Unspecified diagnostic procedure

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Unspecified diagnostic proce

Payers reporting HCPCS D0999

Payer pricing summary

Low

Average

$201

Median

$124

High

$858

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Molina facility · case rate · outpatient · +5 other terms	29	$531	$454	$389	86%	—	$71 – $1.3k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	20	$21	$32	$43	136%	—	$12 – $191
3	UnitedHealthcare facility · case rate · outpatient · +6 other terms	18	$745	$680	$355	52%	—	$64 – $1.3k
4	Anthem facility · case rate · outpatient · +5 other terms	15	$758	$829	$195	23%	—	$516 – $1.3k
5	Caresource facility · case rate · outpatient · +1 other terms	15	$773	$830	$190	23%	—	$516 – $1.3k
6	Optum facility · case rate · outpatient · +1 other terms	13	$686	$677	$302	45%	—	$78 – $1.2k
7	Humana fee schedule · outpatient · +2 other terms	12	$4	$49	$77	158%	—	$1 – $185
8	Cigna percent of total billed charges · outpatientfrom % of charges · +2 other terms	8	$108	$109	$15	14%	—	$85 – $131
9	Aetna Better Health facility · case rate · outpatient	7	$98	$98	$1	1%	—	$94 – $98
10	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$90	$91	$3	3%	—	$90 – $98
11	Medicaid fee schedule · outpatient · +1 other terms	7	$138	$138	—	—	—	$138 – $138
12	Aetna fee schedule · outpatient · +5 other terms	6	$175	$245	$168	68%	—	$152 – $619
13	Kaiser fee schedule · outpatient · +1 other terms	4	$266	$256	$133	52%	—	$138 – $523
14	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$110	$110	$10	9%	—	$97 – $124
15	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$64	$64	—	—	—	$64 – $64
16	Wellmark facility · case rate · outpatient	3	$312	$274	$86	32%	—	$127 – $345
17	First Health percent of total billed charges · outpatientfrom % of charges	2	$112	$112	$1	1%	—	$110 – $113
18	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
19	Bcbs Mn fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
20	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$59	$59	$7	12%	—	$52 – $66
21	Highmark fee schedule · outpatient	1	$76	$76	$32	42%	—	$54 – $121
22	Phcs percent of total billed charges · outpatientfrom % of charges	1	$124	$124	—	—	—	$124 – $124
23	WellCare facility · case rate · outpatient	1	$82	$82	—	—	—	$82 – $82