Rural or community health center general care management visit

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

General Care Mgmt, 20+ Min

Payers reporting HCPCS G0511

Payer pricing summary

Low

$16

Average

$15.4k

Median

$96

High

$506.9k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +14 other terms	97	$56	$126	$100	80%	—	$46 – $309
2	UnitedHealthcare fee schedule · outpatient · +18 other terms	91	$54	$78	$30	39%	—	$14 – $123
3	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	69	$110	$120	$47	39%	—	$34 – $245
4	Aetna fee schedule · outpatient · +18 other terms	65	$54	$76	$59	78%	—	$32 – $562
5	Anthem fee schedule · outpatient · +9 other terms	36	$55	$56	$10	19%	—	$16 – $79
6	Bcbs Tx fee schedule · outpatient · +2 other terms	30	$141	$127	$47	37%	—	$41 – $237
7	Molina case rate · outpatient · +12 other terms	27	$53	$62	$17	28%	—	$39 – $91
8	Cigna fee schedule · both · +12 other terms	21	$103	$73	$41	56%	—	$28 – $201
9	WellCare fee schedule · outpatient · +8 other terms	21	$53	$53	$2	3%	—	$52 – $58
10	Bcbs Mn fee schedule · outpatient · +4 other terms	13	$146	$125	$70	56%	—	$33 – $220
11	Wellmark fee schedule · both · +4 other terms	13	$51	$51	$4	8%	—	$49 – $57
12	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$47	$49	$2	5%	—	$47 – $52
13	Ambetter case rate · outpatient · +5 other terms	12	$84	$83	$2	2%	—	$78 – $86
14	Cigna Healthspring fee schedule · outpatient · +1 other terms	12	$55	$55	—	—	—	$55 – $55
15	Devoted fee schedule · outpatient · +4 other terms	12	$56	$56	$0	1%	—	$54 – $56
16	Highmark fee schedule · outpatient · +4 other terms	12	$55	$59	$23	39%	—	$26 – $219
17	Kaiser fee schedule · outpatient · +4 other terms	12	$56	$56	—	—	—	$56 – $56
18	Medica fee schedule · outpatient · +8 other terms	11	$130	$129	$47	36%	—	$56 – $184
19	Sanford Health Plan fee schedule · outpatient · +6 other terms	11	$53	$46	$5	11%	—	$42 – $53
20	Ucare fee schedule · both · +5 other terms	9	$71	$71	$2	3%	—	$69 – $73
21	Oscar case rate · outpatient · +6 other terms	8	$87	$87	—	—	—	$87 – $87
22	Regence fee schedule · outpatient · +5 other terms	8	$87	$96	$29	31%	—	$63 – $217
23	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$40	$40	$1	3%	—	$40 – $43
24	Medcost percent of total billed charges · bothfrom % of charges	6	$99	$93	$13	14%	—	$63 – $99
25	Medicare fee schedule · both · +1 other terms	6	$35	$35	$1	2%	—	$35 – $43

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