Home health occupational therapy assistant visit

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

SERVICES PERFORMED BY A QUALIFIED OCCUPATIONAL THERAPIST ASSISTANT IN THE HOME HEALTH OR HOSPICE SETTING; EACH 15 MINUTES

Payers reporting HCPCS G0158

Payer pricing summary

Low

Average

$243

Median

$184

High

$1.2k

Payer rate distribution

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#
1	MultiPlan percent of total billed charges · outpatientfrom % of charges	24	$182	$808	$539	67%	—	$79 – $1.4k
2	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	23	$62	$65	$38	59%	—	$37 – $183
3	Aetna fee schedule · outpatient · +8 other terms	19	$23	$49	$34	69%	—	$17 – $149
4	Humana facility · fee schedule · outpatient · +7 other terms	14	$156	$155	$2	1%	—	$150 – $156
5	Cigna per diem · outpatient · +8 other terms	13	$188	$179	$29	16%	—	$75 – $188
6	Medcost percent of total billed charges · outpatientfrom % of charges · +1 other terms	13	$161	$161	$9	6%	—	$152 – $170
7	Tricare fee schedule · outpatient · +1 other terms	13	$112	$115	$3	3%	—	$112 – $118
8	WellCare percent of total billed charges · outpatientfrom % of charges	13	$79	$78	$34	44%	—	$32 – $103
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$114	$86	$49	56%	—	$37 – $143
10	Anthem professional · fee schedule · outpatient · +3 other terms	8	$22	$22	—	—	—	$22 – $22
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$24	$24	—	—	—	$24 – $24
12	UnitedHealthcare fee schedule · inpatient · +11 other terms	5	$27	$27	—	—	—	$27 – $27
13	Beechstreet percent of total billed charges · outpatientfrom % of charges	4	$1.1k	$1.2k	$61	5%	—	$1.1k – $1.3k
14	First Health facility · case rate · outpatient · +4 other terms	4	$135	$135	—	—	—	$135 – $135
15	Magellan percent of total billed charges · outpatientfrom % of charges	3	$847	$605	$341	56%	—	$123 – $847
16	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges	3	$380	$380	—	—	—	$380 – $380
17	Phcs facility · percent of total billed charges · outpatientfrom % of charges	3	$270	$256	$58	23%	—	$205 – $335
18	Molina facility · case rate · outpatient · +1 other terms	2	$23	$23	$1	5%	—	$21 – $24
19	Optum facility · fee schedule · outpatient · +1 other terms	2	$26	$26	$3	13%	—	$23 – $30
20	Ambetter fee schedule · both · +1 other terms	1	$103	$103	$3	3%	—	$100 – $106
21	Bcbs Ca percent of total billed charges · outpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
22	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
23	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
24	Bcbs Nv fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33
25	Bcbs Vt professional · fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78

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