Re-evaluation of an established patient, problem-focused visit at Ukiah Adventist 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

RE-EVAL,EST PT,PROBLEM FOCUS

Ukiah, CA

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Pricing by billing methodology

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How this price compares nationally

Ukiah Adventist Hospital’s median price of $110 is 23% below the median hospital's median price ($142), higher than 12% of the 713 hospitals reporting HCPCS D0170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D0170 at Ukiah Adventist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 14 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	$52	$52	—	—	—	$52 – $52
2	Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges	$52	$52	—	—	—	$52 – $52
3	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$53	$53	—	—	—	$53 – $53
4	Blue Cross Blue Shield blue cross mcs-all other plans case rate · outpatient	$58	$58	—	—	—	$58 – $58
5	Blue Cross Blue Shield blue cross non-mcs case rate · outpatient	$58	$58	—	—	—	$58 – $58
6	Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges	$91	$91	—	—	—	$91 – $91
7	Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
8	Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
9	MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges	$110	$110	—	—	—	$110 – $110
10	Kaiser kaiser medi-cal fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
11	Medicaid medi-cal fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
12	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
13	Blue Cross Blue Shield tricare blue shield-all plans fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
14	Kaiser kaiser mcr adv fee schedule · outpatient	$280	$280	—	—	—	$280 – $280

Last updated: May 24, 2026

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