Cardiovascular disease risk assessment, 5-15 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 Admin Advcd Risk Assess 5-15 Min Not More Than Every 12 Mo

Payers reporting HCPCS G0537

Payer pricing summary

Low

Average

$39

Median

$32

High

$133

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +27 other terms	239	$31	$77	$368	480%	13	$7 – $5.6k
2	Humana fee schedule · outpatient · +22 other terms	189	$30	$32	$12	37%	1–10	$8 – $152
3	Kaiser fee schedule · outpatient · +14 other terms	60	$54	$78	$82	106%	1–10	$8 – $523
4	Aetna fee schedule · outpatient · +24 other terms	258	$36	$44	$41	92%	—	$7 – $619
5	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	168	$71	$86	$56	65%	—	$0 – $403
6	Cigna fee schedule · outpatient · +14 other terms	115	$38	$47	$36	76%	—	$5 – $194
7	WellCare fee schedule · outpatient · +14 other terms	104	$33	$39	$12	31%	—	$28 – $70
8	Molina fee schedule · outpatient · +22 other terms	81	$31	$40	$21	53%	—	$7 – $146
9	Anthem fee schedule · outpatient · +18 other terms	67	$47	$61	$50	83%	—	$9 – $274
10	Devoted fee schedule · outpatient · +10 other terms	56	$31	$30	$9	30%	—	$9 – $41
11	Ambetter facility · fee schedule · outpatient · +10 other terms	48	$64	$64	$11	18%	—	$28 – $81
12	Optum fee schedule · outpatient · +13 other terms	32	$34	$42	$34	81%	—	$9 – $138
13	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$104	$98	$46	47%	—	$28 – $200
14	Clover fee schedule · outpatient · +8 other terms	26	$33	$34	$3	8%	—	$30 – $42
15	Caresource facility · case rate · outpatient · +12 other terms	20	$44	$49	$15	31%	—	$25 – $77
16	Oscar fee schedule · outpatient · +15 other terms	20	$46	$36	$31	88%	—	$1 – $107
17	Medicare fee schedule · outpatient · +8 other terms	18	$9	$9	$0	2%	—	$8 – $9
18	Regence facility · fee schedule · outpatient · +15 other terms	18	$39	$38	$4	11%	—	$28 – $47
19	Highmark fee schedule · outpatient · +15 other terms	17	$38	$38	$19	50%	—	$8 – $146
20	Medical Mutual facility · fee schedule · outpatient · +7 other terms	15	$35	$44	$28	64%	—	$19 – $141
21	Ucare case rate · outpatient · +8 other terms	15	$31	$31	$1	2%	—	$30 – $31
22	Aetna Better Health facility · fee schedule · outpatient · +7 other terms	13	$7	$14	$8	58%	—	$7 – $31
23	Wellmark fee schedule · both · +9 other terms	13	$13	$13	$4	29%	—	$9 – $33
24	Bcbs Nj fee schedule · outpatient · +2 other terms	12	$33	$71	$47	67%	—	$33 – $144
25	Cigna Healthspring fee schedule · both · +3 other terms	12	$8	$8	$0	1%	—	$8 – $9

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