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

Cigna pricing summary

Low

Average

$122

Median

$116

High

$528

Cigna rate distribution

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162 hospital rates

#		Plans
1	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$88	$88	—	—	—	$88 – $88
2	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges	1	$72	$72	—	—	—	$72 – $72
3	ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient	1	$94	$94	—	—	—	$94 – $94
4	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$119	$119	$11	10%	—	$108 – $130
5	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient	1	$116	$116	—	—	—	$116 – $116
6	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	1	$116	$116	—	—	—	$116 – $116
7	Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both	1	$142	$142	—	—	—	$142 – $142
8	Alomere Health Alexandria, MN facility · fee schedule · outpatient	1	$247	$247	—	—	—	$247 – $247
9	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	1	$118	$118	—	—	—	$118 – $118
10	Boulder Community Health Lafayette, CO facility · fee schedule · outpatient	1	$106	$106	—	—	—	$106 – $106
11	Boulder Community Health Lafayette, CO professional · fee schedule · both	1	$110	$110	—	—	—	$110 – $110
12	Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both	1	$73	$73	—	—	—	$73 – $73
13	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient	1	$116	$116	—	—	—	$116 – $116
14	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	1	$116	$116	—	—	—	$116 – $116
15	CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
16	CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
17	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
18	CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
19	CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
20	CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
21	CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
22	CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient	2	$64	$64	—	—	—	$64 – $64
23	COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
24	COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
25	Central Iowa Hospital Corporation Des Moines, IA fee schedule · both	1	$142	$142	—	—	—	$142 – $142

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← Payers reporting CPT 99485 · Snapshot 20261113T090226Z-3ce6c0b8

CPT 99485