HCPCS G0316
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 the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes)
Current codeHospital E&M - Subsequent5 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Kadlec Regional Medical Center | $51.63 | — | — |
| Legacy Salmon Creek Medical Center | — | $57.85 | $89.00 |
| Providence St Joseph Hospital | — | $81.90 | $117 |
| Seattle Children's Hospital | $30.48 – $89.60 | — | $112 |
| WhidbeyHealth Medical Center | — | $39.00 | $39.00 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Doctor's fee, Seattle (King County)
- $38.33 in an office; $29.72 in a hospital or surgery center
- Doctor's fee, rest of Washington
- $35.28 in an office; $27.89 in a hospital or surgery center