Wellness check by a non-physician provider

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

Wellness assessment by nonph

Payers reporting HCPCS S5190

Payer pricing summary

Low

Average

$118

Median

$80

High

$416

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	33	$90	$87	$48	55%	—	$31 – $241
2	Aetna fee schedule · outpatient · +6 other terms	20	$23	$72	$80	111%	—	$23 – $274
3	Anthem facility · case rate · outpatient · +5 other terms	15	$367	$402	$94	23%	—	$250 – $623
4	Caresource facility · case rate · outpatient · +1 other terms	15	$374	$402	$92	23%	—	$250 – $635
5	Molina facility · case rate · outpatient · +4 other terms	15	$367	$402	$93	23%	—	$257 – $623
6	UnitedHealthcare facility · case rate · outpatient · +5 other terms	15	$374	$407	$95	23%	—	$257 – $635
7	Wellmark fee schedule · both	13	$34	$34	—	—	—	$34 – $34
8	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$98	$73	$42	57%	—	$31 – $122
9	Optum facility · case rate · outpatient · +1 other terms	11	$346	$380	$85	22%	—	$312 – $564
10	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$23	$23	—	—	—	$23 – $23
11	Humana fee schedule · inpatient · +3 other terms	5	$23	$23	—	—	—	$23 – $23
12	First Health professional · fee schedule · both	3	$25	$25	—	—	—	$25 – $25
13	Highmark facility · fee schedule · outpatient	2	$29	$30	$3	11%	—	$26 – $33
14	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
15	Bcbs Nc facility · fee schedule · outpatient	1	$111	$111	—	—	—	$111 – $111
16	Bcbs Nv fee schedule · outpatient	1	$35	$35	—	—	—	$35 – $35
17	Bcbs Vt professional · fee schedule · outpatient	1	$28	$28	—	—	—	$28 – $28
18	Cigna professional · fee schedule · outpatient · +2 other terms	1	$39	$39	—	—	—	$39 – $39
19	MultiPlan percent of total billed charges · bothfrom % of charges · +1 other terms	1	$284	$284	—	—	—	$284 – $284
20	Oscar percent of total billed charges · bothfrom % of charges	1	$182	$182	—	—	—	$182 – $182
21	Phcs facility · percent of total billed charges · outpatientfrom % of charges	1	$0	$0	—	—	—	$0 – $0