Established patient visit at a residential care home

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 99336

Payer pricing summary

Low

$19

Average

$380

Median

$198

High

$3.2k

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +10 other terms	47	$958	$1.1k	$1.2k	112%	—	$112 – $8.3k
2	UnitedHealthcare fee schedule · both · +13 other terms	33	$88	$103	$65	63%	—	$22 – $182
3	Anthem fee schedule · both · +10 other terms	26	$94	$114	$50	44%	—	$94 – $268
4	Aetna fee schedule · outpatient · +14 other terms	18	$139	$1.6k	$2.5k	154%	—	$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	$219	$219	—	—	—	$219 – $219
8	Amerihealth Caritas fee schedule · both · +2 other terms	12	$109	$109	—	—	—	$109 – $109
9	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	12	$637	$536	$274	51%	—	$0 – $847
10	WellCare fee schedule · both · +3 other terms	12	$109	$109	$0	0%	—	$108 – $109
11	Cigna fee schedule · both · +13 other terms	11	$167	$251	$176	70%	—	$138 – $631
12	Optum facility · case rate · outpatient · +4 other terms	11	$59	$64	$14	22%	—	$53 – $96
13	Devoted facility · fee schedule · outpatient · +2 other terms	8	$80	$89	$20	22%	—	$70 – $137
14	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$606	$612	$204	33%	—	$314 – $758
15	Medicaid percent of total billed charges · outpatientfrom % of charges	6	$18	$19	$7	35%	—	$10 – $30
16	First Health fee schedule · both · +8 other terms	5	$150	$150	—	—	—	$150 – $150
17	Ambetter fee schedule · both · +7 other terms	4	$240	$240	$11	5%	—	$226 – $251
18	Phcs fee schedule · both · +6 other terms	4	$333	$333	—	—	—	$333 – $333
19	Medcost professional · fee schedule · inpatient · +1 other terms	3	$216	$216	—	—	—	$216 – $216
20	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges · +3 other terms	3	$267	$6.9k	$13.3k	194%	—	$138 – $33.5k
21	Aetna Better Health fee schedule · inpatient · +1 other terms	2	$462	$462	—	—	—	$462 – $462
22	Bcbs Vt professional · fee schedule · outpatient · +3 other terms	2	$215	$263	$115	44%	—	$135 – $436
23	Kaiser fee schedule · both · +1 other terms	2	$230	$230	—	—	—	$230 – $230
24	MultiPlan fee schedule · both · +7 other terms	2	$130	$130	$129	99%	—	$1 – $258
25	Tricare facility · fee schedule · outpatient · +4 other terms	2	$214	$130	$144	110%	—	$43 – $380

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