RC 969

Advance care planning discussion documented in medical record at MaineHealth

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

PR HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES

Biddeford, ME

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Pricing by billing methodology

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How this price compares nationally

MaineHealth’s median price of $106 is 55% above the median hospital's median price ($68), higher than 70% of the 237 hospitals reporting RC 969. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 969 at MaineHealth

Negotiated rates from the hospital’s own file: 7 payers, 12 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	$74	$74	$1	1%	—	$73 – $75
2	Anthem medicare advantage case rate · both	$75	$75	$1	1%	—	$74 – $76
3	Aetna medicare advantage case rate · both	$76	$76	$1	1%	—	$75 – $77
4	Humana medicare advantage case rate · both	$85	$85	$1	1%	—	$84 – $86
5	WellCare medicare advantage case rate · both	$85	$85	$1	1%	—	$84 – $86
6	Cigna oap percent of total billed charges · bothfrom % of charges	$104	$104	—	—	—	$104 – $104
7	Cigna ppo percent of total billed charges · bothfrom % of charges	$104	$104	—	—	—	$104 – $104
8	Aetna hmo fee schedule · both	$104	$104	$4	4%	—	$101 – $108
9	Aetna ppo fee schedule · both	$104	$104	$4	4%	—	$101 – $108
10	MultiPlan commercial fee schedule · both	$145	$145	$2	1%	—	$143 – $146
11	UnitedHealthcare commercial fee schedule · both	$152	$152	$2	1%	—	$151 – $154
12	Anthem hmo/pos/ppo/pathway enhanced fee schedule · both	$163	$163	$5	3%	—	$158 – $168

Last updated: Sep 9, 2025

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See Advance care planning discussion documented in medical record pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.