Consultation with slide preparation

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

Consult inc prep of slides

Payers reporting HCPCS D0485

Payer pricing summary

Low

$36

Average

$214

Median

$152

High

$1.2k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +3 other terms	70	$280	$542	$360	66%	—	$108 – $1.0k
2	Molina facility · case rate · outpatient · +5 other terms	29	$39	$53	$26	49%	—	$22 – $136
3	Aetna fee schedule · outpatient · +7 other terms	22	$105	$150	$137	91%	—	$52 – $537
4	UnitedHealthcare professional · fee schedule · outpatient · +8 other terms	19	$175	$187	$81	43%	—	$52 – $383
5	Anthem facility · case rate · outpatient · +5 other terms	15	$31	$34	$8	23%	—	$21 – $53
6	Caresource facility · case rate · outpatient · +1 other terms	15	$32	$34	$8	23%	—	$21 – $54
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	14	$403	$416	$124	30%	—	$236 – $839
8	Optum facility · case rate · outpatient · +1 other terms	13	$30	$36	$11	30%	—	$27 – $57
9	Highmark fee schedule · outpatient · +1 other terms	11	$197	$195	$15	8%	—	$85 – $197
10	Cigna professional · fee schedule · outpatient · +4 other terms	10	$48	$54	$9	16%	—	$48 – $71
11	Aetna Better Health facility · case rate · outpatient	7	$72	$71	$1	1%	—	$69 – $72
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$66	$67	$2	3%	—	$66 – $72
13	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges	4	$360	$360	—	—	—	$360 – $360
14	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$102	$102	—	—	—	$102 – $102
15	Medica fee schedule · outpatient · +2 other terms	3	$84	$84	—	—	—	$84 – $84
16	Wellmark facility · case rate · outpatient	3	$231	$203	$64	32%	—	$94 – $255
17	Medicaid facility · case rate · outpatient	2	$60	$60	—	—	—	$60 – $60
18	Bcbs Id professional · fee schedule · outpatient	1	$232	$232	—	—	—	$232 – $232
19	Bcbs Mn fee schedule · outpatient	1	$403	$403	—	—	—	$403 – $403
20	Bcbs Nv fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
21	Bcbs Vt professional · fee schedule · outpatient	1	$154	$154	—	—	—	$154 – $154
22	Healthpartners facility · fee schedule · outpatient	1	$359	$359	—	—	—	$359 – $359
23	WellCare facility · case rate · outpatient	1	$60	$60	—	—	—	$60 – $60