Positive screening with recommendations provided

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

RHC CCA SCRN POS PROV REC

Payers reporting HCPCS G9919

Payer pricing summary

Low

Average

$37

Median

$29

High

$281

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +5 other terms	21	$0	$13	$18	141%	—	$0 – $38
2	Anthem facility · case rate · outpatient · +2 other terms	15	$10	$11	$2	23%	—	$7 – $16
3	Caresource facility · case rate · outpatient · +1 other terms	15	$10	$11	$2	23%	—	$7 – $17
4	Molina facility · case rate · outpatient · +3 other terms	15	$10	$11	$2	23%	—	$7 – $16
5	UnitedHealthcare facility · case rate · outpatient · +5 other terms	15	$10	$11	$3	24%	—	$7 – $17
6	Wellmark fee schedule · both	13	$1	$1	—	—	—	$1 – $1
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	12	$53	$45	$25	55%	—	$0 – $80
8	Medicaid fee schedule · outpatient	11	$61	$59	$19	32%	—	$29 – $98
9	Optum facility · case rate · outpatient	11	$9	$10	$2	22%	—	$8 – $15
10	Cigna professional · fee schedule · outpatient · +3 other terms	9	$0	$0	—	—	—	$0 – $0
11	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$0	$0	—	—	—	$0 – $0
12	Humana fee schedule · inpatient · +3 other terms	5	$0	$0	—	—	—	$0 – $0
13	Kaiser fee schedule · outpatient · +3 other terms	3	$61	$50	$15	30%	—	$29 – $65
14	Phcs percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$37	$37	$18	49%	—	$19 – $55
15	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Vt professional · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
18	Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$33	$33	—	—	—	$33 – $33
19	Excellus facility · fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29
20	First Health fee schedule · inpatient · +4 other terms	1	$63	$63	—	—	—	$63 – $63
21	Medica percent of total billed charges · bothfrom % of charges	1	$80	$80	—	—	—	$80 – $80
22	MultiPlan fee schedule · inpatient · +4 other terms	1	$74	$74	—	—	—	$74 – $74
23	WellCare fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30