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.
Original text from hospital filings
Acute nursing facility care
Biddeford, ME
See all hospitals reporting HCPCS G9685 →Price type
MaineHealth’s median price of $301 is 38% above the median hospital's median price ($218), higher than 69% of the 556 hospitals reporting HCPCS G9685. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 10 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 | UnitedHealthcare medicare advantage case rate · both | $177 | $177 | — | — | — | $177 – $177 |
| 2 | Anthem medicare advantage case rate · both | $178 | $178 | — | — | — | $178 – $178 |
| 3 | Aetna medicare advantage case rate · both | $180 | $180 | — | — | — | $180 – $180 |
| 4 | Humana medicare advantage case rate · both | $203 | $203 | — | — | — | $203 – $203 |
| 5 | WellCare medicare advantage case rate · both | $203 | $203 | — | — | — | $203 – $203 |
| 6 | Aetna hmo fee schedule · both | $258 | $258 | — | — | — | $258 – $258 |
| 7 | Aetna ppo fee schedule · both | $258 | $258 | — | — | — | $258 – $258 |
| 8 | MultiPlan commercial fee schedule · both | $344 | $344 | — | — | — | $344 – $344 |
| 9 | UnitedHealthcare commercial fee schedule · both | $363 | $363 | — | — | — | $363 – $363 |
| 10 | Anthem hmo/pos/ppo/pathway enhanced fee schedule · both | $403 | $403 | — | — | — | $403 – $403 |
Last updated: Sep 9, 2025
See Nursing facility acute change in condition visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.