APC 05821

Health and behavior assessment visit, level 1 at Hsa Pgh 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-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

BEHAV CHNG SMOKING > 10 MIN

Hialeah, FL

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Pricing by billing methodology

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How this price compares nationally

Hsa Pgh Llc’s median price of $39 is 4% above the median hospital's median price ($38), higher than 87% of the 164 hospitals reporting APC 05821. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 05821 at Hsa Pgh Llc

Negotiated rates from the hospital’s own file: 9 payers, 17 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	Molina molina managed medicaid facility · other · outpatient	$31	$31	—	—	—	$31 – $31
2	Humana humana medicare hmo facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
3	Humana humana medicare ppo facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
4	Medicare medicare facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
5	WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
6	Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
7	Devoted devoted health facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
8	UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
9	Molina molina medicare advantage program facility · fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
10	Cigna cigna healthsprings facility · fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
11	Molina molina marketplace program exchange facility · fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
12	Ambetter ambetter by sunshine hix facility · fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
13	Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
14	Cigna cigna individual family facility · fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
15	Cigna cigna surefit facility · fee schedule · outpatient	$131	$131	—	—	—	$131 – $131
16	Cigna cigna commercial facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
17	Cigna cigna localplus benefit facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152

Last updated: Sep 1, 2026

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