Physician home visit outside capitated care

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

MD home visit outside cap

Payers reporting HCPCS S0273

Payer pricing summary

Low

Average

$83

Median

$80

High

$167

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	31	$207	$182	$112	62%	—	$0 – $560
2	Molina facility · case rate · outpatient · +4 other terms	27	$32	$60	$44	73%	—	$14 – $182
3	UnitedHealthcare facility · case rate · outpatient · +4 other terms	17	$21	$32	$24	74%	—	$14 – $88
4	Anthem facility · case rate · outpatient · +6 other terms	15	$20	$22	$5	23%	—	$13 – $34
5	Caresource facility · case rate · outpatient · +1 other terms	15	$20	$22	$5	23%	—	$13 – $34
6	Aetna fee schedule · both · +4 other terms	13	$82	$82	$0	0%	—	$82 – $83
7	Optum facility · case rate · outpatient	13	$19	$29	$20	70%	—	$17 – $76
8	Wellmark fee schedule · both · +1 other terms	13	$61	$61	—	—	—	$61 – $61
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$203	$153	$87	57%	—	$64 – $254
10	Humana facility · case rate · outpatient · +2 other terms	8	$80	$83	$4	5%	—	$80 – $88
11	Aetna Better Health facility · case rate · outpatient	7	$96	$95	$1	1%	—	$92 – $96
12	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$88	$89	$3	3%	—	$88 – $96
13	Medicaid facility · case rate · outpatient	2	$80	$80	—	—	—	$80 – $80
14	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
15	Bcbs Nc facility · fee schedule · outpatient	1	$162	$162	—	—	—	$162 – $162
16	Bcbs Nv fee schedule · outpatient	1	$52	$52	$11	22%	—	$41 – $64
17	WellCare facility · case rate · outpatient	1	$80	$80	—	—	—	$80 – $80