Removable one-sided denture, one-piece resin 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-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

REM UNILAT DENT 1 PC RESIN

Ukiah, CA

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How this price compares nationally

Ukiah Adventist Hospital’s median price of $455 is 21% below the median hospital's median price ($578), higher than 39% of the 168 hospitals reporting HCPCS D5286. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D5286 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	$231	$231	—	—	—	$231 – $231
2	Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges	$231	$231	—	—	—	$231 – $231
3	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$234	$234	—	—	—	$234 – $234
4	Blue Cross Blue Shield blue cross mcs-all other plans case rate · outpatient	$257	$257	—	—	—	$257 – $257
5	Blue Cross Blue Shield blue cross non-mcs case rate · outpatient	$257	$257	—	—	—	$257 – $257
6	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
7	Blue Cross Blue Shield tricare blue shield-all plans fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
8	Kaiser kaiser mcr adv fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
9	Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges	$403	$403	—	—	—	$403 – $403
10	Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges	$473	$473	—	—	—	$473 – $473
11	Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
12	MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
13	Kaiser kaiser medi-cal fee schedule · outpatient	$607	$607	—	—	—	$607 – $607
14	Medicaid medi-cal fee schedule · outpatient	$607	$607	—	—	—	$607 – $607

Last updated: May 24, 2026

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