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
$1
Average
$91
Median
$72
High
$525
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 3.5× 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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36 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 2 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 3 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 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 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $525 | $525 | — | — | — | $525 – $525 |
| 10 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 12 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 13 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 14 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 17 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 18 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 19 | Mount Carmel St Ann's Lewis Center, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 20 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 21 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 22 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 23 | ST HELENA HOSPITAL Vallejo, CA fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 24 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 25 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting HCPCS G0316 · Snapshot 20261111T120946Z-9134e7f7