DISEASE MANAGEMENT PROGRAM

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.

Generation details were not recorded for this description.

Original text from hospital filings

Disease management program

Payers reporting HCPCS S0315

Payer pricing summary

Low

Average

$136

Median

$92

High

$521

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Molina facility · case rate · outpatient · +6 other terms	27	$32	$60	$44	73%	—	$14 – $182
2	Aetna fee schedule · outpatient · +11 other terms	24	$94	$192	$176	92%	—	$85 – $850
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	21	$264	$192	$187	98%	—	$0 – $715
4	UnitedHealthcare facility · case rate · outpatient · +13 other terms	17	$21	$32	$24	74%	—	$14 – $88
5	MultiPlan percent of total billed charges · bothfrom % of charges · +4 other terms	16	$61	$465	$590	127%	—	$61 – $1.4k
6	Anthem facility · case rate · outpatient · +6 other terms	15	$20	$22	$5	23%	—	$13 – $34
7	Caresource facility · case rate · outpatient · +2 other terms	15	$20	$22	$5	23%	—	$13 – $34
8	Medcost percent of total billed charges · bothfrom % of charges · +2 other terms	14	$54	$60	$30	50%	—	$51 – $212
9	Cigna facility · fee schedule · outpatient · +6 other terms	13	$163	$294	$147	50%	—	$163 – $654
10	Optum facility · case rate · outpatient · +3 other terms	13	$19	$29	$20	70%	—	$17 – $76
11	Wellmark fee schedule · both · +1 other terms	13	$73	$73	—	—	—	$73 – $73
12	Humana fee schedule · outpatient · +8 other terms	9	$85	$128	$48	38%	—	$85 – $183
13	Tricare percent of total billed charges · bothfrom % of charges	8	$47	$48	$3	6%	—	$47 – $55
14	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$88	$88	—	—	—	$88 – $88
15	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$88	$89	$3	3%	—	$88 – $96
16	Oscar percent of total billed charges · bothfrom % of charges · +1 other terms	5	$72	$74	$5	7%	—	$72 – $88
17	Ambetter fee schedule · both · +3 other terms	4	$0	$0	—	—	—	$0 – $0
18	Phcs percent of total billed charges · bothfrom % of charges · +2 other terms	4	$105	$105	—	—	—	$105 – $105
19	First Health professional · fee schedule · both · +4 other terms	3	$94	$94	—	—	—	$94 – $94
20	Medical Mutual facility · percent of total billed charges · outpatientfrom % of charges	3	$67	$67	—	—	—	$67 – $67
21	Medicaid facility · case rate · outpatient · +1 other terms	2	$80	$80	—	—	—	$80 – $80
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nd facility · fee schedule · both	1	$88	$88	$21	24%	—	$60 – $122
24	Bcbs Nv fee schedule · outpatient	1	$126	$126	$23	18%	—	$103 – $149
25	Bcbs Vt professional · fee schedule · outpatient	1	$85	$85	—	—	—	$85 – $85

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