Non-emergency ride to medical appointment

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

N-et; encounter/trip

Payers reporting HCPCS T2003

Payer pricing summary

Low

Average

$32

Median

$20

High

$111

Payer rate distribution

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Filter by billing class

#
1	Aetna fee schedule · outpatient · +9 other terms	27	$20	$32	$25	77%	—	$8 – $78
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	27	$45	$61	$21	35%	—	$24 – $80
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms	13	$12	$29	$36	123%	—	$0 – $100
4	Cigna facility · fee schedule · outpatient · +7 other terms	13	$0	$6	$22	405%	—	$0 – $103
5	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$36	$27	$16	57%	—	$12 – $46
6	MultiPlan fee schedule · outpatient · +4 other terms	12	$89	$89	—	—	—	$89 – $89
7	Highmark fee schedule · outpatient	9	$69	$69	—	—	—	$69 – $69
8	Medica fee schedule · both · +3 other terms	9	$14	$14	—	—	—	$14 – $14
9	Ucare fee schedule · both · +1 other terms	9	$15	$15	$1	5%	—	$14 – $16
10	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$8	$8	—	—	—	$8 – $8
11	Humana fee schedule · inpatient · +2 other terms	5	$8	$8	—	—	—	$8 – $8
12	First Health professional · fee schedule · both · +3 other terms	3	$9	$9	—	—	—	$9 – $9
13	Molina facility · fee schedule · outpatient	3	$100	$111	$16	14%	—	$100 – $134
14	Amerihealth Caritas professional · fee schedule · outpatient	2	$9	$9	$4	49%	—	$3 – $12
15	Anthem facility · fee schedule · outpatient · +4 other terms	2	$7	$7	$7	100%	—	$0 – $14
16	Optum facility · fee schedule · outpatient	2	$22	$22	$0	2%	—	$21 – $22
17	Ambetter fee schedule · both	1	$5	$5	—	—	—	$5 – $5
18	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
19	Bcbs Vt professional · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
20	Healthpartners facility · fee schedule · both · +1 other terms	1	$33	$33	—	—	—	$33 – $33