Initial annual wellness visit with prevention plan

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 ANNUAL WELLNESS PPS 1ST VISIT

Payers reporting HCPCS G0438

Payer pricing summary

Low

$21

Average

$4.7k

Median

$231

High

$126.4k

Payer rate distribution

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#
1	Ucare professional · fee schedule · outpatient · +13 other terms	24	$164	$165	$36	22%	380–425	$126 – $257
2	Medica professional · fee schedule · outpatient · +16 other terms	29	$180	$184	$48	26%	196–232	$111 – $332
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	275	$177	$250	$171	69%	33–42	$0 – $1.1k
4	WellCare fee schedule · outpatient · +22 other terms	201	$178	$177	$11	6%	22–67	$148 – $218
5	Aetna fee schedule · outpatient · +32 other terms	407	$176	$206	$138	67%	13	$1 – $1.9k
6	Humana fee schedule · outpatient · +28 other terms	318	$167	$277	$349	126%	3–30	$1 – $1.6k
7	Regence professional · fee schedule · outpatient · +12 other terms	34	$160	$198	$56	28%	1–10	$137 – $408
8	Highmark fee schedule · outpatient · +18 other terms	23	$165	$201	$125	62%	1–10	$125 – $774
9	Premera professional · fee schedule · outpatient · +8 other terms	13	$225	$243	$54	22%	1–10	$184 – $363
10	UnitedHealthcare fee schedule · outpatient · +33 other terms	394	$175	$186	$58	31%	—	$1 – $651
11	Devoted fee schedule · outpatient · +15 other terms	155	$174	$173	$10	6%	—	$160 – $319
12	Molina fee schedule · outpatient · +25 other terms	138	$250	$240	$98	41%	—	$1 – $704
13	Cigna Healthspring fee schedule · outpatient · +5 other terms	126	$179	$178	$8	5%	—	$149 – $202
14	Cigna fee schedule · outpatient · +26 other terms	94	$178	$201	$60	30%	—	$0 – $492
15	Anthem fee schedule · outpatient · +26 other terms	93	$179	$521	$470	90%	—	$28 – $2.0k
16	Kaiser fee schedule · outpatient · +21 other terms	78	$183	$297	$193	65%	—	$55 – $1.3k
17	Ambetter fee schedule · outpatient · +19 other terms	63	$276	$284	$93	33%	—	$44 – $554
18	Oscar fee schedule · outpatient · +18 other terms	51	$189	$201	$106	53%	—	$1 – $482
19	Superior Healthplan fee schedule · outpatient · +2 other terms	45	$183	$183	$7	4%	—	$130 – $250
20	Caresource fee schedule · outpatient · +19 other terms	44	$169	$174	$24	14%	—	$1 – $345
21	Optum fee schedule · outpatient · +17 other terms	41	$163	$231	$123	53%	—	$149 – $633
22	Amerihealth Caritas fee schedule · outpatient · +11 other terms	29	$190	$187	$32	17%	—	$95 – $224
23	Medicare fee schedule · outpatient · +14 other terms	28	$156	$158	$9	6%	—	$148 – $190
24	Clover fee schedule · outpatient · +11 other terms	27	$175	$171	$10	6%	—	$156 – $186
25	MultiPlan fee schedule · both · +17 other terms	25	$301	$289	$50	17%	—	$120 – $329

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