Prolonged inpatient evaluation, additional 15 minutes at St Helena Hospital

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

PROLONGED HOSPITAL INPATIENT OR OBSERVATION CARE EVALUATION AND MANAGEMENT SERVICE(S) BEYOND THE TOTAL TIME FOR THE PRIMARY SERVICE (WHEN THE PRIMARY SERVICE HAS BEEN SELECTED USING TIME ON THE DATE OF THE PRIMARY SERVICE); EACH ADDITIONAL 15 MINUTES BY T

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $41 is 6% above the median hospital's median price ($39), higher than 52% of the 711 hospitals reporting HCPCS G0316. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0316 at St Helena Hospital

Negotiated rates from the hospital’s own file: 7 payers, 15 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	Blue Cross Blue Shield blue shield bh mcr adv fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
2	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
3	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
4	Kaiser kaiser mcr adv fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
5	Cigna cigna-all other plans percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
6	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
7	Kaiser kaiser-all other plans fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
8	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
9	UnitedHealthcare uhc jll fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
10	UnitedHealthcare uhc options ppo fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
11	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$41	$41	—	—	—	$41 – $41
12	Aetna aetna-all plans fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
13	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
14	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
15	Medicaid medi-cal fee schedule · outpatient	$65	$65	—	—	—	$65 – $65

Last updated: Jul 15, 2026

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