Advance care planning discussion with a clinician

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 Planning Advance Care 1st 30 Minutes

Payers reporting CPT 99497

Payer pricing summary

Low

$62

Average

$1.9k

Median

$128

High

$41.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +43 other terms	469	$90	$113	$107	95%	436–463	$6 – $2.7k
2	Humana fee schedule · outpatient · +29 other terms	393	$90	$97	$41	42%	179–188	$33 – $382
3	Kaiser fee schedule · outpatient · +24 other terms	81	$95	$150	$101	67%	163–181	$52 – $597
4	Medicare professional · fee schedule · outpatient · +18 other terms	33	$66	$73	$15	21%	60–114	$0 – $87
5	Ucare professional · fee schedule · outpatient · +15 other terms	37	$69	$70	$21	30%	25–52	$0 – $150
6	Medica professional · fee schedule · outpatient · +24 other terms	41	$71	$76	$28	37%	3–30	$0 – $149
7	Aetna fee schedule · outpatient · +36 other terms	461	$92	$175	$598	342%	—	$14 – $8.4k
8	Blue Cross Blue Shield fee schedule · outpatient · +31 other terms	329	$131	$189	$116	61%	—	$0 – $654
9	WellCare fee schedule · outpatient · +26 other terms	242	$91	$95	$22	23%	—	$36 – $217
10	Devoted fee schedule · outpatient · +22 other terms	173	$88	$88	$14	16%	—	$72 – $319
11	Cigna fee schedule · outpatient · +30 other terms	166	$102	$126	$77	61%	—	$0 – $526
12	Molina fee schedule · outpatient · +29 other terms	165	$115	$119	$52	43%	—	$6 – $341
13	Cigna Healthspring fee schedule · outpatient · +7 other terms	126	$92	$89	$4	5%	—	$68 – $100
14	Anthem fee schedule · outpatient · +28 other terms	108	$92	$130	$151	117%	—	$32 – $905
15	Optum fee schedule · outpatient · +22 other terms	60	$90	$101	$48	48%	—	$51 – $221
16	Regence professional · fee schedule · outpatient · +20 other terms	51	$80	$104	$52	50%	—	$0 – $257
17	Oscar fee schedule · outpatient · +23 other terms	49	$86	$100	$59	59%	—	$1 – $290
18	Clover fee schedule · outpatient · +14 other terms	48	$92	$96	$8	8%	—	$88 – $114
19	Ambetter facility · fee schedule · outpatient · +22 other terms	46	$154	$287	$958	333%	—	$84 – $7.1k
20	Superior Healthplan fee schedule · outpatient · +4 other terms	43	$93	$92	$6	7%	—	$87 – $163
21	Tricare professional · fee schedule · outpatient · +20 other terms	37	$72	$71	$10	13%	—	$0 – $89
22	MultiPlan fee schedule · outpatient · +18 other terms	34	$142	$132	$29	22%	—	$37 – $212
23	Highmark professional · fee schedule · outpatient · +21 other terms	32	$79	$78	$26	34%	—	$0 – $170
24	Caresource professional · fee schedule · outpatient · +19 other terms	29	$66	$64	$21	32%	—	$0 – $128
25	First Health professional · fee schedule · outpatient · +17 other terms	27	$72	$90	$62	69%	—	$0 – $253

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