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
$14
Average
$32
Median
$31
High
$72
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
133 hospitals; the 90th percentile is 1.4× 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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174 hospital rates
iThe hospitals that file a WellCare 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 | Samaritan Hospital Troy, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 2 | St Peters Hospital Albany, NY professional · percent of total billed charges · inpatientfrom % of charges | 1 | $78 | $78 | — | — | 1–10 | $78 – $78 |
| 3 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $36 | $36 | $1 | 2% | — | $36 – $37 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $29 | $29 | $1 | 2% | — | $29 – $30 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 6 | Blue Hill Memorial Hospital Hill, ME facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $29 | $29 | $1 | 2% | — | $29 – $30 |
| 8 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · inpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 9 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 10 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 11 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 12 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 2 | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 2 | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 16 | Charles A. Dean Memorial Hospital Greenville, ME facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 17 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $29 | $29 | $1 | 2% | — | $29 – $30 |
| 18 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $29 | $29 | $1 | 2% | — | $28 – $30 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 23 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $28 | $19 | $13 | 71% | — | $0 – $28 |
| 24 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $28 | $20 | $14 | 72% | — | $0 – $36 |
| 25 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $28 | $18 | $13 | 71% | — | $0 – $28 |
← Payers reporting HCPCS G0316 · Snapshot 20261111T120946Z-9134e7f7