Repair of muscle of stomach outlet into upper small bowel at Reedley Community Hospital

Reedley, CA

Pricing by billing methodology

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How this price compares nationally

Reedley Community Hospital’s median price of $956 is 66% below the median hospital's median price ($2.8k), higher than 22% of the 1,290 hospitals reporting CPT 43800. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 43800 at Reedley Community Hospital

Negotiated rates from the hospital’s own file: 6 payers, 31 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	Medicaid medi-cal fee schedule · outpatient	$527	$593	$116	19%	—	$497 – $756
2	Blue Cross Blue Shield blue shield mcare fee schedule · outpatient	$845	$845	—	—	—	$845 – $845
3	Blue Cross Blue Shield blue shield mcare other · outpatient	$845	$845	—	—	—	$845 – $845
4	Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient	$845	$845	—	—	—	$845 – $845
5	Blue Cross Blue Shield tricare blue shield - all plans other · outpatient	$845	$845	—	—	—	$845 – $845
6	Kaiser kaiser mcr adv other · outpatient	$845	$845	—	—	—	$845 – $845
7	UnitedHealthcare uhc mcr adv fee schedule · outpatient	$845	$845	—	—	—	$845 – $845
8	UnitedHealthcare uhc mcr adv other · outpatient	$845	$845	—	—	—	$845 – $845
9	Cigna cigna- all plans fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
10	Aetna aetna - all other plans fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
11	Kaiser kaiser - all other plans fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
12	Kaiser kaiser mcr adv fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
13	Blue Cross Blue Shield blue shield epn - all other plans fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
15	UnitedHealthcare uhc hmo fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	UnitedHealthcare uhc jll csp fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
17	Blue Cross Blue Shield blue shield non epn fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Aetna aetna mcr adv other · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Kaiser kaiser - all other plans percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
20	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
21	Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
23	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
24	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$2.0k	$2.0k	—	—	—	$2.0k – $2.0k
25	UnitedHealthcare uhc hmo case rate · outpatient	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k

Page 1 of 2 · 31 rates

Last updated: Aug 2, 2026

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