$21	$190	$146	77%	—	$21 – $364

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