Consultation before colonoscopy screening

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

COLONOSCOPY CONSULTATION PERFORMED PRIOR TO A SCREENING COLONOSCOPY PROCEDURE

Payers reporting HCPCS S0285

Payer pricing summary

Low

Average

$173

Median

$179

High

$399

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	76	$133	$120	$46	38%	—	$0 – $230
2	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$132	$121	$44	37%	—	$39 – $223
3	Aetna professional · fee schedule · outpatient · +9 other terms	24	$55	$66	$30	45%	—	$44 – $219
4	Anthem facility · case rate · outpatient · +6 other terms	15	$62	$68	$16	23%	—	$42 – $106
5	Caresource facility · case rate · outpatient · +3 other terms	15	$63	$68	$16	23%	—	$42 – $108
6	Molina facility · case rate · outpatient · +4 other terms	15	$62	$68	$16	23%	—	$44 – $106
7	UnitedHealthcare facility · case rate · outpatient · +7 other terms	15	$63	$69	$16	23%	—	$44 – $108
8	Cigna professional · fee schedule · outpatient · +9 other terms	14	$50	$54	$9	16%	—	$34 – $70
9	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$252	$190	$108	57%	—	$80 – $316
10	Optum facility · case rate · outpatient · +2 other terms	11	$59	$64	$14	22%	—	$53 – $96
11	Highmark fee schedule · outpatient · +6 other terms	10	$29	$29	$1	2%	—	$27 – $29
12	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$48	$48	—	—	—	$48 – $48
13	Amerihealth Caritas professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	6	$46	$85	$45	53%	—	$46 – $137
14	Ambetter professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$29	$72	$53	74%	—	$29 – $137
15	Humana fee schedule · inpatient · +6 other terms	5	$46	$46	—	—	—	$46 – $46
16	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$77	$101	$30	29%	—	$77 – $137
17	Phcs professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	5	$84	$105	$26	24%	—	$84 – $137
18	First Health professional · fee schedule · both · +3 other terms	3	$71	$71	$10	14%	—	$61 – $81
19	Carefirst professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$325	$325	—	—	—	$325 – $325
20	Clover professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$325	$325	—	—	—	$325 – $325
21	Devoted professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$325	$325	—	—	—	$325 – $325
22	Excellus professional · fee schedule · both · +2 other terms	2	$97	$97	$16	17%	—	$80 – $113
23	Magellan professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$325	$325	—	—	—	$325 – $325
24	Medica professional · percent of total billed charges · inpatientfrom % of charges · +2 other terms	2	$325	$325	—	—	—	$325 – $325
25	Medicaid professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$325	$325	—	—	—	$325 – $325

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