Observation care, per hour

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

HC Observation Carve-Out - Surgical

Payers reporting HCPCS G0378

68 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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#
1	UnitedHealthcare case rate · outpatient · +29 other terms	265	$5,547	$6,524	$29.00 – $25,942
2	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	155	$109.92	$185.27	$1.00 – $2,238
3	Aetna facility · case rate · outpatient · +30 other terms	122	$3,560	$8,424	$88.96 – $22,169
4	Cigna case rate · outpatient · +27 other terms	102	$6,755	$8,409	$0.62 – $17,069
5	MultiPlan fee schedule · outpatient · +13 other terms	89	$143.78	$210.85	$1.00 – $1,809
6	Humana fee schedule · outpatient · +26 other terms	86	$144.09	$403.55	$1.10 – $12,772
7	Anthem facility · case rate · outpatient · +25 other terms	60	$3,008	$2,883	$231.00 – $20,016
8	Molina fee schedule · outpatient · +29 other terms	56	$88.18	$243.67	$1.05 – $1,039
9	Amerihealth Caritas facility · case rate · outpatient · +16 other terms	38	$1,500	$1,710	$625.99 – $2,882
10	Kaiser fee schedule · outpatient · +21 other terms	37	$204.79	$387.82	$1.15 – $2,688
11	First Health fee schedule · outpatient · +20 other terms	33	$181.20	$160.48	$40.30 – $501.83
12	Optum facility · case rate · outpatient · +15 other terms	33	$1,482	$507.76	$209.00 – $4,762
13	Highmark facility · fee schedule · outpatient · +17 other terms	31	$104.97	$374.31	$2.46 – $6,176
14	Medicaid fee schedule · outpatient · +13 other terms	30	$162.67	$251.86	$1.00 – $1,468
15	Medica fee schedule · outpatient · +16 other terms	29	$112.00	$243.22	$9.45 – $1,599
16	Phcs fee schedule · outpatient · +13 other terms	28	$41.85	$101.29	$26.46 – $558.93
17	Aetna Better Health fee schedule · outpatient · +15 other terms	27	$62.71	$605.15	$5.41 – $3,418
18	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	27	$84.77	$85.23	$36.67 – $361.02
19	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$96.41	$66.25	$17.07 – $104.22
20	Caresource fee schedule · outpatient · +14 other terms	26	$220.00	$717.88	$1.08 – $757.73
21	WellCare other · outpatient · +14 other terms	24	$387.60	$1,598	$11.25 – $5,555
22	Ambetter other · outpatient · +15 other terms	23	$509.89	$621.90	$11.36 – $5,555
23	Wellmark outpatient · +16 other terms	23	$2,061	$2,286	$721.87 – $5,870
24	Tricare facility · fee schedule · outpatient · +12 other terms	22	$288.57	$2,661	$39.49 – $50,000
25	Bcbs La fee schedule · outpatient · +4 other terms	20	$51.48	$51.56	$34.48 – $70.28

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