Nursing facility acute change in condition visit

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

Acute Nursing Facility Care

Payers reporting HCPCS G9685

Payer pricing summary

Low

Average

$250

Median

$198

High

$753

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Humana fee schedule · outpatient · +11 other terms	126	$383	$734	$696	95%	—	$132 – $2.0k
2	Aetna fee schedule · outpatient · +15 other terms	77	$181	$290	$305	105%	—	$145 – $2.4k
3	UnitedHealthcare fee schedule · outpatient · +15 other terms	67	$181	$232	$87	38%	—	$96 – $385
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	43	$426	$485	$271	56%	—	$81 – $1.1k
5	Anthem fee schedule · outpatient · +9 other terms	42	$177	$756	$533	70%	—	$171 – $1.7k
6	Molina professional · fee schedule · outpatient · +8 other terms	27	$182	$183	$9	5%	—	$174 – $247
7	Cigna fee schedule · outpatient · +12 other terms	26	$181	$209	$84	40%	—	$167 – $537
8	Kaiser fee schedule · outpatient · +4 other terms	25	$181	$179	$3	2%	—	$167 – $181
9	Devoted fee schedule · outpatient · +5 other terms	21	$181	$180	$2	1%	—	$177 – $181
10	Regence professional · fee schedule · outpatient · +1 other terms	21	$182	$197	$50	25%	—	$182 – $458
11	Caresource facility · case rate · outpatient · +8 other terms	20	$69	$122	$91	75%	—	$42 – $308
12	Medicare fee schedule · outpatient · +2 other terms	18	$177	$175	$3	2%	—	$167 – $181
13	WellCare professional · fee schedule · outpatient · +8 other terms	18	$175	$178	$7	4%	—	$166 – $202
14	Highmark fee schedule · outpatient · +5 other terms	13	$183	$195	$67	35%	—	$149 – $675
15	Wellmark fee schedule · both	13	$240	$239	$39	16%	—	$174 – $262
16	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$136	$151	$18	12%	—	$136 – $173
17	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$905	$719	$365	51%	—	$187 – $1.1k
18	Cigna Healthspring fee schedule · both · +2 other terms	12	$173	$173	$2	1%	—	$173 – $181
19	Optum facility · case rate · outpatient · +4 other terms	12	$59	$83	$45	54%	—	$53 – $185
20	Ambetter facility · fee schedule · outpatient · +6 other terms	11	$277	$266	$28	10%	—	$180 – $277
21	MultiPlan fee schedule · both · +8 other terms	11	$344	$341	$20	6%	—	$295 – $385
22	Medica fee schedule · outpatient · +4 other terms	10	$638	$630	$179	28%	—	$286 – $823
23	Medical Mutual facility · fee schedule · outpatient · +2 other terms	10	$154	$190	$40	21%	—	$154 – $244
24	Oscar fee schedule · outpatient · +1 other terms	10	$132	$150	$137	91%	—	$1 – $331
25	Ucare fee schedule · both · +2 other terms	9	$370	$381	$128	34%	—	$185 – $475

Page 1 of 2 · 49 payers