Activity therapy session in outpatient program

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

HC Therapy Activity per Session >= 45 Minutes

Payers reporting HCPCS G0176

Payer pricing summary

Low

$60

Average

$17.0k

Median

$230

High

$206.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare facility · case rate · outpatient · +20 other terms	75	$117	$170	$123	72%	—	$27 – $439
2	Aetna facility · case rate · outpatient · +22 other terms	51	$132	$242	$152	63%	—	$100 – $904
3	Humana facility · case rate · outpatient · +18 other terms	51	$132	$203	$146	72%	—	$100 – $513
4	Molina facility · case rate · outpatient · +16 other terms	48	$119	$158	$101	64%	—	$27 – $366
5	Anthem facility · case rate · outpatient · +21 other terms	36	$216	$288	$196	68%	—	$26 – $1.2k
6	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	35	$159	$211	$290	137%	—	$0 – $1.5k
7	Cigna facility · case rate · outpatient · +19 other terms	35	$472	$753	$821	109%	—	$104 – $2.2k
8	WellCare facility · case rate · outpatient · +9 other terms	33	$113	$239	$203	85%	—	$100 – $574
9	Optum facility · case rate · outpatient · +9 other terms	17	$49	$100	$93	94%	—	$37 – $383
10	Caresource facility · case rate · outpatient · +8 other terms	16	$47	$59	$34	58%	—	$26 – $177
11	Regence facility · case rate · outpatient · +7 other terms	16	$138	$267	$202	76%	—	$103 – $846
12	Ambetter facility · case rate · outpatient · +7 other terms	14	$953	$800	$308	38%	—	$103 – $1.0k
13	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$142	$142	$11	8%	—	$130 – $153
14	Wellmark fee schedule · both · +12 other terms	13	$60	$60	—	—	—	$60 – $60
15	Bcbs Mn facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$125	$112	$30	27%	—	$48 – $159
16	Highmark fee schedule · outpatient · +11 other terms	10	$11	$11	—	—	—	$11 – $11
17	Aetna Better Health fee schedule · outpatient · +7 other terms	9	$65	$69	$25	35%	—	$35 – $134
18	Medica fee schedule · outpatient · +8 other terms	9	$307	$332	$160	48%	—	$102 – $952
19	Amerihealth Caritas facility · case rate · outpatient · +5 other terms	7	$110	$112	$4	3%	—	$110 – $120
20	Healthpartners facility · case rate · outpatient · +7 other terms	7	$112	$113	$4	3%	—	$109 – $119
21	Kaiser fee schedule · both · +15 other terms	7	$250	$215	$55	26%	—	$127 – $250
22	MultiPlan fee schedule · inpatient · +12 other terms	7	$354	$424	$138	32%	—	$279 – $663
23	Ucare facility · case rate · outpatient · +8 other terms	7	$112	$113	$4	3%	—	$109 – $119
24	Tricare facility · other · outpatient · +4 other terms	6	$134	$154	$37	24%	—	$134 – $223
25	Bcbs La fee schedule · outpatient · +1 other terms	5	$42	$43	$6	14%	—	$32 – $52

Page 1 of 2 · 49 payers