Extended hospital care visit beyond standard time

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

Prolonged Inpatient or Observation Evaluation and Management Service(S) Time

Payers reporting CPT 99418

Payer pricing summary

Low

Average

$690

Median

$153

High

$7.3k

Payer rate distribution

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#
1	Optum professional · fee schedule · outpatient · +13 other terms	24	$30	$31	$4	12%	79–88	$23 – $37
2	Ucare professional · fee schedule · outpatient · +15 other terms	25	$25	$28	$7	26%	54	$19 – $59
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	162	$137	$317	$883	278%	—	$0 – $14.4k
4	UnitedHealthcare fee schedule · outpatient · +28 other terms	106	$39	$48	$18	37%	—	$1 – $100
5	Aetna fee schedule · outpatient · +24 other terms	95	$38	$354	$1.3k	366%	—	$25 – $8.4k
6	Humana fee schedule · outpatient · +24 other terms	84	$37	$56	$34	60%	—	$17 – $143
7	Cigna fee schedule · outpatient · +21 other terms	62	$49	$309	$767	248%	—	$34 – $3.1k
8	Anthem fee schedule · outpatient · +18 other terms	59	$38	$38	$2	4%	—	$34 – $42
9	Molina facility · case rate · outpatient · +20 other terms	54	$63	$8.6k	$7.0k	82%	—	$18 – $16.3k
10	WellCare facility · case rate · outpatient · +18 other terms	40	$12.8k	$10.7k	$6.8k	63%	—	$34 – $19.0k
11	Kaiser fee schedule · outpatient · +17 other terms	32	$38	$63	$58	93%	—	$33 – $352
12	Bcbs Tx fee schedule · outpatient	30	$166	$153	$56	37%	—	$49 – $281
13	Tricare professional · fee schedule · outpatient · +12 other terms	27	$36	$36	$2	7%	—	$29 – $39
14	Devoted fee schedule · outpatient · +11 other terms	22	$38	$37	$2	5%	—	$34 – $38
15	Medica fee schedule · outpatient · +15 other terms	22	$74	$101	$47	47%	—	$17 – $175
16	Caresource facility · case rate · outpatient · +12 other terms	21	$63	$1.5k	$5.0k	322%	—	$36 – $21.5k
17	Ambetter facility · case rate · outpatient · +15 other terms	18	$30.5k	$24.8k	$12.6k	51%	—	$41 – $34.6k
18	Medicare fee schedule · outpatient · +10 other terms	18	$34	$34	—	—	—	$34 – $34
19	Highmark professional · fee schedule · outpatient · +12 other terms	16	$40	$46	$20	44%	—	$19 – $80
20	Medicaid fee schedule · outpatient · +9 other terms	16	$127	$160	$123	77%	—	$1 – $525
21	Regence facility · case rate · outpatient · +10 other terms	16	$14.7k	$15.7k	$3.3k	21%	—	$12.5k – $26.9k
22	First Health professional · fee schedule · outpatient · +15 other terms	15	$25	$44	$35	80%	—	$19 – $123
23	Carefirst professional · fee schedule · inpatient · +7 other terms	14	$34	$42	$20	49%	—	$17 – $80
24	Wellmark fee schedule · both · +11 other terms	14	$55	$55	$1	2%	—	$48 – $55
25	Aetna Better Health fee schedule · outpatient · +11 other terms	13	$33	$34	$2	5%	—	$33 – $36

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