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 prev svcs, addl 30m
Low
$0
Average
$89
Median
$73
High
$227
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
49 payers; the 90th percentile is 2.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +14 other terms | 103 | $56 | $64 | $45 | 71% | — | $27 – $217 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +15 other terms | 102 | $195 | $219 | $84 | 38% | — | $0 – $432 |
| 3 | UnitedHealthcare fee schedule · outpatient · +20 other terms | 68 | $62 | $78 | $48 | 61% | — | $33 – $526 |
| 4 | Aetna fee schedule · outpatient · +17 other terms | 67 | $61 | $81 | $94 | 116% | — | $47 – $772 |
| 5 | Anthem fee schedule · outpatient · +10 other terms | 42 | $58 | $241 | $168 | 70% | — | $56 – $551 |
| 6 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $248 | $228 | $84 | 37% | — | $73 – $419 |
| 7 | Molina professional · fee schedule · outpatient · +10 other terms | 28 | $60 | $60 | $3 | 6% | — | $54 – $83 |
| 8 | Cigna fee schedule · outpatient · +14 other terms | 25 | $62 | $62 | $9 | 15% | — | $53 – $94 |
| 9 | Kaiser fee schedule · outpatient · +4 other terms | 25 | $57 | $59 | $3 | 5% | — | $53 – $62 |
| 10 | Devoted fee schedule · outpatient · +5 other terms | 21 | $62 | $59 | $3 | 5% | — | $56 – $62 |
| 11 | Regence professional · fee schedule · outpatient · +1 other terms | 21 | $60 | $65 | $17 | 26% | — | $58 – $156 |
| 12 | Caresource facility · case rate · outpatient · +8 other terms | 20 | $64 | $73 | $25 | 34% | — | $39 – $126 |
| 13 | Medicare fee schedule · outpatient · +3 other terms | 18 | $56 | $55 | $1 | 2% | — | $53 – $57 |
| 14 | WellCare fee schedule · both · +9 other terms | 18 | $55 | $64 | $12 | 20% | — | $45 – $100 |
| 15 | Highmark fee schedule · outpatient · +5 other terms | 13 | $63 | $66 | $18 | 28% | — | $51 – $207 |
| 16 | Wellmark fee schedule · both · +1 other terms | 13 | $83 | $82 | $18 | 22% | — | $55 – $103 |
| 17 | Aetna Better Health fee schedule · outpatient · +7 other terms | 12 | $50 | $53 | $4 | 8% | — | $50 – $58 |
| 18 | Bcbs Mn fee schedule · outpatient · +5 other terms | 12 | $274 | $174 | $152 | 87% | — | $0 – $343 |
| 19 | Cigna Healthspring fee schedule · both · +2 other terms | 12 | $55 | $55 | $1 | 1% | — | $55 – $57 |
| 20 | Optum facility · case rate · outpatient · +4 other terms | 12 | $55 | $60 | $12 | 20% | — | $49 – $89 |
| 21 | Ambetter facility · fee schedule · outpatient · +7 other terms | 11 | $113 | $104 | $16 | 16% | — | $61 – $113 |
| 22 | MultiPlan fee schedule · both · +9 other terms | 11 | $111 | $109 | $5 | 5% | — | $94 – $117 |
| 23 | Medica fee schedule · outpatient · +6 other terms | 10 | $205 | $203 | $58 | 28% | — | $91 – $265 |
| 24 | Medical Mutual facility · fee schedule · outpatient | 10 | $63 | $77 | $16 | 21% | — | $63 – $99 |
| 25 | Oscar fee schedule · outpatient · +3 other terms | 10 | $45 | $51 | $46 | 90% | — | $1 – $111 |
← Hospitals reporting HCPCS G0514 · Snapshot 20261112T124536Z-e251e855