Clinic visit service

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

MEDICAID-RURAL VISIT

Payers reporting HCPCS T1015

Payer pricing summary

Low

Average

$133

Median

$100

High

$578

Payer rate distribution

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#
1	Bcbs Id facility · percent of total billed charges · outpatientfrom % of charges	1	$149	$149	—	—	1–10	$149 – $149
2	Aetna fee schedule · outpatient · +13 other terms	30	$61	$89	$95	106%	—	$35 – $614
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +10 other terms	21	$72	$145	$77	53%	—	$30 – $250
4	UnitedHealthcare facility · case rate · outpatient · +16 other terms	18	$67	$539	$384	71%	—	$44 – $887
5	Anthem facility · case rate · outpatient · +8 other terms	16	$64	$159	$271	170%	—	$42 – $1.1k
6	Molina facility · case rate · outpatient · +6 other terms	16	$64	$191	$295	154%	—	$44 – $987
7	Caresource facility · case rate · outpatient · +5 other terms	15	$63	$68	$16	23%	—	$42 – $108
8	Cigna facility · fee schedule · outpatient · +12 other terms	15	$3	$9	$22	248%	—	$1 – $103
9	Medcost percent of total billed charges · bothfrom % of charges · +2 other terms	13	$782	$782	$45	6%	—	$737 – $827
10	Wellmark fee schedule · both · +3 other terms	13	$32	$32	$4	11%	—	$32 – $54
11	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$133	$100	$57	57%	—	$42 – $166
12	Optum facility · case rate · outpatient · +4 other terms	11	$59	$64	$14	22%	—	$53 – $96
13	Highmark fee schedule · outpatient · +4 other terms	9	$52	$52	$3	7%	—	$48 – $55
14	Medica fee schedule · both · +2 other terms	9	$42	$42	—	—	—	$42 – $42
15	Ucare fee schedule · both · +1 other terms	9	$43	$43	$2	5%	—	$40 – $46
16	Aetna Better Health fee schedule · inpatient · +7 other terms	7	$63	$63	—	—	—	$63 – $63
17	Humana fee schedule · outpatient · +11 other terms	6	$61	$72	$33	46%	—	$26 – $148
18	First Health professional · fee schedule · both · +6 other terms	3	$68	$68	—	—	—	$68 – $68
19	Ambetter facility · fee schedule · outpatient · +3 other terms	2	$42	$42	$12	28%	—	$30 – $54
20	Amerihealth Caritas facility · fee schedule · outpatient · +4 other terms	2	$47	$47	$1	1%	—	$46 – $47
21	Bcbs Ca facility · percent of total billed charges · outpatientfrom % of charges	2	$47	$55	$29	53%	—	$22 – $93
22	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	2	$76	$75	$36	48%	—	$22 – $165
23	Devoted facility · fee schedule · outpatient · +3 other terms	2	$31	$31	$1	2%	—	$31 – $32
24	Excellus facility · case rate · outpatient · +2 other terms	2	$642	$642	$295	46%	—	$439 – $1.1k
25	Phcs facility · percent of total billed charges · bothfrom % of charges · +2 other terms	2	$296	$302	$18	6%	—	$277 – $315

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