Risk-adjusted care coordination maintenance fee

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Mccd risk adj maintenance

Payers reporting HCPCS G9005

Payer pricing summary

Low

Average

$58

Median

$48

High

$271

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Molina facility · case rate · outpatient · +4 other terms	27	$32	$60	$44	73%	—	$14 – $182
2	Aetna fee schedule · outpatient · +7 other terms	23	$0	$26	$61	240%	—	$0 – $174
3	UnitedHealthcare facility · case rate · outpatient · +5 other terms	17	$21	$32	$24	74%	—	$14 – $88
4	Anthem facility · case rate · outpatient · +6 other terms	15	$20	$22	$5	23%	—	$13 – $34
5	Caresource facility · case rate · outpatient · +1 other terms	15	$20	$22	$5	23%	—	$13 – $34
6	Optum facility · case rate · outpatient	13	$19	$29	$20	70%	—	$17 – $76
7	Blue Cross Blue Shield professional · fee schedule · both · +3 other terms	10	$0	$0	—	—	—	$0 – $0
8	Cigna professional · fee schedule · outpatient · +3 other terms	10	$232	$189	$89	47%	—	$5 – $232
9	Humana fee schedule · outpatient · +4 other terms	9	$0	$81	$90	112%	—	$0 – $183
10	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$0	$0	—	—	—	$0 – $0
11	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$88	$89	$3	3%	—	$88 – $96
12	First Health professional · fee schedule · both	3	$0	$0	—	—	—	$0 – $0
13	Wellmark facility · case rate · outpatient	3	$309	$271	$85	32%	—	$126 – $341
14	Medicaid facility · case rate · outpatient	2	$80	$80	—	—	—	$80 – $80
15	Bcbs Id facility · fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Vt professional · fee schedule · both · +2 other terms	1	$23	$23	—	—	—	$23 – $23
18	Excellus professional · percent of total billed charges · bothfrom % of charges	1	$22	$22	—	—	—	$22 – $22
19	WellCare facility · case rate · outpatient	1	$80	$80	—	—	—	$80 – $80