Individual medical nutrition therapy, initial visit at UPMC East

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

TM NUTR THER INIT IND P/15M

Monroeville, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC East’s median price of $18 is 57% below the median hospital's median price ($42), higher than 1% of the 2,280 hospitals reporting CPT 97802. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97802 at UPMC East

Negotiated rates from the hospital’s own file: 5 payers, 32 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	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$11	$11	—	—	—	$11 – $11
2	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
3	UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
4	UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
5	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
6	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
7	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
8	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
9	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
10	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
11	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
12	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
13	UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
14	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
15	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
16	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
17	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
18	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
19	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
20	Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
21	Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
22	Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
23	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
24	UnitedHealthcare all business facility · percent of total billed charges · inpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
25	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23

Page 1 of 2 · 32 rates

Last updated: Mar 6, 2026

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