Enterostomal therapy by a registered nurse

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

Enterostomal Therapy-Comprehensive

Payers reporting HCPCS S9474

Payer pricing summary

Low

Average

$154

Median

$147

High

$341

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +6 other terms	22	$50	$108	$110	102%	—	$22 – $500
2	Anthem facility · case rate · outpatient · +4 other terms	15	$367	$402	$94	23%	—	$250 – $623
3	Caresource facility · case rate · outpatient · +2 other terms	15	$374	$402	$92	23%	—	$250 – $635
4	Molina facility · case rate · outpatient · +3 other terms	15	$367	$402	$93	23%	—	$257 – $623
5	UnitedHealthcare facility · case rate · outpatient · +5 other terms	15	$374	$407	$95	23%	—	$257 – $635
6	Wellmark fee schedule · both	13	$69	$69	—	—	—	$69 – $69
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	12	$344	$399	$186	47%	—	$242 – $923
8	Optum facility · case rate · outpatient · +1 other terms	11	$346	$380	$85	22%	—	$312 – $564
9	Highmark fee schedule · outpatient · +2 other terms	10	$24	$24	—	—	—	$24 – $24
10	Cigna professional · fee schedule · outpatient · +3 other terms	9	$33	$44	$21	49%	—	$33 – $87
11	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$52	$52	—	—	—	$52 – $52
12	Humana fee schedule · inpatient · +2 other terms	5	$50	$50	—	—	—	$50 – $50
13	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$298	$282	$155	55%	—	$132 – $506
14	Phcs percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$258	$246	$133	54%	—	$115 – $439
15	Ambetter percent of total billed charges · outpatientfrom % of charges	3	$203	$203	$106	52%	—	$90 – $345
16	First Health professional · fee schedule · both · +1 other terms	3	$55	$55	—	—	—	$55 – $55
17	Kaiser percent of total billed charges · outpatientfrom % of charges	3	$207	$207	$108	52%	—	$92 – $351
18	Oscar percent of total billed charges · outpatientfrom % of charges	3	$203	$203	$106	52%	—	$90 – $346
19	Excellus fee schedule · outpatient	2	$24	$25	$20	83%	—	$7 – $51
20	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
21	Bcbs Nc facility · fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76
22	Bcbs Nv fee schedule · outpatient	1	$75	$75	—	—	—	$75 – $75
23	Bcbs Vt professional · fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50