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
PR PROLONG INPT EVAL ADD15 M
Boulder, CO
See all hospitals reporting HCPCS G0316 →Price type
Boulder Community Health’s median price of $38 is 3% below the median hospital's median price ($39), higher than 47% of the 711 hospitals reporting HCPCS G0316. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem medicare advantage professional · fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Devoted medicare advantage professional · fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Humana medicare advantage professional · fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Anthem managed care facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $32 | $32 | $4 | 12% | — | $28 – $35 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Aetna ppo professional · fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 8 | Kaiser medicare advantage professional · fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Aetna medicare advantage facility · case rate · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 10 | Anthem medicare advantage facility · case rate · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 11 | Humana medicare advantage facility · case rate · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 12 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 13 | Kaiser medicare advantage facility · case rate · outpatient | $36 | $36 | $0 | 0% | — | $36 – $36 |
| 14 | Devoted medicare advantage facility · case rate · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 15 | Anthem commercial facility · fee schedule · outpatient | $30 | $39 | $19 | 49% | — | $27 – $80 |
| 16 | Anthem commercial professional · fee schedule · both | $38 | $41 | $6 | 14% | — | $38 – $51 |
| 17 | Kaiser commercial professional · fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 18 | MultiPlan commercial professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 19 | Phcs commercial professional · fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 20 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 21 | Aetna commercial professional · fee schedule · both | $49 | $49 | $15 | 31% | — | $34 – $64 |
| 22 | Anthem managed care professional · fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 23 | UnitedHealthcare commercial professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 24 | Kaiser commercial facility · case rate · outpatient | $77 | $77 | $9 | 12% | — | $68 – $87 |
| 25 | Kaiser managed care facility · case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Sep 16, 2026
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