Federally qualified health center visit for established patient

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 FQHC VISIT ESTB PT

Payers reporting HCPCS G0467

Payer pricing summary

Low

Average

$132

Median

$99

High

$342

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +7 other terms	18	$96	$150	$129	86%	—	$69 – $617
2	Anthem facility · case rate · outpatient · +3 other terms	15	$58	$63	$15	23%	—	$39 – $98
3	Caresource facility · case rate · outpatient · +1 other terms	15	$59	$63	$14	23%	—	$39 – $100
4	Molina facility · case rate · outpatient · +1 other terms	15	$58	$63	$15	23%	—	$40 – $98
5	UnitedHealthcare facility · case rate · outpatient · +7 other terms	15	$59	$64	$15	23%	—	$40 – $100
6	Wellmark fee schedule · both	13	$74	$74	—	—	—	$74 – $74
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$373	$305	$137	45%	—	$182 – $467
8	Optum facility · case rate · outpatient · +2 other terms	11	$54	$60	$13	22%	—	$49 – $89
9	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	10	$182	$182	—	—	—	$182 – $182
10	Cigna professional · fee schedule · outpatient · +5 other terms	10	$21	$25	$7	27%	—	$21 – $39
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$99	$99	—	—	—	$99 – $99
12	Humana fee schedule · outpatient · +3 other terms	6	$96	$92	$9	10%	—	$71 – $96
13	MultiPlan percent of total billed charges · bothfrom % of charges · +1 other terms	6	$297	$297	$125	42%	—	$128 – $476
14	Regence percent of total billed charges · bothfrom % of charges	4	$243	$243	—	—	—	$243 – $243
15	First Health professional · fee schedule · both · +1 other terms	3	$106	$106	—	—	—	$106 – $106
16	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	2	$111	$104	$20	19%	—	$81 – $130
17	Devoted percent of total billed charges · bothfrom % of charges	2	$87	$87	$7	8%	—	$80 – $93
18	Kaiser fee schedule · both · +1 other terms	2	$248	$248	—	—	—	$248 – $248
19	Medicare percent of total billed charges · bothfrom % of charges	2	$87	$87	$7	8%	—	$80 – $93
20	Tricare percent of total billed charges · bothfrom % of charges	2	$103	$103	$1	1%	—	$102 – $104
21	WellCare percent of total billed charges · bothfrom % of charges	2	$87	$87	$7	8%	—	$80 – $93
22	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
23	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
24	Bcbs Nc facility · fee schedule · outpatient	1	$161	$161	—	—	—	$161 – $161
25	Bcbs Vt professional · fee schedule · outpatient	1	$69	$69	—	—	—	$69 – $69

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