Case management and patient education

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 mgmt, pt education

Payers reporting HCPCS D9994

Payer pricing summary

Low

Average

$51

Median

$44

High

$146

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +4 other terms	29	$45	$47	$14	30%	—	$25 – $98
2	Aetna fee schedule · outpatient · +6 other terms	20	$6	$24	$32	133%	—	$4 – $94
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +3 other terms	19	$101	$134	$56	41%	—	$96 – $345
4	UnitedHealthcare professional · fee schedule · outpatient · +7 other terms	19	$10	$14	$6	42%	—	$8 – $24
5	Anthem facility · case rate · outpatient · +5 other terms	15	$35	$39	$9	23%	—	$24 – $60
6	Caresource facility · case rate · outpatient · +1 other terms	15	$36	$39	$9	23%	—	$24 – $61
7	Optum facility · case rate · outpatient · +1 other terms	13	$34	$37	$8	21%	—	$30 – $54
8	Cigna professional · fee schedule · outpatient · +2 other terms	10	$8	$7	$1	19%	—	$5 – $8
9	Humana facility · case rate · outpatient · +2 other terms	8	$44	$45	$2	5%	—	$44 – $48
10	Aetna Better Health facility · case rate · outpatient	7	$53	$52	$1	1%	—	$50 – $53
11	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$48	$49	$2	3%	—	$48 – $53
12	MultiPlan professional · percent of total billed charges · outpatientfrom % of charges · +2 other terms	4	$90	$90	—	—	—	$90 – $90
13	Oscar professional · percent of total billed charges · outpatientfrom % of charges	4	$25	$25	—	—	—	$25 – $25
14	Medica fee schedule · outpatient · +2 other terms	3	$14	$14	—	—	—	$14 – $14
15	Wellmark facility · case rate · outpatient	3	$167	$146	$46	32%	—	$68 – $184
16	Medicaid facility · case rate · outpatient	2	$44	$44	—	—	—	$44 – $44
17	Bcbs Id professional · fee schedule · outpatient	1	$13	$13	—	—	—	$13 – $13
18	Bcbs Mn fee schedule · outpatient	1	$101	$101	—	—	—	$101 – $101
19	Bcbs Nv fee schedule · outpatient	1	$6	$6	—	—	—	$6 – $6
20	Bcbs Vt professional · fee schedule · outpatient	1	$9	$9	—	—	—	$9 – $9
21	First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$135	$135	—	—	—	$135 – $135
22	Regence facility · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
23	WellCare facility · case rate · outpatient	1	$44	$44	—	—	—	$44 – $44