Extended inpatient or observation care, first hour

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

PRO IP PROLONG SVC 1ST HR

Payers reporting CPT 99356

Payer pricing summary

Low

$72

Average

$1.2k

Median

$188

High

$33.5k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +12 other terms	46	$654	$803	$1.2k	148%	—	$91 – $8.3k
2	UnitedHealthcare fee schedule · both · +14 other terms	34	$69	$73	$47	64%	—	$15 – $219
3	Anthem fee schedule · both · +9 other terms	26	$65	$79	$35	45%	—	$65 – $183
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	25	$273	$340	$187	55%	—	$54 – $620
5	Caresource facility · case rate · outpatient · +3 other terms	15	$59	$63	$14	23%	—	$39 – $100
6	Molina facility · case rate · outpatient · +3 other terms	15	$58	$63	$15	23%	—	$40 – $98
7	Wellmark fee schedule · both · +2 other terms	13	$147	$147	—	—	—	$147 – $147
8	Amerihealth Caritas fee schedule · both · +1 other terms	12	$76	$76	—	—	—	$76 – $76
9	WellCare fee schedule · both · +3 other terms	12	$76	$76	$0	0%	—	$75 – $76
10	Cigna fee schedule · both · +17 other terms	11	$139	$154	$95	62%	—	$94 – $421
11	Optum facility · case rate · outpatient · +1 other terms	11	$54	$60	$13	22%	—	$49 – $89
12	Aetna fee schedule · outpatient · +17 other terms	8	$365	$2.6k	$2.8k	108%	—	$98 – $8.4k
13	Bcbs Mn fee schedule · outpatient · +1 other terms	7	$157	$158	$53	33%	—	$81 – $196
14	First Health fee schedule · both · +9 other terms	6	$104	$123	$43	35%	—	$104 – $219
15	Ambetter fee schedule · both · +7 other terms	5	$164	$165	$10	6%	—	$155 – $219
16	Phcs fee schedule · both · +6 other terms	4	$230	$230	—	—	—	$230 – $230
17	Bcbs Tx facility · fee schedule · outpatient · +1 other terms	3	$324	$324	$8	2%	—	$313 – $329
18	Medcost professional · fee schedule · inpatient · +3 other terms	3	$148	$148	—	—	—	$148 – $148
19	Aetna Better Health fee schedule · inpatient	2	$338	$338	—	—	—	$338 – $338
20	Bcbs Vt professional · fee schedule · outpatient	2	$169	$215	$108	51%	—	$92 – $372
21	Kaiser fee schedule · both · +3 other terms	2	$186	$186	—	—	—	$186 – $186
22	MultiPlan fee schedule · both · +8 other terms	2	$88	$88	$88	99%	—	$1 – $176
23	Bcbs Ca facility · fee schedule · outpatient · +3 other terms	1	$61	$61	—	—	—	$61 – $61
24	Bcbs Wy fee schedule · both	1	$119	$119	—	—	—	$119 – $119
25	Beechstreet professional · other · both	1	$149	$149	—	—	—	$149 – $149

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