Initial nursing facility visit, moderate 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

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes

Ambetter pricing summary

Low

$43

Average

$179

Median

$169

High

$351

Ambetter rate distribution

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112 hospital rates

#		Plans
1	ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH fee schedule · outpatient	1	$127	$127	—	—	—	$127 – $127
2	AnMed Health Anderson, SC professional · fee schedule · inpatient	1	$174	$174	—	—	—	$174 – $174
3	AnMed Health Anderson, SC professional · fee schedule · outpatient	1	$174	$174	—	—	—	$174 – $174
4	AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient	1	$174	$174	—	—	—	$174 – $174
5	AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient	1	$174	$174	—	—	—	$174 – $174
6	AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient	1	$174	$174	—	—	—	$174 – $174
7	AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient	1	$174	$174	—	—	—	$174 – $174
8	Callaway District Hospital Callaway, NE percent of total billed charges · outpatientfrom % of charges	1	$341	$341	$12	4%	—	$329 – $353
9	Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges	1	$301	$301	—	—	—	$301 – $301
10	Central Community Hospital Elkader, IA professional · fee schedule · inpatient	1	$226	$226	—	—	—	$226 – $226
11	Central Community Hospital Elkader, IA professional · fee schedule · outpatient	1	$193	$193	—	—	—	$193 – $193
12	Central Georgia Rehabilitation LLC Macon, GA fee schedule · both	1	$168	$168	—	—	—	$168 – $168
13	Central Washington Health Services Association Wenatchee, WA percent of total billed charges · outpatientfrom % of charges	1	$107	$107	—	—	—	$107 – $107
14	Cheshire Medical Center Keene, NH professional · fee schedule · outpatient	1	$131	$131	—	—	—	$131 – $131
15	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient	1	$164	$164	—	—	—	$164 – $164
16	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient	1	$193	$193	—	—	—	$193 – $193
17	Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both	1	$135	$135	—	—	—	$135 – $135
18	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$135	$135	—	—	—	$135 – $135
19	Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both	1	$141	$141	—	—	—	$141 – $141
20	Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient	3	$0	$0	$0	14%	—	$0 – $0
21	Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient	3	$166	$179	$19	11%	—	$165 – $206
22	Floyd Healthcare Management Inc Rome, GA case rate · outpatient	1	$186	$186	—	—	—	$186 – $186
23	Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient	1	$129	$129	—	—	—	$129 – $129
24	Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient	1	$129	$129	—	—	—	$129 – $129
25	Hancock County Hospital SNEEDVILLE, TN fee schedule · both	1	$184	$184	—	—	—	$184 – $184