Monthly care management for multiple chronic conditions at Reedley Community Hospital

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 for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month

Reedley, CA

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How this price compares nationally

Reedley Community Hospital’s median price of $129 is 34% above the median hospital's median price ($96), higher than 63% of the 805 hospitals reporting CPT 99491. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99491 at Reedley Community Hospital

Negotiated rates from the hospital’s own file: 5 payers, 13 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	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$96	$96	—	—	—	$96 – $96
2	Medicaid medi-cal fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
3	Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient	$106	$106	—	—	—	$106 – $106
4	Blue Cross Blue Shield blue cross non-mcs case rate · outpatient	$106	$106	—	—	—	$106 – $106
5	Kaiser kaiser - all other plans percent of total billed charges · outpatientfrom % of charges	$115	$115	—	—	—	$115 – $115
6	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
7	Aetna aetna - all other plans percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
8	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$144	$144	—	—	—	$144 – $144
9	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$150	$150	—	—	—	$150 – $150
10	Blue Cross Blue Shield blue shield mcare fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
11	Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
12	Kaiser kaiser mcr adv fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
13	Aetna aetna mcr adv fee schedule · outpatient	$619	$619	—	—	—	$619 – $619

Last updated: Aug 2, 2026

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