Telehealth emergency or inpatient consultation, about 30 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

PR Telehealth Consult ED/IP 30 Min

Payers reporting HCPCS G0425

Payer pricing summary

Low

Average

$148

Median

$132

High

$364

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +19 other terms	132	$123	$351	$338	96%	—	$61 – $962
2	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	117	$300	$308	$163	53%	—	$0 – $702
3	Aetna fee schedule · outpatient · +23 other terms	97	$90	$146	$142	98%	—	$58 – $1.1k
4	UnitedHealthcare fee schedule · outpatient · +24 other terms	85	$90	$118	$46	40%	—	$45 – $286
5	Anthem fee schedule · outpatient · +16 other terms	49	$102	$309	$266	86%	—	$58 – $1.1k
6	Molina professional · fee schedule · outpatient · +12 other terms	45	$91	$86	$14	16%	—	$54 – $160
7	Cigna professional · fee schedule · outpatient · +19 other terms	37	$84	$105	$37	35%	—	$54 – $187
8	Regence professional · fee schedule · outpatient · +3 other terms	34	$91	$141	$68	48%	—	$62 – $289
9	WellCare professional · fee schedule · outpatient · +12 other terms	32	$87	$87	$6	7%	—	$54 – $102
10	Kaiser fee schedule · outpatient · +11 other terms	31	$90	$113	$47	41%	—	$83 – $273
11	Optum professional · fee schedule · outpatient · +10 other terms	31	$80	$81	$4	5%	—	$69 – $96
12	Bcbs Tx fee schedule · outpatient · +2 other terms	30	$403	$370	$136	37%	—	$118 – $681
13	Medica professional · fee schedule · outpatient · +8 other terms	23	$83	$87	$17	20%	—	$69 – $163
14	Devoted fee schedule · outpatient · +5 other terms	21	$90	$89	$1	1%	—	$88 – $90
15	Caresource facility · case rate · outpatient · +11 other terms	20	$69	$87	$37	43%	—	$42 – $166
16	Ucare professional · fee schedule · outpatient · +9 other terms	20	$76	$76	$14	19%	—	$54 – $140
17	Medicare fee schedule · outpatient · +6 other terms	19	$88	$86	$2	2%	—	$83 – $90
18	Highmark fee schedule · outpatient · +11 other terms	16	$91	$94	$32	34%	—	$61 – $339
19	Ambetter fee schedule · both · +7 other terms	13	$118	$170	$28	17%	—	$84 – $189
20	MultiPlan fee schedule · both · +12 other terms	13	$171	$187	$55	29%	—	$129 – $317
21	Wellmark fee schedule · both · +7 other terms	13	$119	$119	$20	16%	—	$86 – $141
22	Aetna Better Health fee schedule · outpatient · +8 other terms	12	$96	$92	$5	5%	—	$86 – $96
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$446	$355	$179	50%	—	$93 – $558
24	Bcbs Nj fee schedule · outpatient	12	$77	$96	$36	37%	—	$66 – $180
25	Cigna Healthspring fee schedule · both · +2 other terms	12	$86	$86	$1	1%	—	$86 – $90

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