HOME ENVIRONMENT ASSESSMENT

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.

Generation details were not recorded for this description.

Original text from hospital filings

Home environment assessment

Anthem pricing summary

Low

$10

Average

$32

Median

$12

High

$296

Anthem rate distribution

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28 hospital rates

#		Plans
1	Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
2	Carmel AmbSurg Carmel, IN fee schedule · both	3	$17	$17	—	—	—	$17 – $17
3	Carmel AmbSurg Carmel, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10
4	Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
5	Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
6	Endo Surgery Center Carmel, IN fee schedule · both	3	$17	$17	—	—	—	$17 – $17
7	Endo Surgery Center Carmel, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10
8	Little Company of Mary Hospital of Indiana Inc Jasper, IN professional · fee schedule · both	1	$296	$296	$278	94%	—	$18 – $574
9	Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
10	Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
11	Mercy Hospital Portland, ME professional · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
12	Naab Road Surgery Center Indianapolis, IN fee schedule · both	3	$17	$17	—	—	—	$17 – $17
13	Naab Road Surgery Center Indianapolis, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10
14	Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30
15	Sebasticook Valley Health Pittsfield, ME professional · fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
16	St. Joseph Hospital & Health Center, Inc. Kokomo, IN fee schedule · both	3	$251	$251	$234	93%	—	$17 – $485
17	St. Joseph Hospital & Health Center, Inc. Kokomo, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10
18	St. Vincent Carmel Hospital, Inc. Carmel, IN fee schedule · both	3	$17	$17	—	—	—	$17 – $17
19	St. Vincent Carmel Hospital, Inc. Carmel, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10
20	St. Vincent Fishers Hospital, Inc. Fishers, IN fee schedule · both	3	$17	$17	—	—	—	$17 – $17
21	St. Vincent Fishers Hospital, Inc. Fishers, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10
22	St. Vincent Jennings Hospital, Inc. Vernon, IN fee schedule · both	3	$17	$17	—	—	—	$17 – $17
23	St. Vincent Jennings Hospital, Inc. Vernon, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10
24	St. Vincent Madison County Health System, Inc. Elwood, IN fee schedule · both	3	$17	$17	—	—	—	$17 – $17
25	St. Vincent Madison County Health System, Inc. Elwood, IN fee schedule · outpatient	8	$10	$10	—	—	—	$10 – $10

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HCPCS T1028