Nursing home visit for established patient, focused check

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

PROF BH NH VISIT EP

Payers reporting CPT 99334

Payer pricing summary

Low

Average

$437

Median

$71

High

$11.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +10 other terms	47	$425	$605	$1.2k	199%	—	$51 – $8.3k
2	UnitedHealthcare fee schedule · both · +13 other terms	33	$40	$47	$29	62%	—	$10 – $81
3	Anthem fee schedule · both · +9 other terms	26	$42	$52	$23	44%	—	$42 – $120
4	Aetna fee schedule · outpatient · +15 other terms	17	$58	$1.6k	$2.6k	161%	—	$20 – $8.4k
5	Caresource facility · case rate · outpatient · +2 other terms	15	$63	$68	$16	23%	—	$42 – $108
6	Molina facility · case rate · outpatient · +5 other terms	15	$62	$68	$16	23%	—	$44 – $106
7	Wellmark fee schedule · both · +2 other terms	13	$98	$98	—	—	—	$98 – $98
8	Amerihealth Caritas fee schedule · both · +2 other terms	12	$50	$50	—	—	—	$50 – $50
9	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	12	$292	$245	$126	52%	—	$0 – $388
10	WellCare fee schedule · both · +3 other terms	12	$50	$50	$0	0%	—	$50 – $50
11	Cigna fee schedule · both · +13 other terms	11	$75	$113	$81	71%	—	$61 – $282
12	Optum facility · case rate · outpatient · +3 other terms	11	$59	$64	$14	22%	—	$53 – $96
13	Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$27	$28	$5	16%	—	$25 – $50
14	Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges	8	$44	$46	$26	56%	—	$17 – $119
15	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$270	$272	$91	33%	—	$140 – $337
16	Medicaid percent of total billed charges · outpatientfrom % of charges	6	$8	$9	$3	35%	—	$4 – $13
17	First Health fee schedule · both · +10 other terms	5	$68	$68	—	—	—	$68 – $68
18	Medicare facility · percent of total billed charges · outpatientfrom % of charges	5	$58	$61	$4	7%	—	$58 – $69
19	Ambetter fee schedule · both · +8 other terms	4	$107	$107	$5	5%	—	$101 – $112
20	Phcs fee schedule · both · +6 other terms	4	$152	$152	—	—	—	$152 – $152
21	Medcost professional · fee schedule · inpatient · +2 other terms	3	$96	$96	—	—	—	$96 – $96
22	Aetna Better Health fee schedule · inpatient · +1 other terms	2	$212	$212	—	—	—	$212 – $212
23	Bcbs Vt professional · fee schedule · outpatient · +1 other terms	2	$98	$120	$53	44%	—	$61 – $199
24	Kaiser fee schedule · both · +1 other terms	2	$107	$107	—	—	—	$107 – $107
25	MultiPlan fee schedule · both · +8 other terms	2	$58	$58	$57	98%	—	$1 – $115

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