Initial Medicare preventive physical exam visit 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-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

INITIAL PREVENTIVE PHYSICAL EXAMINATION; FACE-TO-FACE VISIT, SERVICES LIMITED TO NEW BENEFICIARY DURING THE FIRST 12 MONTHS OF MEDICARE ENROLLMENT

Reedley, CA

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Pricing by billing methodology

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How this price compares nationally

Reedley Community Hospital’s median price of $193 is 27% above the median hospital's median price ($152), higher than 68% of the 1,491 hospitals reporting HCPCS G0402. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0402 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	UnitedHealthcare uhc mcr adv fee schedule · outpatient	$115	$115	—	—	—	$115 – $115
2	UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	—	$128 – $128
3	Blue Cross Blue Shield blue shield epn - all other plans fee schedule · outpatient	$134	$134	—	—	—	$134 – $134
4	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
5	UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	—	$135 – $135
6	Aetna aetna - all other plans fee schedule · outpatient	$140	$140	—	—	—	$140 – $140
7	Blue Cross Blue Shield blue shield non epn fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
8	Blue Cross Blue Shield blue cross exchange case rate · outpatient	$153	$153	$20	13%	—	$133 – $173
9	Kaiser kaiser - all other plans fee schedule · outpatient	$155	$155	—	—	—	$155 – $155
10	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
11	UnitedHealthcare uhc hmo fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
12	UnitedHealthcare uhc jll csp fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
13	Blue Cross Blue Shield blue cross mcs - all other plans case rate · outpatient	$170	$170	$22	13%	—	$148 – $193
14	Blue Cross Blue Shield blue cross non-mcs case rate · outpatient	$170	$170	$22	13%	—	$148 – $193
15	Blue Cross Blue Shield blue shield mcare other · outpatient	$171	$171	—	—	—	$171 – $171
16	Blue Cross Blue Shield tricare blue shield - all plans other · outpatient	$171	$171	—	—	—	$171 – $171
17	Kaiser kaiser mcr adv other · outpatient	$171	$171	—	—	—	$171 – $171
18	UnitedHealthcare uhc mcr adv other · outpatient	$171	$171	—	—	—	$171 – $171
19	Kaiser kaiser - all other plans percent of total billed charges · outpatientfrom % of charges	$184	$184	$24	13%	—	$160 – $208
20	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
21	Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
22	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$199	$199	$26	13%	—	$173 – $225
23	Aetna aetna - all other plans percent of total billed charges · outpatientfrom % of charges	$201	$201	$26	13%	—	$174 – $227
24	Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges	$208	$213	$45	21%	—	$160 – $270
25	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$230	$230	$30	13%	—	$200 – $260

Page 1 of 2 · 31 rates

Last updated: Aug 2, 2026

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