Hospice care in long-term or non-skilled nursing facility

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

Hospice in lt/non-skilled nf

Payers reporting HCPCS Q5003

Payer pricing summary

Low

Average

$144

Median

$172

High

$277

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +8 other terms	29	$132	$190	$141	74%	—	$106 – $846
2	Molina facility · case rate · outpatient · +1 other terms	18	$61	$236	$350	149%	—	$40 – $1.1k
3	Anthem facility · case rate · outpatient · +7 other terms	15	$58	$63	$15	23%	—	$39 – $98
4	Caresource facility · case rate · outpatient · +1 other terms	15	$59	$63	$14	23%	—	$39 – $100
5	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$59	$64	$15	23%	—	$40 – $100
6	Blue Cross Blue Shield facility · fee schedule · outpatient · +5 other terms	13	$370	$413	$213	52%	—	$0 – $994
7	Wellmark fee schedule · both	13	$180	$180	—	—	—	$180 – $180
8	Optum facility · case rate · outpatient · +1 other terms	11	$54	$60	$13	22%	—	$49 – $89
9	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$136	$136	—	—	—	$136 – $136
10	Kaiser percent of total billed charges · outpatientfrom % of charges · +2 other terms	6	$191	$191	—	—	—	$191 – $191
11	Medicaid percent of total billed charges · outpatientfrom % of charges	6	$41	$45	$16	35%	—	$23 – $69
12	MultiPlan percent of total billed charges · outpatientfrom % of charges · +2 other terms	6	$243	$243	—	—	—	$243 – $243
13	Oscar percent of total billed charges · outpatientfrom % of charges	6	$191	$191	—	—	—	$191 – $191
14	Phcs percent of total billed charges · outpatientfrom % of charges	6	$191	$191	—	—	—	$191 – $191
15	Humana fee schedule · inpatient · +4 other terms	5	$132	$132	—	—	—	$132 – $132
16	First Health professional · fee schedule · both · +2 other terms	3	$145	$145	—	—	—	$145 – $145
17	Ambetter fee schedule · both	1	$72	$72	—	—	—	$72 – $72
18	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
19	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
20	Bcbs Nv fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
21	Bcbs Vt professional · fee schedule · outpatient	1	$106	$106	—	—	—	$106 – $106
22	Cigna fee schedule · both · +3 other terms	1	$67	$67	$5	8%	—	$61 – $72