Prolonged nursing facility evaluation, 15 minutes

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PROLONGED NURSING FACILITY

Payers reporting HCPCS G0317

Payer pricing summary

Low

Average

$55

Median

$44

High

$195

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	132	$116	$305	$922	302%	—	$0 – $14.4k
2	Aetna fee schedule · outpatient · +22 other terms	88	$30	$48	$46	96%	—	$21 – $359
3	UnitedHealthcare fee schedule · outpatient · +23 other terms	78	$31	$39	$13	33%	—	$26 – $79
4	Humana fee schedule · outpatient · +22 other terms	66	$30	$51	$89	173%	—	$26 – $470
5	Anthem fee schedule · outpatient · +15 other terms	46	$103	$128	$89	70%	—	$27 – $363
6	Cigna fee schedule · both · +16 other terms	35	$56	$52	$35	67%	—	$23 – $152
7	Molina professional · fee schedule · outpatient · +13 other terms	35	$30	$30	$2	6%	—	$23 – $34
8	Bcbs Tx fee schedule · outpatient	30	$129	$118	$43	37%	—	$38 – $218
9	Kaiser fee schedule · outpatient · +9 other terms	30	$31	$37	$14	39%	—	$27 – $77
10	MultiPlan fee schedule · both · +12 other terms	23	$58	$57	$2	4%	—	$48 – $58
11	Optum professional · fee schedule · outpatient · +6 other terms	23	$29	$28	$4	14%	—	$22 – $35
12	Devoted fee schedule · outpatient · +4 other terms	21	$31	$30	$1	3%	—	$29 – $31
13	WellCare professional · fee schedule · both · +13 other terms	21	$26	$21	$13	61%	—	$0 – $46
14	Ambetter fee schedule · both · +9 other terms	20	$49	$44	$11	24%	—	$28 – $60
15	Caresource facility · case rate · outpatient · +8 other terms	20	$60	$59	$16	27%	—	$29 – $100
16	Regence professional · fee schedule · outpatient · +4 other terms	20	$30	$31	$3	11%	—	$30 – $47
17	Medicare fee schedule · outpatient · +8 other terms	19	$29	$28	$1	2%	—	$27 – $29
18	Medica professional · fee schedule · outpatient · +8 other terms	15	$32	$32	$7	20%	—	$23 – $57
19	Medcost fee schedule · both · +2 other terms	13	$52	$52	—	—	—	$52 – $52
20	Tricare fee schedule · both · +7 other terms	13	$28	$28	$1	3%	—	$28 – $29
21	Ucare professional · fee schedule · outpatient · +6 other terms	13	$26	$26	$5	20%	—	$18 – $38
22	Wellmark fee schedule · both · +6 other terms	13	$41	$40	$8	19%	—	$28 – $50
23	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$31	$30	$1	3%	—	$29 – $31
24	Bcbs Nj fee schedule · outpatient	12	$24	$30	$11	37%	—	$20 – $55
25	Cigna Healthspring fee schedule · both · +2 other terms	12	$28	$28	$0	1%	—	$28 – $29

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