Advanced primary care management for multiple chronic conditions

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 Advanced Primary Care Mgmt Level 2

Payers reporting HCPCS G0557

Payer pricing summary

Low

$14

Average

$52

Median

$48

High

$112

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +16 other terms	253	$37	$46	$24	52%	—	$21 – $204
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	232	$35	$52	$52	101%	—	$15 – $875
3	Humana fee schedule · outpatient · +12 other terms	186	$33	$35	$9	25%	—	$27 – $83
4	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	156	$70	$89	$48	54%	—	$0 – $229
5	Cigna fee schedule · outpatient · +11 other terms	114	$38	$50	$34	68%	—	$28 – $194
6	WellCare fee schedule · outpatient · +9 other terms	104	$33	$39	$12	31%	—	$28 – $70
7	Molina fee schedule · outpatient · +11 other terms	78	$38	$45	$18	40%	—	$27 – $87
8	Anthem fee schedule · outpatient · +10 other terms	67	$128	$145	$107	74%	—	$28 – $453
9	Devoted fee schedule · outpatient · +7 other terms	56	$33	$34	$4	11%	—	$29 – $53
10	Kaiser fee schedule · outpatient · +6 other terms	55	$54	$68	$42	62%	—	$30 – $234
11	Ambetter facility · fee schedule · outpatient · +5 other terms	48	$64	$64	$11	18%	—	$28 – $81
12	Optum fee schedule · outpatient · +8 other terms	32	$36	$51	$28	55%	—	$30 – $138
13	Bcbs Tx fee schedule · outpatient	31	$104	$98	$46	47%	—	$28 – $200
14	Clover fee schedule · outpatient · +5 other terms	26	$33	$34	$3	8%	—	$30 – $42
15	Oscar fee schedule · outpatient · +7 other terms	20	$46	$49	$34	70%	—	$1 – $107
16	Caresource facility · fee schedule · outpatient · +6 other terms	19	$64	$55	$14	25%	—	$28 – $75
17	Medicare fee schedule · outpatient · +6 other terms	18	$36	$35	$1	2%	—	$34 – $37
18	Regence facility · fee schedule · outpatient · +5 other terms	18	$39	$38	$4	11%	—	$28 – $47
19	Highmark fee schedule · outpatient · +6 other terms	15	$41	$40	$15	37%	—	$13 – $110
20	Medical Mutual facility · fee schedule · outpatient · +3 other terms	15	$35	$44	$28	64%	—	$19 – $141
21	Ucare case rate · outpatient · +6 other terms	15	$31	$31	$1	2%	—	$30 – $31
22	Wellmark fee schedule · both · +4 other terms	13	$53	$53	$11	21%	—	$35 – $66
23	Bcbs Nj fee schedule · outpatient	12	$33	$71	$47	67%	—	$33 – $144
24	Cigna Healthspring fee schedule · both · +2 other terms	12	$35	$35	$0	1%	—	$35 – $37
25	Medica facility · fee schedule · outpatient · +4 other terms	11	$31	$32	$10	30%	—	$22 – $66

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