Gum-ridge bone smoothing per jaw area at Willits Hospital Inc

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

Reshaping of tooth socket

Willits, CA

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Payers reporting CPT 41874 at Willits Hospital Inc

Negotiated rates from the hospital’s own file: 5 payers, 11 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	$192	$192	—	—	—	$192 – $192
2	Blue Cross Blue Shield blue shield mcare fee schedule · outpatient	$231	$231	—	—	—	$231 – $231
3	Blue Cross Blue Shield tricare blue shield - all plans fee schedule · outpatient	$231	$231	—	—	—	$231 – $231
4	UnitedHealthcare uhc mcr adv fee schedule · outpatient	$231	$231	—	—	—	$231 – $231
5	Aetna aetna - all plans fee schedule · outpatient	$243	$243	—	—	—	$243 – $243
6	Cigna cigna - all plans fee schedule · outpatient	$305	$305	—	—	—	$305 – $305
7	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$328	$328	—	—	—	$328 – $328
8	UnitedHealthcare uhc jll fee schedule · outpatient	$328	$328	—	—	—	$328 – $328
9	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$465	$465	—	—	—	$465 – $465
10	Blue Cross Blue Shield blue cross non mcs fee schedule · outpatient	$465	$465	—	—	—	$465 – $465
11	Blue Cross Blue Shield blue shield - all other plans fee schedule · outpatient	$515	$515	—	—	—	$515 – $515