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
$83
Median
$70
High
$305
Each hospital's average First Health rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 6.9× 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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91 hospital rates
iThe hospitals that file a First Health 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 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 2 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $32 | $32 | $1 | 2% | — | $31 – $33 |
| 3 | CASTLE MEDICAL CENTER Kailua, HI percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 7 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 9 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $32 | $32 | $1 | 2% | — | $31 – $33 |
| 10 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 16 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 17 | Fisher-Titus Medical Center Norwalk, OH professional · fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 18 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 19 | Fisher-Titus Medical Center Norwalk, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 20 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · both | 1 | $92 | $64 | $42 | 66% | — | $4 – $96 |
| 21 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 22 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $305 | $305 | — | — | — | $305 – $305 |
| 23 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 24 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · inpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 25 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
← Payers reporting HCPCS G0316 · Snapshot 20261111T120946Z-9134e7f7