Medical home maintenance program fee

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, maintenance

Payers reporting HCPCS S0281

Payer pricing summary

Low

Average

$101

Median

$48

High

$872

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	24	$0	$35	$61	175%	—	$0 – $174
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	19	$10	$5	$5	97%	—	$0 – $10
4	UnitedHealthcare facility · case rate · outpatient · +10 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	$28	$29	$7	26%	—	$18 – $47
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	$152	$152	—	—	—	$152 – $152
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	$152	$151	$0	0%	—	$150 – $152
12	Humana fee schedule · outpatient · +5 other terms	10	$22	$77	$86	112%	—	$0 – $183
13	Medica fee schedule · both · +6 other terms	9	$10	$10	—	—	—	$10 – $10
14	Ucare fee schedule · both · +5 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 · +1 other terms	3	$0	$0	—	—	—	$0 – $0
17	Medicaid facility · case rate · outpatient	2	$80	$80	—	—	—	$80 – $80
18	Wellmark facility · case rate · inpatient · +4 other terms	2	$233	$233	$108	46%	—	$126 – $341
19	Bcbs Id professional · fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
20	Bcbs Il professional · fee schedule · both	1	$48	$48	—	—	—	$48 – $48
21	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
22	Bcbs Nc facility · fee schedule · outpatient	1	$141	$141	—	—	—	$141 – $141
23	Bcbs Nv fee schedule · outpatient	1	$67	$67	$11	16%	—	$57 – $78
24	Bcbs Vt professional · fee schedule · outpatient	1	$19	$19	—	—	—	$19 – $19
25	Healthpartners facility · fee schedule · outpatient · +1 other terms	1	$47	$47	—	—	—	$47 – $47

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