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.
Original text from hospital filings
Prolong Inpt Eval Add15 M
Low
$0
Average
$65
Median
$42
High
$841
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
220 hospitals; the 90th percentile is 4.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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287 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · inpatient | 2 | $60 | $60 | $22 | 37% | 1–10 | $38 – $82 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 3 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 4 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 5 | ALBANY GENERAL HOSPITAL Albany, OR professional · percent of total billed charges · outpatientfrom % of charges | 2 | $75 | $75 | — | — | — | $75 – $75 |
| 6 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 3 | $72 | $73 | $2 | 3% | — | $71 – $76 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 8 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 9 | Blessing Hospital Quincy, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 10 | Blessing Hospital Quincy, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 11 | Blessing Hospital Quincy, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 12 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 13 | Boulder Community Health Lafayette, CO professional · percent of total billed charges · bothfrom % of charges | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 14 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · outpatient | 2 | $55 | $55 | $24 | 44% | — | $31 – $79 |
| 15 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 18 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 22 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 2 | $36 | $36 | — | — | — | $36 – $36 |
| 23 | COMMONSPIRIT KANSAS, INC. Dodge City, KS fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 24 | COMMONSPIRIT KANSAS, INC. Garden City, KS fee schedule · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 25 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $42 | $42 | $15 | 36% | — | $26 – $56 |
← Payers reporting HCPCS G0316 · Snapshot 20261111T120946Z-9134e7f7