Medical home initial care plan

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

Medical home, initial plan

Payers reporting HCPCS S0280

Payer pricing summary

Low

Average

$109

Median

$57

High

$781

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +5 other terms	29	$34	$61	$43	70%	—	$14 – $182
2	Aetna fee schedule · outpatient · +9 other terms	23	$0	$51	$74	146%	—	$0 – $200
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	19	$10	$5	$5	97%	—	$0 – $10
4	UnitedHealthcare facility · case rate · outpatient · +9 other terms	17	$21	$32	$24	74%	—	$14 – $88
5	Anthem facility · case rate · outpatient · +6 other terms	15	$20	$22	$5	23%	—	$13 – $34
6	Caresource facility · case rate · outpatient · +1 other terms	15	$20	$22	$5	23%	—	$13 – $34
7	Cigna facility · fee schedule · outpatient · +3 other terms	13	$7	$51	$168	330%	—	$7 – $781
8	Optum facility · case rate · outpatient · +1 other terms	13	$19	$29	$20	70%	—	$17 – $76
9	Amerihealth Caritas fee schedule · both · +2 other terms	12	$51	$51	—	—	—	$51 – $51
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$32	$24	$14	57%	—	$10 – $40
11	WellCare fee schedule · both · +1 other terms	12	$51	$50	$0	0%	—	$50 – $51
12	Humana fee schedule · outpatient · +5 other terms	10	$22	$77	$86	112%	—	$0 – $183
13	Medica fee schedule · both · +4 other terms	9	$10	$10	—	—	—	$10 – $10
14	Ucare fee schedule · both · +4 other terms	9	$10	$10	$0	3%	—	$10 – $10
15	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$0	$0	—	—	—	$0 – $0
16	First Health professional · fee schedule · both	3	$0	$0	—	—	—	$0 – $0
17	Wellmark facility · case rate · outpatient · +2 other terms	3	$309	$271	$85	32%	—	$126 – $341
18	Medicaid facility · case rate · outpatient	2	$80	$80	—	—	—	$80 – $80
19	Ambetter fee schedule · both	1	$350	$350	—	—	—	$350 – $350
20	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
21	Bcbs Il professional · fee schedule · both	1	$277	$277	—	—	—	$277 – $277
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nc facility · fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
24	Bcbs Nv fee schedule · outpatient	1	$126	$126	$23	18%	—	$103 – $149
25	Bcbs Vt professional · fee schedule · outpatient	1	$24	$24	—	—	—	$24 – $24

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