Extended care management home visit, 75 minutes

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

Care man h v ext pt 75 m

Payers reporting HCPCS G0085

Payer pricing summary

Low

Average

$264

Median

$213

High

$829

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +10 other terms	107	$203	$405	$236	58%	—	$181 – $762
2	Aetna fee schedule · outpatient · +10 other terms	82	$203	$321	$325	101%	—	$79 – $2.5k
3	UnitedHealthcare fee schedule · outpatient · +12 other terms	71	$203	$264	$103	39%	—	$173 – $530
4	Anthem fee schedule · outpatient · +8 other terms	43	$709	$892	$618	69%	—	$173 – $2.5k
5	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	42	$606	$628	$394	63%	—	$111 – $1.8k
6	Molina facility · case rate · outpatient · +8 other terms	39	$95	$118	$111	94%	—	$14 – $432
7	Cigna fee schedule · outpatient · +7 other terms	26	$203	$235	$96	41%	—	$187 – $611
8	Kaiser fee schedule · outpatient · +4 other terms	25	$203	$201	$4	2%	—	$187 – $203
9	Devoted fee schedule · outpatient · +3 other terms	21	$203	$202	$2	1%	—	$199 – $203
10	Regence professional · fee schedule · outpatient · +1 other terms	21	$204	$220	$56	25%	—	$204 – $514
11	Caresource facility · case rate · outpatient · +7 other terms	20	$22	$109	$147	135%	—	$13 – $422
12	Medicare fee schedule · outpatient · +1 other terms	18	$199	$196	$4	2%	—	$187 – $203
13	WellCare professional · fee schedule · both · +7 other terms	17	$193	$144	$94	65%	—	$0 – $318
14	Optum facility · case rate · outpatient · +3 other terms	14	$19	$53	$63	120%	—	$17 – $209
15	Wellmark fee schedule · both · +1 other terms	13	$269	$268	$43	16%	—	$195 – $293
16	Aetna Better Health fee schedule · outpatient · +4 other terms	12	$213	$204	$10	5%	—	$192 – $213
17	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$985	$787	$393	50%	—	$209 – $1.2k
18	Cigna Healthspring fee schedule · both · +2 other terms	12	$193	$194	$3	1%	—	$193 – $203
19	Highmark fee schedule · outpatient · +4 other terms	12	$271	$281	$63	22%	—	$200 – $741
20	Medica fee schedule · outpatient · +4 other terms	12	$707	$681	$215	32%	—	$206 – $936
21	Ambetter facility · fee schedule · outpatient · +7 other terms	11	$380	$348	$56	16%	—	$201 – $380
22	MultiPlan fee schedule · both · +2 other terms	11	$389	$383	$20	5%	—	$333 – $421
23	Medical Mutual facility · fee schedule · outpatient	10	$211	$260	$55	21%	—	$211 – $333
24	Oscar fee schedule · outpatient · +1 other terms	10	$148	$167	$153	91%	—	$1 – $367
25	Ucare fee schedule · both · +2 other terms	9	$419	$431	$145	34%	—	$209 – $537

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