One-way prorated ambulance trip

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

Lab Travel One Way per Trip Charge

Payers reporting HCPCS P9604

Payer pricing summary

Low

Average

$11

Median

$10

High

$44

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +15 other terms	125	$18	$37	$25	68%	—	$1 – $224
2	Humana fee schedule · outpatient · +15 other terms	82	$27	$40	$32	80%	—	$1 – $97
3	UnitedHealthcare fee schedule · outpatient · +18 other terms	74	$11	$12	$12	102%	—	$1 – $145
4	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	62	$8	$8	$6	80%	—	$0 – $30
5	Molina facility · case rate · outpatient · +14 other terms	39	$3	$3	$1	18%	—	$2 – $4
6	Anthem facility · fee schedule · outpatient · +14 other terms	29	$6	$7	$7	89%	—	$2 – $47
7	Cigna fee schedule · outpatient · +9 other terms	22	$9	$8	$4	42%	—	$4 – $24
8	Highmark fee schedule · outpatient · +9 other terms	20	$83	$72	$25	35%	—	$9 – $113
9	Caresource facility · case rate · outpatient · +9 other terms	16	$2	$3	$1	23%	—	$2 – $4
10	Medica fee schedule · outpatient · +10 other terms	16	$15	$14	$10	75%	—	$1 – $27
11	Kaiser fee schedule · outpatient · +6 other terms	14	$38	$33	$21	64%	—	$5 – $83
12	Optum facility · case rate · outpatient · +6 other terms	13	$2	$2	$1	21%	—	$2 – $4
13	Regence fee schedule · outpatient · +6 other terms	13	$12	$14	$5	40%	—	$9 – $34
14	Wellmark fee schedule · both · +12 other terms	13	$10	$10	$0	3%	—	$8 – $10
15	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	12	$16	$15	$4	26%	—	$5 – $18
16	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	12	$7	$7	$2	31%	—	$5 – $13
17	MultiPlan fee schedule · inpatient · +9 other terms	10	$12	$9	$6	65%	—	$2 – $16
18	WellCare fee schedule · outpatient · +9 other terms	10	$11	$11	$1	7%	—	$8 – $11
19	Premera fee schedule · outpatient · +2 other terms	9	$12	$13	$1	12%	—	$11 – $14
20	Ucare fee schedule · both	9	$11	$11	$0	3%	—	$11 – $12
21	Bcbs Nj percent of total billed charges · outpatientfrom % of charges	8	$26	$27	$8	31%	—	$11 – $48
22	Excellus fee schedule · outpatient · +8 other terms	8	$11	$12	$3	22%	—	$8 – $15
23	Tricare facility · fee schedule · outpatient · +4 other terms	8	$11	$6	$7	107%	—	$1 – $60
24	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$10	$10	—	—	—	$10 – $10
25	Amerihealth Caritas facility · case rate · outpatient · +4 other terms	7	$3	$3	$0	3%	—	$3 – $3

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