Case presentation treatment plan

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

Case presentation tx plan

Payers reporting HCPCS D9450

Payer pricing summary

Low

$22

Average

$90

Median

$81

High

$271

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +6 other terms	71	$181	$149	$81	55%	—	$27 – $250
2	Molina facility · case rate · outpatient · +4 other terms	29	$34	$61	$43	70%	—	$14 – $182
3	Aetna fee schedule · outpatient · +9 other terms	24	$38	$99	$121	122%	—	$20 – $619
4	UnitedHealthcare professional · fee schedule · outpatient · +11 other terms	19	$43	$62	$24	38%	—	$32 – $110
5	Anthem professional · fee schedule · outpatient · +5 other terms	16	$136	$134	$86	65%	—	$34 – $390
6	Caresource facility · case rate · outpatient · +1 other terms	15	$20	$22	$5	23%	—	$13 – $34
7	Optum facility · case rate · outpatient · +1 other terms	13	$19	$29	$20	70%	—	$17 – $76
8	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	10	$126	$129	$3	2%	—	$126 – $133
9	Cigna professional · fee schedule · outpatient · +5 other terms	10	$29	$29	$1	3%	—	$27 – $29
10	Highmark fee schedule · outpatient · +1 other terms	10	$34	$34	—	—	—	$34 – $34
11	Aetna Better Health facility · case rate · outpatient	7	$96	$95	$1	1%	—	$92 – $96
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$88	$89	$3	3%	—	$88 – $96
13	Medicaid fee schedule · outpatient · +1 other terms	7	$134	$134	—	—	—	$134 – $134
14	Kaiser fee schedule · outpatient · +1 other terms	4	$264	$255	$134	53%	—	$134 – $523
15	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$107	$107	$9	9%	—	$94 – $121
16	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$61	$61	—	—	—	$61 – $61
17	Medica fee schedule · outpatient · +2 other terms	3	$53	$53	—	—	—	$53 – $53
18	Wellmark facility · case rate · outpatient	3	$309	$271	$85	32%	—	$126 – $341
19	Bcbs Id professional · fee schedule · outpatient	1	$60	$60	—	—	—	$60 – $60
20	Bcbs Mn fee schedule · outpatient	1	$133	$133	—	—	—	$133 – $133
21	Bcbs Nv fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
22	Bcbs Ny percent of total billed charges · bothfrom % of charges	1	$112	$112	—	—	—	$112 – $112
23	Bcbs Vt professional · fee schedule · outpatient	1	$36	$36	—	—	—	$36 – $36
24	Beechstreet professional · other · both	1	$32	$32	—	—	—	$32 – $32
25	Excellus percent of total billed charges · bothfrom % of charges	1	$112	$112	—	—	—	$112 – $112

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