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
$54
Average
$175
Median
$119
High
$622
Each hospital's average Humana rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 7.2× 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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59 hospital rates
iThe hospitals that file a Humana 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 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 2 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 6 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 7 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 8 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 9 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient | 1 | $397 | $397 | — | — | — | $397 – $397 |
| 12 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 14 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 15 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 1 | $453 | $453 | — | — | — | $453 – $453 |
| 16 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient | 1 | $427 | $427 | — | — | — | $427 – $427 |
| 17 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient | 1 | $427 | $427 | — | — | — | $427 – $427 |
| 18 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · inpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 19 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · outpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 20 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 21 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 22 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · other · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 23 | Nationwide Children's Hospital Columbus, OH facility · other · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 24 | Ochiltree General Hospital Perryton, TX fee schedule · outpatient | 1 | $116 | $116 | $40 | 34% | — | $76 – $155 |
| 25 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC fee schedule · both | 1 | $91 | $91 | — | — | — | $91 – $91 |
← Payers reporting HCPCS S9152 · Snapshot 20261111T120946Z-9134e7f7