Care management for one high-risk chronic condition

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

PR PRIN CARE MGMT CLINICAL STAFF 1ST 30

Oscar pricing summary

Low

$39

Average

$201

Median

$143

High

$6.2k

Oscar rate distribution

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102 hospital rates

#		Plans
1	AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges	1	$102	$102	—	—	—	$102 – $102
2	Adventhealth Ottawa Ottawa, KS fee schedule · outpatient	1	$162	$162	—	—	—	$162 – $162
3	Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
4	Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
5	Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
6	Advocate Condell Medical Center Libertyville, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
7	Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
8	Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
9	Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
10	Advocate Lutheran General Hospital Park Ridge, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
11	Advocate Sherman Hospital Elgin, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
12	Advocate South Suburban Hospital Hazel Crest, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
13	Advocate Trinity Hospital Chicago, IL case rate · outpatient	1	$145	$145	—	—	—	$145 – $145
14	Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient	1	$149	$149	—	—	—	$149 – $149
15	Cleveland Clinic Mercy Hospital Canton, OH professional · percent of total billed charges · outpatientfrom % of charges	1	$102	$102	—	—	—	$102 – $102
16	Diley Ridge Medical Center Canal Winchester, OH facility · other · both	1	$162	$162	—	—	—	$162 – $162
17	Fairfield Medical Center 401 N Ewing St facility · per diem · outpatient	1	$6.2k	$6.2k	—	—	—	$6.2k – $6.2k
18	Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient	1	$57	$57	$56	98%	—	$1 – $112
19	Gottlieb Memorial Hospital Melrose Park, IL facility · fee schedule · outpatient	1	$106	$106	—	—	—	$106 – $106
20	Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient	1	$153	$153	—	—	—	$153 – $153
21	Grady Memorial Hospital Atlanta, GA professional · fee schedule · outpatient	1	$77	$77	$9	12%	—	$68 – $86
22	HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient	1	$143	$143	—	—	—	$143 – $143
23	Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient	1	$143	$143	—	—	—	$143 – $143
24	Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient	1	$143	$143	—	—	—	$143 – $143
25	Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · fee schedule · outpatient	1	$143	$143	—	—	—	$143 – $143

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← Payers reporting CPT 99426 · Snapshot 20261112T181611Z-3fa9fb76

CPT 99426