Transitional care visit within 2 days of discharge

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 Management Transitional Care High W/in 7 Days of Discharge

Payers reporting CPT 99496

Payer pricing summary

Low

$66

Average

$3.3k

Median

$278

High

$76.0k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +41 other terms	340	$144	$211	$175	83%	209–218	$1 – $3.8k
2	Humana fee schedule · outpatient · +30 other terms	307	$149	$233	$178	76%	86–95	$70 – $1.1k
3	Ucare professional · fee schedule · outpatient · +17 other terms	26	$238	$240	$68	28%	72–117	$132 – $521
4	Kaiser fee schedule · outpatient · +24 other terms	71	$222	$269	$167	62%	68	$108 – $951
5	Medica professional · fee schedule · outpatient · +20 other terms	29	$281	$263	$91	34%	34–79	$56 – $516
6	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	326	$249	$349	$198	57%	21	$0 – $1.2k
7	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$296	$296	—	—	21	$296 – $296
8	Regence professional · fee schedule · outpatient · +20 other terms	39	$226	$341	$176	52%	16	$132 – $862
9	Bcbs In other · both	1	$323	$323	—	—	1–10	$323 – $323
10	Aetna fee schedule · outpatient · +36 other terms	413	$148	$271	$617	227%	—	$31 – $8.4k
11	Cigna fee schedule · outpatient · +29 other terms	184	$164	$226	$112	50%	—	$0 – $689
12	WellCare fee schedule · outpatient · +24 other terms	139	$144	$156	$46	29%	—	$47 – $302
13	Molina fee schedule · outpatient · +29 other terms	121	$174	$192	$84	44%	—	$97 – $566
14	Anthem facility · fee schedule · outpatient · +29 other terms	91	$193	$334	$721	216%	—	$91 – $12.9k
15	Ambetter facility · fee schedule · outpatient · +22 other terms	82	$247	$321	$702	219%	—	$61 – $7.1k
16	Devoted fee schedule · outpatient · +20 other terms	64	$139	$145	$32	22%	—	$124 – $319
17	Optum fee schedule · outpatient · +20 other terms	56	$168	$166	$68	41%	—	$81 – $491
18	Oscar fee schedule · outpatient · +21 other terms	48	$251	$242	$125	52%	—	$1 – $495
19	Highmark facility · fee schedule · outpatient · +21 other terms	43	$205	$231	$186	80%	—	$121 – $1.6k
20	MultiPlan fee schedule · outpatient · +17 other terms	36	$212	$242	$122	50%	—	$70 – $767
21	Tricare fee schedule · outpatient · +18 other terms	36	$121	$133	$47	35%	—	$99 – $262
22	Clover fee schedule · outpatient · +12 other terms	33	$141	$135	$10	7%	—	$120 – $152
23	Caresource fee schedule · outpatient · +19 other terms	31	$146	$184	$26	14%	—	$87 – $228
24	Medicare fee schedule · outpatient · +19 other terms	28	$175	$159	$26	17%	—	$117 – $185
25	First Health fee schedule · outpatient · +17 other terms	26	$142	$186	$81	43%	—	$121 – $518

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