Prolonged home visit, additional 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 SERVICES HOME

Payers reporting HCPCS G0318

Payer pricing summary

Low

Average

$57

Median

$49

High

$193

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	69	$31	$38	$14	36%	1–10	$26 – $77
2	Blue Cross Blue Shield fee schedule · outpatient · +18 other terms	129	$127	$332	$956	288%	—	$0 – $14.4k
3	Aetna fee schedule · outpatient · +21 other terms	80	$30	$47	$47	100%	—	$20 – $353
4	Humana fee schedule · outpatient · +20 other terms	65	$30	$49	$73	150%	—	$26 – $385
5	Anthem fee schedule · outpatient · +15 other terms	45	$102	$128	$88	69%	—	$27 – $359
6	Molina professional · fee schedule · outpatient · +13 other terms	37	$30	$30	$2	7%	—	$22 – $40
7	Bcbs Tx fee schedule · outpatient	30	$126	$116	$42	37%	—	$37 – $213
8	Cigna fee schedule · outpatient · +18 other terms	27	$31	$35	$14	40%	—	$27 – $91
9	Kaiser fee schedule · outpatient · +11 other terms	26	$30	$30	$4	12%	—	$27 – $47
10	Optum professional · fee schedule · outpatient · +7 other terms	24	$32	$30	$5	16%	—	$21 – $35
11	WellCare professional · fee schedule · outpatient · +11 other terms	23	$29	$30	$3	9%	—	$24 – $35
12	Regence professional · fee schedule · outpatient · +6 other terms	22	$30	$31	$6	20%	—	$22 – $50
13	Devoted fee schedule · outpatient · +8 other terms	21	$31	$30	$1	3%	—	$29 – $31
14	Caresource facility · case rate · outpatient · +11 other terms	20	$60	$60	$16	27%	—	$29 – $100
15	Medicare fee schedule · outpatient · +8 other terms	19	$29	$28	$1	2%	—	$27 – $29
16	Medcost professional · percent of total billed charges · outpatientfrom % of charges · +1 other terms	16	$130	$131	$15	11%	—	$80 – $145
17	Medica professional · fee schedule · outpatient · +7 other terms	16	$35	$34	$6	19%	—	$22 – $56
18	Ucare professional · fee schedule · outpatient · +6 other terms	14	$29	$29	$5	16%	—	$22 – $38
19	Highmark fee schedule · outpatient · +10 other terms	13	$32	$33	$8	25%	—	$26 – $96
20	Wellmark fee schedule · both · +8 other terms	13	$40	$40	$8	19%	—	$28 – $49
21	Aetna Better Health fee schedule · outpatient · +5 other terms	12	$30	$30	$1	3%	—	$29 – $30
22	Ambetter facility · fee schedule · outpatient · +10 other terms	12	$59	$52	$11	21%	—	$30 – $59
23	Bcbs Nj fee schedule · outpatient	12	$23	$29	$11	37%	—	$20 – $54
24	Cigna Healthspring fee schedule · both · +2 other terms	12	$28	$28	$0	1%	—	$28 – $29
25	Medical Mutual facility · fee schedule · outpatient · +6 other terms	10	$33	$41	$9	21%	—	$33 – $52

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