Monthly care coordination for multiple chronic conditions at Wheeling Hospital, Inc.

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

CHRONIC CARE MANAGEMENT SERVICES; FIRST 20 MINUTES OF CLINICAL STAFF TIME DIRECTED BY HEALTH CARE PROFESSIONAL; PER CALENDAR MONTH

Wheeling, WV

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Pricing by billing methodology

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How this price compares nationally

Wheeling Hospital, Inc.’s median price of $98 is 3% above the median hospital's median price ($95), higher than 55% of the 1,280 hospitals reporting CPT 99490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99490 at Wheeling Hospital, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 18 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 unison kids facility · fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
2	Aetna Better Health chip facility · fee schedule · outpatient	$32	$32	$6	19%	—	$26 – $38
3	Highmark chip facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
4	Highmark mgd mcaid facility · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
5	Aetna better health mgd medicaid facility · fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
6	Highmark highmark wholecare pennsylvania medicaid facility · other · outpatient	$64	$54	$17	31%	—	$25 – $64
7	Anthem anthem pathway facility · other · outpatient	$98	$83	$25	31%	—	$39 – $98
8	Caresource all plans facility · other · outpatient	$98	$83	$25	31%	—	$39 – $98
9	Molina all plans facility · other · outpatient	$98	$83	$25	31%	—	$39 – $98
10	Anthem hmo facility · other · outpatient	$101	$86	$26	31%	—	$40 – $101
11	Highmark all pla facility · other · outpatient	$101	$86	$26	31%	—	$40 – $101
12	Highmark all plans facility · other · outpatient	$102	$86	$26	31%	—	$41 – $102
13	Aetna all plans facility · other · outpatient	$103	$87	$27	31%	—	$41 – $103
14	Humana all plans facility · other · outpatient	$103	$87	$27	31%	—	$41 – $103
15	UnitedHealthcare all plans facility · other · outpatient	$107	$91	$28	31%	—	$43 – $107
16	Caresource caresource oh exchange facility · other · outpatient	$108	$91	$28	31%	—	$43 – $108
17	Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient	$414	$352	$108	31%	—	$166 – $414
18	Blue Cross Blue Shield blue cross blue shield traditional facility · other · outpatient	$414	$352	$108	31%	—	$166 – $414

Last updated: Jul 9, 2026

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