Physician certification for Medicare home health services

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

PR MD Certification Hha Patient

Payers reporting HCPCS G0180

Payer pricing summary

Low

$40

Average

$92

Median

$86

High

$231

Payer rate distribution

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#
1	Medica professional · fee schedule · outpatient · +11 other terms	26	$59	$60	$10	16%	13–31	$44 – $99
2	Molina professional · fee schedule · outpatient · +20 other terms	44	$50	$52	$6	12%	2–20	$42 – $104
3	WellCare professional · fee schedule · both · +15 other terms	36	$54	$43	$22	52%	2–20	$0 – $80
4	Cigna professional · fee schedule · outpatient · +21 other terms	41	$54	$71	$32	46%	1–10	$42 – $174
5	Regence professional · fee schedule · outpatient · +6 other terms	36	$50	$81	$37	45%	1–10	$44 – $163
6	Wellmark professional · fee schedule · both · +13 other terms	16	$73	$73	$18	24%	1–10	$49 – $134
7	Premera professional · fee schedule · both · +5 other terms	13	$80	$79	$12	15%	1–10	$58 – $105
8	Humana fee schedule · outpatient · +23 other terms	150	$60	$172	$171	99%	—	$26 – $512
9	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	126	$161	$172	$87	51%	—	$0 – $375
10	Aetna fee schedule · outpatient · +26 other terms	118	$54	$76	$66	86%	—	$20 – $578
11	UnitedHealthcare fee schedule · outpatient · +24 other terms	115	$55	$74	$40	54%	—	$21 – $244
12	Anthem fee schedule · outpatient · +18 other terms	47	$187	$229	$161	71%	—	$21 – $661
13	Optum professional · fee schedule · outpatient · +13 other terms	32	$56	$55	$4	7%	—	$44 – $59
14	Kaiser fee schedule · outpatient · +12 other terms	31	$54	$70	$26	37%	—	$48 – $140
15	Bcbs Tx fee schedule · outpatient · +2 other terms	29	$215	$197	$73	37%	—	$63 – $363
16	Devoted facility · fee schedule · outpatient · +12 other terms	28	$53	$51	$11	21%	—	$41 – $95
17	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$115	$95	$24	25%	—	$28 – $124
18	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	25	$34	$35	$12	33%	—	$17 – $69
19	Ambetter facility · fee schedule · outpatient · +14 other terms	24	$72	$74	$12	17%	—	$52 – $97
20	Ucare professional · fee schedule · outpatient · +7 other terms	22	$54	$54	$11	21%	—	$42 – $99
21	Caresource facility · case rate · outpatient · +13 other terms	20	$22	$39	$31	79%	—	$13 – $108
22	Tricare professional · fee schedule · outpatient · +10 other terms	20	$50	$49	$4	8%	—	$42 – $57
23	Medicare fee schedule · outpatient · +10 other terms	19	$53	$51	$2	4%	—	$48 – $57
24	Aetna Better Health fee schedule · outpatient · +9 other terms	17	$52	$100	$95	95%	—	$48 – $352
25	Cigna Healthspring fee schedule · outpatient · +2 other terms	17	$52	$51	$2	4%	—	$47 – $52

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