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
HC St Re-Eval (Medicaid)
Low
$0
Average
$174
Median
$152
High
$820
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
78 hospitals; the 90th percentile is 11.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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91 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Lancaster General Health Lancaster, PA facility · other · outpatient | 2 | $254 | $236 | $170 | 72% | 2–20 | $43 – $405 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · case rate · outpatient | 4 | $185 | $240 | $89 | 37% | — | $154 – $347 |
| 3 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $237 | $237 | $155 | 65% | — | $82 – $392 |
| 4 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $284 | $209 | $106 | 51% | — | $59 – $284 |
| 5 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $284 | $209 | $106 | 51% | — | $59 – $284 |
| 6 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 7 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 4 | $13 | $12 | $1 | 9% | — | $10 – $13 |
| 8 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 4 | $13 | $12 | $1 | 9% | — | $10 – $13 |
| 9 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 4 | $11 | $12 | $1 | 12% | — | $10 – $13 |
| 10 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 4 | $11 | $12 | $1 | 12% | — | $10 – $13 |
| 11 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 4 | $13 | $12 | $1 | 9% | — | $10 – $13 |
| 12 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 6 | $211 | $165 | $89 | 54% | — | $40 – $243 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 14 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $425 | $425 | — | — | — | $425 – $425 |
| 15 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · case rate · outpatient | 3 | $286 | $242 | $62 | 26% | — | $154 – $286 |
| 16 | COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient | 4 | $284 | $287 | $25 | 9% | — | $257 – $324 |
| 17 | Corewell Health Farmington Hills Hospital Farmington Hills, MI facility · fee schedule · outpatient | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 18 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 19 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 20 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 21 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 22 | Cuero Regional Hospital Cuero, TX percent of total billed charges · inpatientfrom % of charges | 1 | $329 | $329 | — | — | — | $329 – $329 |
| 23 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $223 | $233 | $105 | 45% | — | $111 – $367 |
| 24 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 3 | $366 | $299 | $122 | 41% | — | $111 – $520 |
| 25 | Duncan Regional Hospital Duncan, OK case rate · outpatient | 5 | $223 | $255 | $47 | 18% | — | $211 – $332 |
← Payers reporting HCPCS S9152 · Snapshot 20261111T120946Z-9134e7f7