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
$58
Average
$311
Median
$239
High
$622
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 3.2× 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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35 hospital rates
iThe hospitals that file a MultiPlan 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 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 2 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 3 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 4 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 5 | Covenant Medical Center Inc Saginaw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 6 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · inpatient | 1 | $297 | $311 | $140 | 45% | — | $148 – $489 |
| 7 | DIGNITY COMMUNITY CARE Glendale, CA fee schedule · outpatient | 1 | $297 | $311 | $140 | 45% | — | $148 – $489 |
| 8 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 9 | Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 10 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 11 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · inpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 12 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX fee schedule · outpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 13 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · inpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 14 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX fee schedule · outpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 15 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · inpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 16 | MEMORIAL MEDICAL CENTER SAN AUGUSTINE San Augustine, TX fee schedule · outpatient | 1 | $622 | $622 | — | — | — | $622 – $622 |
| 17 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 18 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 19 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 20 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 21 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 22 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 23 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 24 | PRISMA HEALTH LAURENS COUNTY HOSPITAL CLINTON, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 25 | PRISMA HEALTH NORTH GREENVILLE LTACH HOSPITAL TRAVELERS REST, SC percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
← Payers reporting HCPCS S9152 · Snapshot 20261111T120946Z-9134e7f7