Medicare care coordination program fee, risk-adjusted level 3

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 level 3

Payers reporting HCPCS G9009

Payer pricing summary

Low

Average

$61

Median

$48

High

$271

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +4 other terms	27	$32	$60	$44	73%	—	$14 – $182
2	Aetna fee schedule · outpatient · +6 other terms	22	$0	$27	$62	234%	—	$0 – $174
3	UnitedHealthcare facility · case rate · outpatient · +4 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 · +2 other terms	10	$0	$0	—	—	—	$0 – $0
8	Humana fee schedule · outpatient · +3 other terms	9	$0	$81	$90	112%	—	$0 – $183
9	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$0	$0	—	—	—	$0 – $0
10	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$88	$89	$3	3%	—	$88 – $96
11	First Health professional · fee schedule · both	3	$0	$0	—	—	—	$0 – $0
12	Wellmark facility · case rate · outpatient	3	$309	$271	$85	32%	—	$126 – $341
13	Medicaid facility · case rate · outpatient	2	$80	$80	—	—	—	$80 – $80
14	Bcbs Il professional · fee schedule · both	1	$211	$211	—	—	—	$211 – $211
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nc facility · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
17	Bcbs Vt professional · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
18	Cigna fee schedule · both · +1 other terms	1	$182	$182	—	—	—	$182 – $182
19	WellCare facility · case rate · outpatient	1	$80	$80	—	—	—	$80 – $80