Adult day care, half day

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

Adult day care per half day

Payers reporting HCPCS S5101

Payer pricing summary

Low

Average

$33

Median

$35

High

$65

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +8 other terms	20	$13	$39	$53	136%	—	$13 – $198
2	Anthem facility · case rate · outpatient · +3 other terms	15	$58	$63	$15	23%	—	$39 – $98
3	Caresource facility · case rate · outpatient · +1 other terms	15	$59	$63	$14	23%	—	$39 – $100
4	Molina facility · case rate · outpatient · +2 other terms	15	$58	$63	$15	23%	—	$40 – $98
5	UnitedHealthcare facility · case rate · outpatient · +8 other terms	15	$59	$64	$15	23%	—	$40 – $100
6	Optum facility · case rate · outpatient · +1 other terms	11	$54	$60	$13	22%	—	$49 – $89
7	Cigna percent of total billed charges · bothfrom % of charges · +2 other terms	8	$56	$55	$9	16%	—	$38 – $70
8	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$14	$14	—	—	—	$14 – $14
9	Humana fee schedule · inpatient · +5 other terms	5	$13	$13	—	—	—	$13 – $13
10	Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges	4	$6	$6	—	—	—	$6 – $6
11	First Health professional · fee schedule · both · +1 other terms	3	$14	$14	—	—	—	$14 – $14
12	Bcbs Il percent of total billed charges · bothfrom % of charges	2	$51	$55	$11	21%	—	$44 – $70
13	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	2	$0	$0	—	—	—	$0 – $0
14	Ambetter facility · percent of total billed charges · outpatientfrom % of charges	1	$11	$11	—	—	—	$11 – $11
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nv fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
17	Bcbs Vt professional · fee schedule · outpatient	1	$14	$14	—	—	—	$14 – $14
18	Medcost facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$22	$22	—	—	—	$22 – $22
19	MultiPlan facility · percent of total billed charges · outpatientfrom % of charges	1	$34	$34	$5	13%	—	$28 – $39
20	Tricare facility · fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35