Prolonged non-face-to-face physician service

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

Prolonged Phys Serv/IP; First Hour

Payers reporting CPT 99358

Payer pricing summary

Low

Average

$5.5k

Median

$187

High

$121.7k

Payer rate distribution

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#
1	Cigna fee schedule · both · +26 other terms	55	$171	$196	$94	48%	1–10	$82 – $528
2	Phcs fee schedule · both · +13 other terms	6	$258	$257	$37	14%	1–10	$218 – $333
3	Humana fee schedule · outpatient · +22 other terms	142	$211	$461	$860	187%	—	$64 – $8.3k
4	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	141	$354	$376	$209	56%	—	$0 – $1.1k
5	UnitedHealthcare fee schedule · outpatient · +29 other terms	105	$91	$122	$61	50%	—	$1 – $280
6	Aetna fee schedule · outpatient · +27 other terms	90	$92	$522	$1.4k	275%	—	$20 – $8.4k
7	Anthem fee schedule · outpatient · +18 other terms	57	$92	$101	$7	7%	—	$83 – $105
8	Kaiser fee schedule · outpatient · +14 other terms	31	$92	$156	$96	61%	—	$87 – $523
9	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$452	$413	$154	37%	—	$133 – $763
10	Molina facility · case rate · outpatient · +20 other terms	25	$68	$84	$39	47%	—	$40 – $183
11	Devoted fee schedule · outpatient · +7 other terms	21	$87	$89	$2	2%	—	$87 – $92
12	Caresource facility · case rate · outpatient · +15 other terms	20	$64	$85	$42	50%	—	$39 – $179
13	Medicare fee schedule · outpatient · +7 other terms	18	$92	$92	—	—	—	$92 – $92
14	Medica fee schedule · outpatient · +15 other terms	16	$254	$273	$96	35%	—	$82 – $392
15	Tricare professional · fee schedule · outpatient · +12 other terms	15	$84	$82	$6	8%	—	$70 – $93
16	Highmark fee schedule · outpatient · +14 other terms	14	$86	$94	$40	42%	—	$82 – $376
17	Medicaid fee schedule · outpatient · +8 other terms	14	$231	$216	$64	30%	—	$94 – $421
18	WellCare case rate · outpatient · +16 other terms	14	$91	$93	$5	6%	—	$83 – $101
19	Aetna Better Health facility · fee schedule · outpatient · +6 other terms	13	$67	$62	$17	28%	—	$0 – $67
20	Wellmark fee schedule · both · +11 other terms	13	$125	$130	$24	18%	—	$125 – $235
21	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$499	$317	$278	87%	—	$0 – $625
22	Bcbs Nj fee schedule · outpatient · +2 other terms	12	$61	$61	—	—	—	$61 – $61
23	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$87	$87	—	—	—	$87 – $87
24	Medcost fee schedule · both · +10 other terms	12	$234	$234	—	—	—	$234 – $234
25	Optum facility · case rate · outpatient · +10 other terms	12	$55	$64	$16	25%	—	$49 – $89

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