Extended hospital care visit beyond standard time at Mount Carmel East

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

PR Prolong IP or Obs E&M Services Time W/WO Direct Pt Contact Ea 15 Mins

Columbus, OH

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Pricing by billing methodology

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How this price compares nationally

Mount Carmel East’s median price of $55 is 22% below the median hospital's median price ($70), higher than 40% of the 948 hospitals reporting CPT 99418. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99418 at Mount Carmel East

Negotiated rates from the hospital’s own file: 32 payers, 76 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	Aetna aetna medicare advantage professional · fee schedule · inpatient	$34	$34	—	—	—	$34 – $34
2	Aetna aetna medicare advantage professional · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	Humana tricare professional · fee schedule · inpatient	$37	$37	—	—	—	$37 – $37
4	Humana tricare professional · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
5	Tricare tricare professional · fee schedule · inpatient	$37	$37	—	—	—	$37 – $37
6	Tricare tricare professional · fee schedule · outpatient	$37	$37	—	—	—	$37 – $37
7	Humana humana professional · fee schedule · inpatient	$40	$40	—	—	—	$40 – $40
8	Humana humana professional · fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
9	Oscar oscar professional · fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
10	Humana choicecare humana ppo professional · fee schedule · inpatient	$45	$45	—	—	—	$45 – $45
11	Humana choicecare humana ppo professional · fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
12	Phcs multiplan phcs professional · fee schedule · inpatient	$46	$46	—	—	—	$46 – $46
13	Phcs multiplan phcs professional · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
14	Oscar oscar professional · fee schedule · inpatient	$48	$48	—	—	—	$48 – $48
15	Cigna cigna professional · fee schedule · inpatient	$53	$53	—	—	—	$53 – $53
16	Cigna cigna professional · fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
17	Aetna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
18	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
19	Anthem pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
20	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
21	Carefirst pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
22	Caresource pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
23	Cigna pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
24	Clover pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55
25	Devoted pb xr 100% default professional · percent of total billed charges · inpatientfrom % of charges	$55	$55	—	—	—	$55 – $55

Page 1 of 4 · 76 rates

Last updated: Mar 31, 2026

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