Outpatient specialist consultation, moderate complexity, 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

HC OFFICE CONSULT LEVEL 4

Payers reporting CPT 99244

Payer pricing summary

Low

$62

Average

$287

Median

$285

High

$620

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +31 other terms	91	$214	$322	$232	72%	2–20	$5 – $945
2	Blue Cross Blue Shield fee schedule · outpatient · +32 other terms	177	$436	$449	$259	58%	—	$0 – $1.9k
3	UnitedHealthcare fee schedule · outpatient · +37 other terms	168	$160	$236	$149	63%	—	$1 – $1.1k
4	Humana fee schedule · outpatient · +24 other terms	164	$198	$319	$694	217%	—	$14 – $8.3k
5	Aetna fee schedule · outpatient · +30 other terms	144	$162	$428	$951	222%	—	$15 – $8.4k
6	Anthem fee schedule · outpatient · +21 other terms	67	$162	$169	$75	44%	—	$14 – $771
7	Kaiser fee schedule · outpatient · +19 other terms	36	$162	$211	$120	57%	—	$5 – $485
8	Molina fee schedule · outpatient · +22 other terms	31	$145	$182	$146	80%	—	$14 – $769
9	WellCare facility · fee schedule · outpatient · +17 other terms	31	$87	$116	$36	31%	—	$81 – $166
10	Caresource facility · case rate · outpatient · +12 other terms	26	$63	$63	$84	133%	—	$5 – $311
11	Medicaid fee schedule · outpatient · +8 other terms	26	$272	$263	$158	60%	—	$1 – $769
12	Bcbs Tx fee schedule · outpatient · +3 other terms	24	$639	$622	$195	31%	—	$183 – $1.1k
13	Devoted fee schedule · outpatient · +12 other terms	22	$159	$160	$2	1%	—	$155 – $162
14	Medica fee schedule · outpatient · +17 other terms	21	$326	$364	$149	41%	—	$84 – $600
15	Optum professional · fee schedule · outpatient · +16 other terms	21	$159	$131	$39	30%	—	$72 – $167
16	Tricare facility · fee schedule · outpatient · +18 other terms	21	$81	$1.7k	$8.5k	517%	—	$58 – $50k
17	Highmark fee schedule · outpatient · +14 other terms	19	$158	$166	$62	37%	—	$95 – $612
18	Aetna Better Health fee schedule · outpatient · +11 other terms	18	$147	$164	$67	41%	—	$115 – $360
19	Medicare fee schedule · outpatient · +10 other terms	18	$162	$162	—	—	—	$162 – $162
20	MultiPlan fee schedule · outpatient · +18 other terms	15	$443	$460	$148	32%	—	$159 – $808
21	Amerihealth Caritas fee schedule · both · +5 other terms	14	$150	$139	$23	16%	—	$92 – $150
22	Ucare professional · fee schedule · outpatient · +13 other terms	14	$168	$165	$10	6%	—	$133 – $175
23	Bcbs Nj fee schedule · outpatient · +4 other terms	13	$91	$103	$42	41%	—	$91 – $249
24	Wellmark fee schedule · both · +12 other terms	13	$189	$189	—	—	—	$189 – $189
25	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$688	$476	$277	58%	—	$136 – $862

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