Prolonged inpatient evaluation, additional 15 minutes

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

Prolong Inpt Eval Add15 M

Payers reporting HCPCS G0316

Payer pricing summary

Low

Average

$55

Median

$52

High

$118

Payer rate distribution

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#
1	Ucare professional · fee schedule · outpatient · +12 other terms	27	$28	$29	$6	20%	63	$18 – $47
2	Optum professional · fee schedule · outpatient · +11 other terms	38	$30	$30	$4	14%	35–44	$22 – $36
3	Medica professional · fee schedule · outpatient · +15 other terms	31	$32	$34	$7	22%	13	$25 – $62
4	Medicare professional · fee schedule · outpatient · +9 other terms	19	$28	$29	$3	10%	2–20	$26 – $35
5	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	116	$97	$105	$55	52%	—	$0 – $525
6	UnitedHealthcare fee schedule · outpatient · +26 other terms	90	$31	$40	$28	71%	—	$1 – $387
7	Aetna fee schedule · outpatient · +24 other terms	87	$31	$38	$35	92%	—	$17 – $359
8	Humana fee schedule · outpatient · +23 other terms	68	$30	$52	$90	173%	—	$26 – $477
9	Molina professional · fee schedule · outpatient · +15 other terms	49	$30	$30	$4	13%	—	$18 – $51
10	Anthem fee schedule · outpatient · +17 other terms	44	$104	$131	$90	69%	—	$29 – $368
11	Regence professional · fee schedule · outpatient · +8 other terms	39	$37	$47	$20	43%	—	$26 – $99
12	WellCare professional · fee schedule · outpatient · +17 other terms	37	$29	$30	$3	12%	—	$18 – $36
13	Cigna professional · fee schedule · outpatient · +19 other terms	34	$28	$33	$12	36%	—	$18 – $79
14	Bcbs Tx fee schedule · outpatient	30	$129	$118	$43	37%	—	$38 – $218
15	Kaiser fee schedule · outpatient · +14 other terms	30	$31	$35	$12	35%	—	$27 – $75
16	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +4 other terms	24	$126	$110	$42	38%	—	$38 – $164
17	Tricare professional · fee schedule · outpatient · +10 other terms	24	$29	$29	$2	5%	—	$24 – $31
18	Devoted fee schedule · outpatient · +11 other terms	22	$31	$31	$1	4%	—	$29 – $35
19	Caresource facility · case rate · outpatient · +12 other terms	20	$60	$60	$16	27%	—	$29 – $100
20	Highmark professional · fee schedule · outpatient · +11 other terms	17	$37	$37	$12	32%	—	$18 – $60
21	Clover professional · fee schedule · outpatient · +7 other terms	16	$28	$29	$3	10%	—	$26 – $35
22	Oscar professional · fee schedule · outpatient · +10 other terms	16	$28	$31	$6	19%	—	$26 – $44
23	Wellmark fee schedule · both · +11 other terms	16	$41	$41	$8	19%	—	$29 – $52
24	Carefirst professional · fee schedule · inpatient · +5 other terms	15	$40	$38	$11	28%	—	$15 – $51
25	Medicaid fee schedule · outpatient · +5 other terms	15	$75	$126	$158	125%	—	$1 – $525

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