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
$13
Average
$190
Median
$158
High
$435
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
80 hospitals; the 90th percentile is 9.2× 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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106 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 2 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 2 | $712 | $435 | $360 | 83% | — | $19 – $780 |
| 4 | AnMed Health Anderson, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $62 | $62 | $4 | 7% | — | $58 – $66 |
| 5 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $62 | $4 | 7% | — | $58 – $66 |
| 6 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $62 | $62 | $4 | 7% | — | $58 – $66 |
| 7 | AnMed Health Cannon Pickens, SC professional · percent of total billed charges · outpatientfrom % of charges | 2 | $62 | $62 | $4 | 7% | — | $58 – $66 |
| 8 | AnMed Piedmont Piedmont, SC professional · percent of total billed charges · inpatientfrom % of charges | 2 | $62 | $62 | $4 | 7% | — | $58 – $66 |
| 9 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 10 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $293 | $293 | — | — | — | $293 – $293 |
| 11 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 6 | $222 | $225 | $56 | 25% | — | $167 – $310 |
| 12 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 13 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 2 | $712 | $435 | $360 | 83% | — | $19 – $780 |
| 15 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 16 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 20 | COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient | 1 | $426 | $426 | — | — | — | $426 – $426 |
| 21 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 22 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 23 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 24 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 25 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA case rate · outpatient | 1 | $221 | $221 | — | — | — | $221 – $221 |
← Payers reporting HCPCS S9152 · Snapshot 20261111T120946Z-9134e7f7