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
ADMINISTRATION OF A STANDARDIZED, EVIDENCE-BASED ASSESSMENT OF PHYSICAL ACTIVITY AND NUTRITION, 5-15 MINUTES, NOT MORE OFTEN THAN EVERY 6 MONTHS
Custer, SD
See all hospitals reporting HCPCS G0136 →Price type
Monument Health Network Inc’s median price of $52 is 47% above the median hospital's median price ($35), higher than 82% of the 904 hospitals reporting HCPCS G0136. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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 | Medica medica mcr adv fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Wellmark bcbs wellmark mcr adv fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Medica medica mcr adv percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Wellmark bcbs wellmark mcr adv percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Medica medica mcaid percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Wellmark bcbs wellmark - all other plans percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 8 | Aetna aetna - all plans percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 9 | MultiPlan multiplan/phcs - all plans percent of total billed charges · outpatientfrom % of charges | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Medica medica commercial - all other plans percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 11 | UnitedHealthcare uhc - all other plans percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 12 | Humana humana commercial - all plans percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
Last updated: Sep 1, 2026
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