Ambulance transport, life-sustaining emergency level

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

Ambulance-Oxygen and Oxygen Supplies, per Unit

Payers reporting HCPCS A0422

Payer pricing summary

Low

Average

$2.5k

Median

$59

High

$39.4k

Payer rate distribution

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#
1	Oscar percent of total billed charges · outpatientfrom % of charges · +1 other terms	3	$118	$118	—	—	15	$118 – $118
2	Humana fee schedule · outpatient · +8 other terms	71	$92	$148	$94	64%	—	$25 – $270
3	UnitedHealthcare fee schedule · both · +17 other terms	29	$29	$39	$14	36%	—	$27 – $76
4	Aetna fee schedule · outpatient · +13 other terms	28	$58	$90	$86	96%	—	$15 – $269
5	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	28	$73	$119	$118	99%	—	$0 – $379
6	Cigna fee schedule · both · +11 other terms	16	$64	$58	$12	21%	—	$25 – $64
7	Regence fee schedule · outpatient · +4 other terms	15	$31	$43	$16	37%	—	$24 – $81
8	Wellmark fee schedule · both · +1 other terms	13	$1	$4	$16	439%	—	$1 – $100
9	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	12	$42	$38	$10	26%	—	$13 – $46
10	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	12	$18	$19	$6	31%	—	$12 – $33
11	Highmark fee schedule · outpatient · +3 other terms	10	$13	$13	—	—	—	$13 – $13
12	Medica fee schedule · outpatient · +5 other terms	10	$56	$56	$14	26%	—	$34 – $72
13	Anthem professional · fee schedule · outpatient · +6 other terms	8	$25	$25	—	—	—	$25 – $25
14	Bcbs Mn fee schedule · both · +3 other terms	8	$23	$23	$0	1%	—	$23 – $23
15	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$26	$26	—	—	—	$26 – $26
16	Bcbs Id fee schedule · outpatient · +3 other terms	4	$52	$52	—	—	—	$52 – $52
17	Molina facility · fee schedule · outpatient · +4 other terms	4	$12	$12	$2	15%	—	$10 – $13
18	Ambetter percent of total billed charges · outpatientfrom % of charges	3	$118	$118	—	—	—	$118 – $118
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$21	$21	$1	6%	—	$20 – $23
20	First Health professional · fee schedule · both · +6 other terms	3	$27	$27	—	—	—	$27 – $27
21	Healthpartners facility · fee schedule · both · +1 other terms	3	$79	$76	$28	37%	—	$40 – $109
22	Caresource case rate · outpatient · +1 other terms	2	$43	$43	—	—	—	$43 – $43
23	Devoted facility · percent of total billed charges · inpatientfrom % of charges	2	$46	$46	—	—	—	$46 – $46
24	Kaiser fee schedule · both · +1 other terms	2	$110	$110	—	—	—	$110 – $110
25	Optum facility · fee schedule · outpatient · +1 other terms	2	$51	$51	$4	7%	—	$47 – $54

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