Prenatal high-risk assessment

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 Prenatal Care at Risk Assessment

Payers reporting HCPCS H1000

Payer pricing summary

Low

Average

$107

Median

$86

High

$655

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +12 other terms	29	$180	$178	$61	34%	—	$55 – $314
2	Aetna fee schedule · outpatient · +14 other terms	24	$33	$103	$102	99%	—	$21 – $299
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +13 other terms	23	$271	$203	$233	115%	—	$6 – $795
4	UnitedHealthcare facility · case rate · outpatient · +17 other terms	17	$123	$142	$46	32%	—	$55 – $224
5	Anthem facility · case rate · outpatient · +12 other terms	15	$116	$125	$33	26%	—	$53 – $197
6	Caresource facility · case rate · outpatient · +7 other terms	15	$118	$125	$32	26%	—	$53 – $200
7	Humana facility · fee schedule · outpatient · +13 other terms	14	$84	$83	$2	2%	—	$81 – $84
8	Optum facility · case rate · outpatient · +6 other terms	13	$112	$131	$36	28%	—	$99 – $194
9	Oscar professional · percent of total billed charges · outpatientfrom % of charges · +5 other terms	13	$28	$41	$20	49%	—	$28 – $71
10	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$17	$13	$7	55%	—	$6 – $21
11	Medcost facility · percent of total billed charges · bothfrom % of charges · +2 other terms	12	$28	$32	$7	21%	—	$28 – $42
12	Bcbs Tx per diem · outpatient	11	$640	$655	$74	11%	—	$514 – $803
13	Cigna professional · fee schedule · outpatient · +11 other terms	11	$15	$24	$33	139%	—	$14 – $184
14	First Health professional · fee schedule · both · +8 other terms	11	$26	$25	$29	113%	—	$0 – $94
15	Aetna Better Health professional · fee schedule · both · +7 other terms	9	$0	$2	$5	243%	—	$0 – $15
16	WellCare professional · fee schedule · both · +3 other terms	9	$0	$3	$16	564%	—	$0 – $94
17	Bcbs Il professional · fee schedule · both	8	$0	$1	$3	460%	—	$0 – $14
18	Amerihealth Caritas facility · case rate · outpatient · +7 other terms	7	$224	$227	$7	3%	—	$224 – $245
19	Premera professional · percent of total billed charges · bothfrom % of charges · +1 other terms	4	$164	$143	$36	25%	—	$80 – $164
20	Regence professional · percent of total billed charges · bothfrom % of charges · +1 other terms	4	$164	$141	$37	27%	—	$80 – $164
21	Tricare professional · fee schedule · outpatient · +6 other terms	4	$57	$68	$31	46%	—	$24 – $90
22	Ambetter professional · fee schedule · both · +3 other terms	3	$0	$0	—	—	—	$0 – $0
23	Clover professional · percent of total billed charges · bothfrom % of charges	3	$164	$136	$40	29%	—	$80 – $164
24	Medicare professional · percent of total billed charges · bothfrom % of charges	3	$164	$136	$40	29%	—	$80 – $164
25	MultiPlan professional · fee schedule · both · +11 other terms	3	$0	$13	$13	100%	—	$0 – $26

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