Hospital observation stay after direct referral

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 OBSERVATION DIRECT ADMIT

Payers reporting HCPCS G0379

Payer pricing summary

Low

$111

Average

$1.1k

Median

$693

High

$10.2k

Payer rate distribution

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#
1	Medicare other · both · +16 other terms	39	$630	$711	$317	45%	82–271	$557 – $2.5k
2	Bcbs Al facility · other · outpatient · +1 other terms	6	$272	$383	$358	93%	78–150	$225 – $1.4k
3	Humana fee schedule · outpatient · +29 other terms	320	$614	$646	$667	103%	19–82	$1 – $12.8k
4	Florida Blue percent of total billed charges · outpatientfrom % of charges · +1 other terms	1	$764	$764	$132	17%	17–71	$627 – $956
5	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	399	$591	$588	$537	91%	13–130	$1 – $4.7k
6	Aetna fee schedule · outpatient · +31 other terms	473	$638	$739	$486	66%	3–30	$0 – $6.0k
7	Cigna fee schedule · outpatient · +27 other terms	212	$635	$799	$547	68%	3–30	$1 – $3.2k
8	Anthem fee schedule · outpatient · +27 other terms	130	$616	$671	$757	113%	2–20	$25 – $4.4k
9	First Health fee schedule · outpatient · +19 other terms	50	$622	$738	$385	52%	2–20	$52 – $1.9k
10	UnitedHealthcare fee schedule · outpatient · +30 other terms	388	$616	$1.1k	$2.3k	217%	1–10	$1 – $28.7k
11	Medica fee schedule · outpatient · +17 other terms	28	$488	$373	$365	98%	1–10	$41 – $2.1k
12	WellCare fee schedule · outpatient · +14 other terms	148	$618	$644	$246	38%	—	$33 – $1.4k
13	Molina fee schedule · outpatient · +26 other terms	141	$762	$762	$361	47%	—	$1 – $3k
14	MultiPlan fee schedule · outpatient · +14 other terms	112	$748	$822	$449	55%	—	$100 – $3.0k
15	Kaiser fee schedule · outpatient · +20 other terms	102	$779	$938	$626	67%	—	$1 – $4.3k
16	Ambetter fee schedule · outpatient · +15 other terms	83	$1.0k	$1.1k	$285	27%	—	$107 – $1.9k
17	Devoted facility · fee schedule · outpatient · +13 other terms	68	$597	$614	$80	13%	—	$138 – $774
18	Tricare fee schedule · outpatient · +15 other terms	64	$595	$468	$112	24%	—	$242 – $762
19	Optum fee schedule · outpatient · +19 other terms	63	$579	$701	$306	44%	—	$156 – $2.2k
20	Caresource fee schedule · outpatient · +16 other terms	46	$614	$715	$282	39%	—	$1 – $1.3k
21	Oscar fee schedule · outpatient · +16 other terms	40	$1.2k	$1.1k	$254	22%	—	$702 – $1.7k
22	Highmark facility · case rate · outpatient · +18 other terms	39	$1.4k	$1.5k	$733	48%	—	$318 – $3.4k
23	Phcs fee schedule · outpatient · +10 other terms	28	$488	$653	$317	49%	—	$115 – $1.3k
24	Cigna Healthspring fee schedule · outpatient · +8 other terms	26	$612	$520	$210	40%	—	$117 – $771
25	Clover fee schedule · outpatient · +8 other terms	26	$674	$668	$41	6%	—	$538 – $722

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