Pediatric critical care interfacility transport supervision by physician

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

<24MOS-TRANSPORT FIRST 30MIN

Payers reporting CPT 99485

Payer pricing summary

Low

Average

$193

Median

$119

High

$1.6k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	202	$68	$199	$228	115%	—	$44 – $742
2	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	113	$244	$267	$106	40%	—	$0 – $542
3	Aetna fee schedule · outpatient · +15 other terms	84	$71	$524	$1.5k	287%	—	$55 – $8.4k
4	UnitedHealthcare fee schedule · outpatient · +20 other terms	83	$72	$96	$37	38%	—	$63 – $220
5	Anthem fee schedule · outpatient · +12 other terms	54	$71	$97	$15	16%	—	$63 – $105
6	Cigna fee schedule · outpatient · +16 other terms	46	$75	$96	$36	37%	—	$63 – $212
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$311	$285	$105	37%	—	$91 – $526
8	Kaiser fee schedule · outpatient · +6 other terms	29	$71	$86	$35	41%	—	$63 – $159
9	Molina facility · case rate · outpatient · +9 other terms	25	$68	$72	$24	34%	—	$33 – $129
10	Devoted fee schedule · outpatient · +5 other terms	21	$71	$68	$4	6%	—	$63 – $71
11	Caresource facility · case rate · outpatient · +5 other terms	20	$69	$78	$24	31%	—	$42 – $126
12	Medicare fee schedule · outpatient	18	$63	$63	—	—	—	$63 – $63
13	WellCare case rate · outpatient · +6 other terms	14	$68	$67	$2	3%	—	$64 – $70
14	Wellmark fee schedule · both · +4 other terms	13	$146	$145	$7	5%	—	$102 – $146
15	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$53	$59	$7	12%	—	$53 – $68
16	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$344	$276	$136	49%	—	$74 – $431
17	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$71	$71	—	—	—	$71 – $71
18	Highmark fee schedule · outpatient · +5 other terms	12	$104	$107	$21	19%	—	$66 – $259
19	Medica fee schedule · outpatient · +9 other terms	12	$246	$245	$68	28%	—	$112 – $326
20	Optum facility · case rate · outpatient · +4 other terms	12	$59	$66	$14	21%	—	$53 – $96
21	Bcbs Nc fee schedule · both · +2 other terms	11	$175	$175	—	—	—	$175 – $175
22	Medicaid fee schedule · outpatient	11	$143	$136	$23	17%	—	$65 – $143
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	10	$63	$77	$16	21%	—	$63 – $99
24	Tricare fee schedule · outpatient · +5 other terms	10	$78	$78	—	—	—	$78 – $78
25	Ambetter facility · fee schedule · outpatient · +6 other terms	9	$113	$108	$13	12%	—	$70 – $113

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