Transitional care visit within 2 days of discharge at Dukes Health System LLC

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

99496,25 TRANS CARE MGMT 7 DAY DISCH

Peru, IN

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Pricing by billing methodology

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How this price compares nationally

Dukes Health System LLC’s median price of $224 is 20% above the median hospital's median price ($186), higher than 67% of the 1,604 hospitals reporting CPT 99496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99496 at Dukes Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Tricare node tricare facility · fee schedule · outpatient	$93	$93	$7	8%	—	$86 – $100
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$98	$98	$7	8%	—	$91 – $106
3	Humana node humana mcr adv facility · fee schedule · outpatient	$98	$98	$7	8%	—	$91 – $106
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$98	$98	$7	8%	—	$91 – $106
5	Anthem anthem in hip facility · fee schedule · outpatient	$100	$100	$8	8%	—	$92 – $108
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$100	$100	$8	8%	—	$92 – $108
7	Optum node united optum va ccn facility · per diem · outpatient	$100	$100	$8	8%	—	$92 – $108
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$100	$100	$8	8%	—	$93 – $108
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$100	$100	$8	8%	—	$93 – $108
10	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$150	$150	$11	8%	—	$139 – $161
11	Anthem anthem in work comp facility · other · outpatient	$160	$160	$12	8%	—	$148 – $172
12	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$180	$180	$14	8%	—	$166 – $194
13	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	$14	8%	—	$166 – $194
14	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$180	$180	$14	8%	—	$166 – $194
15	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$180	$180	$14	8%	—	$166 – $194
16	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$212	$212	$16	8%	—	$196 – $228
17	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$238	$238	$18	8%	—	$220 – $256
18	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$246	$246	$19	8%	—	$227 – $265
19	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$400	$400	$30	8%	—	$370 – $430
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$400	$400	$30	8%	—	$370 – $430
21	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$405	$405	$31	8%	—	$374 – $436
22	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$405	$405	$31	8%	—	$374 – $436
23	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$405	$405	$31	8%	—	$374 – $436
24	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$405	$405	$31	8%	—	$374 – $436
25	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$463	$463	—	—	—	$463 – $463

Page 1 of 2 · 28 rates

Last updated: Apr 1, 2026

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See Transitional care visit within 2 days of discharge pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.