Annual gynecological exam

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

ANNUAL GYNECOLOGICAL EXAMINATION; ESTABLISHED PATIENT

Payers reporting HCPCS S0612

Payer pricing summary

Low

Average

$18.3k

Median

$137

High

$387.0k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	93	$131	$126	$52	41%	—	$0 – $262
2	Aetna facility · fee schedule · outpatient · +14 other terms	31	$60	$106	$65	61%	—	$49 – $277
3	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$131	$120	$44	37%	—	$38 – $220
4	Anthem facility · case rate · outpatient · +9 other terms	15	$62	$68	$16	23%	—	$42 – $106
5	Caresource facility · case rate · outpatient · +6 other terms	15	$63	$68	$16	23%	—	$42 – $108
6	Molina facility · case rate · outpatient · +6 other terms	15	$62	$68	$16	23%	—	$44 – $106
7	UnitedHealthcare facility · case rate · outpatient · +14 other terms	15	$63	$69	$16	23%	—	$44 – $108
8	Cigna facility · fee schedule · outpatient · +12 other terms	13	$47	$89	$74	83%	—	$47 – $383
9	Wellmark fee schedule · both · +5 other terms	13	$134	$131	$14	10%	—	$58 – $134
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$207	$156	$89	57%	—	$65 – $259
11	Optum facility · case rate · outpatient · +3 other terms	11	$59	$64	$14	22%	—	$53 – $96
12	Highmark fee schedule · outpatient · +12 other terms	10	$110	$110	—	—	—	$110 – $110
13	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +5 other terms	9	$79	$79	$2	2%	—	$79 – $84
14	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$56	$56	—	—	—	$56 – $56
15	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +7 other terms	7	$400	$142.6k	$1026.2k	720%	—	$34 – $7542.9k
16	Humana fee schedule · inpatient · +11 other terms	5	$54	$54	—	—	—	$54 – $54
17	Medicare facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	5	$34	$35	$2	7%	—	$34 – $40
18	Ambetter fee schedule · both · +6 other terms	4	$0	$0	—	—	—	$0 – $0
19	Phcs percent of total billed charges · bothfrom % of charges · +3 other terms	4	$110	$110	—	—	—	$110 – $110
20	WellCare percent of total billed charges · bothfrom % of charges · +3 other terms	4	$129	$110	$39	35%	—	$32 – $129
21	First Health professional · fee schedule · both · +6 other terms	3	$61	$61	—	—	—	$61 – $61
22	Medicaid fee schedule · outpatient · +5 other terms	3	$1	$1	—	—	—	$1 – $1
23	Sanford Health Plan professional · percent of total billed charges · bothfrom % of charges · +2 other terms	3	$202	$169	$34	20%	—	$135 – $202
24	Excellus professional · fee schedule · both · +3 other terms	2	$116	$116	$18	15%	—	$98 – $133
25	Healthpartners professional · fee schedule · both · +3 other terms	2	$168	$168	—	—	—	$168 – $168

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