Patient navigation and care coordination support

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

Pt navigat svs direct/ref

Payers reporting HCPCS G0535

Payer pricing summary

Low

Average

$104

Median

$120

High

$198

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	65	$151	$133	$48	36%	—	$0 – $244
2	Bcbs Tx fee schedule · outpatient	30	$140	$129	$47	37%	—	$41 – $237
3	Molina facility · case rate · outpatient · +3 other terms	23	$42	$82	$55	67%	—	$21 – $156
4	UnitedHealthcare facility · case rate · outpatient · +3 other terms	16	$36	$44	$24	55%	—	$21 – $131
5	Anthem facility · case rate · outpatient · +4 other terms	15	$35	$38	$9	24%	—	$21 – $59
6	Caresource facility · case rate · outpatient · +1 other terms	15	$35	$38	$9	24%	—	$21 – $60
7	Optum facility · case rate · outpatient	13	$33	$49	$33	67%	—	$29 – $125
8	Aetna fee schedule · outpatient · +5 other terms	9	$112	$153	$99	65%	—	$40 – $281
9	Bcbs Mn fee schedule · both · +2 other terms	8	$42	$42	$0	1%	—	$42 – $42
10	Cigna fee schedule · outpatient · +1 other terms	8	$65	$76	$22	28%	—	$65 – $126
11	Kaiser fee schedule · outpatient	8	$193	$198	$55	28%	—	$116 – $328
12	Aetna Better Health facility · case rate · outpatient	6	$158	$158	—	—	—	$158 – $158
13	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	6	$144	$144	—	—	—	$144 – $144
14	Humana facility · case rate · outpatient · +3 other terms	5	$131	$137	$6	5%	—	$131 – $144
15	First Health professional · fee schedule · both	3	$44	$44	—	—	—	$44 – $44
16	Medicaid facility · case rate · outpatient	2	$131	$131	—	—	—	$131 – $131
17	Ambetter facility · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
18	Bcbs La fee schedule · outpatient · +1 other terms	1	$0	$0	—	—	—	$0 – $0
19	Healthpartners facility · fee schedule · outpatient	1	$147	$147	—	—	—	$147 – $147
20	WellCare facility · case rate · outpatient	1	$131	$131	—	—	—	$131 – $131