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
$24
Average
$52
Median
$49
High
$82
Each hospital's average Magellan rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 2.7× 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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25 hospital rates
iThe hospitals that file a Magellan 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 5 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 8 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 14 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 15 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 16 | St Peters Hospital Albany, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 17 | The Mercy Hospital Inc Springfield, MA professional · percent of total billed charges · inpatientfrom % of charges | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 18 | The Mercy Hospital Inc Springfield, MA professional · percent of total billed charges · outpatientfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 19 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · bothfrom % of charges | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 20 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · inpatientfrom % of charges | 1 | $82 | $82 | $1 | 1% | — | $81 – $83 |
| 21 | The University of Kansas Health System Great Bend Campus Bend, KS percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 22 | Vanderbilt Bedford Hospital Shelbyville, TN fee schedule · both | 1 | $49 | $49 | $7 | 14% | — | $42 – $56 |
| 23 | Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN fee schedule · both | 1 | $49 | $49 | $7 | 14% | — | $42 – $56 |
| 24 | Vanderbilt University Medical Center Nashville, TN fee schedule · both | 1 | $49 | $49 | $7 | 14% | — | $42 – $56 |
| 25 | Vanderbilt Wilson County Hospital Lebanon, TN fee schedule · both | 1 | $49 | $49 | $7 | 14% | — | $42 – $56 |
← Payers reporting HCPCS G0316 · Snapshot 20261111T120946Z-9134e7f7