History and physical examination for surgery

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

H&p for surgery

Payers reporting HCPCS S0260

Payer pricing summary

Low

Average

$323

Median

$345

High

$575

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +9 other terms	20	$48	$124	$117	94%	—	$48 – $479
2	Anthem facility · case rate · outpatient · +7 other terms	15	$367	$402	$94	23%	—	$250 – $623
3	Caresource facility · case rate · outpatient · +3 other terms	15	$374	$402	$92	23%	—	$250 – $635
4	Molina facility · case rate · outpatient · +3 other terms	15	$367	$402	$93	23%	—	$257 – $623
5	UnitedHealthcare facility · case rate · outpatient · +4 other terms	15	$374	$407	$95	23%	—	$257 – $635
6	Cigna facility · fee schedule · outpatient · +7 other terms	13	$46	$80	$39	49%	—	$46 – $173
7	Wellmark fee schedule · both · +2 other terms	13	$500	$500	—	—	—	$500 – $500
8	Optum facility · case rate · outpatient · +2 other terms	11	$346	$380	$85	22%	—	$312 – $564
9	Highmark fee schedule · outpatient · +7 other terms	10	$28	$28	—	—	—	$28 – $28
10	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$49	$49	—	—	—	$49 – $49
11	Humana fee schedule · inpatient · +5 other terms	5	$48	$48	—	—	—	$48 – $48
12	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	4	$1	$2	$1	70%	—	$0 – $3
13	First Health professional · fee schedule · both · +2 other terms	3	$62	$62	$10	15%	—	$53 – $72
14	Amerihealth Caritas professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$575	$575	—	—	—	$575 – $575
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nc facility · fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
17	Bcbs Nv fee schedule · outpatient	1	$26	$26	$6	22%	—	$20 – $32
18	Bcbs Vt professional · fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
19	Carefirst professional · fee schedule · inpatient · +3 other terms	1	$500	$500	—	—	—	$500 – $500
20	Excellus professional · fee schedule · inpatient · +3 other terms	1	$500	$500	—	—	—	$500 – $500
21	Healthpartners facility · fee schedule · outpatient	1	$173	$173	—	—	—	$173 – $173
22	Kaiser professional · fee schedule · inpatient · +3 other terms	1	$500	$500	—	—	—	$500 – $500
23	Magellan professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$575	$575	—	—	—	$575 – $575
24	Medicaid professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$575	$575	—	—	—	$575 – $575
25	MultiPlan percent of total billed charges · bothfrom % of charges · +2 other terms	1	$172	$172	—	—	—	$172 – $172

Page 1 of 2 · 31 payers