Outpatient substance use treatment services

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ambulatory setting substance

Payers reporting HCPCS S9475

Payer pricing summary

Low

Average

$570

Median

$290

High

$6.5k

Payer rate distribution

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#
1	Molina facility · case rate · outpatient · +4 other terms	29	$221	$297	$169	57%	—	$83 – $750
2	Aetna fee schedule · outpatient · +10 other terms	24	$84	$231	$234	101%	—	$63 – $715
3	UnitedHealthcare facility · case rate · outpatient · +7 other terms	17	$144	$193	$103	53%	—	$83 – $422
4	Anthem facility · case rate · outpatient · +6 other terms	15	$136	$148	$36	24%	—	$81 – $230
5	Caresource facility · case rate · outpatient · +1 other terms	15	$138	$148	$35	24%	—	$81 – $235
6	Optum facility · case rate · outpatient · +1 other terms	13	$131	$175	$86	49%	—	$115 – $364
7	Wellmark fee schedule · both · +1 other terms	13	$78	$78	—	—	—	$78 – $78
8	Cigna professional · fee schedule · outpatient · +5 other terms	9	$90	$322	$464	144%	—	$90 – $1.3k
9	Humana fee schedule · outpatient · +4 other terms	9	$63	$367	$340	93%	—	$63 – $751
10	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$65	$65	—	—	—	$65 – $65
11	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$422	$427	$13	3%	—	$422 – $460
12	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	5	$2	$68	$193	284%	—	$0 – $700
13	First Health professional · fee schedule · both · +1 other terms	3	$73	$73	$3	5%	—	$70 – $76
14	Medicaid facility · case rate · outpatient	2	$383	$383	—	—	—	$383 – $383
15	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
16	Bcbs Nc facility · fee schedule · outpatient	1	$492	$492	—	—	—	$492 – $492
17	Bcbs Nj percent of total billed charges · outpatientfrom % of charges	1	$82	$82	$16	20%	—	$60 – $99
18	Bcbs Nv fee schedule · outpatient	1	$65	$65	—	—	—	$65 – $65
19	Bcbs Vt professional · fee schedule · outpatient	1	$63	$63	—	—	—	$63 – $63
20	Healthpartners facility · fee schedule · outpatient	1	$6.5k	$6.5k	—	—	—	$6.5k – $6.5k
21	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$922	$922	$165	18%	—	$757 – $1.1k
22	WellCare facility · case rate · outpatient	1	$383	$383	—	—	—	$383 – $383