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 inpt eval add15 m
Maple Grove, MN
See all hospitals reporting HCPCS G0316 →Price type
Fairview Maple Grove Surgery Center’s median price of $39 is about the same as the median hospital's median price ($39), higher than 50% 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: 5 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicare advantage fee schedule · both | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Blue Cross Blue Shield medicare advantage fee schedule · both | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Medica ma non-snp fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Medica ma snp fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 5 | Medica prime solution fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Medica vantage fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 7 | Cigna commercial fee schedule · both | $39 | $39 | $3 | 9% | — | $35 – $42 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 11 | Ucare ifp with fairview fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 12 | Ucare ifp fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 13 | Medica bold fee schedule · both | $89 | $89 | — | — | — | $89 – $89 |
| 14 | UnitedHealthcare commercial fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 15 | Medica choice without / elect fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $99 | $99 | — | — | — | $99 – $99 |
| 17 | Blue Cross Blue Shield federal fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 18 | Medica choice with fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 19 | Blue Cross Blue Shield commercial fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
Last updated: May 18, 2026
See Prolonged inpatient evaluation, additional 15 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.