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.

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Original text from hospital filings

Home environment assessment

UnitedHealthcare pricing summary

Low

$92

Average

$117

Median

$120

High

$148

UnitedHealthcare rate distribution

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28 hospital rates

#		Plans
1	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	2	$120	$120	—	—	—	$120 – $120
2	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	2	$120	$120	—	—	—	$120 – $120
3	Carle BroMenn Medical Center Normal, IL fee schedule · inpatient	1	$92	$92	—	—	—	$92 – $92
4	Carle BroMenn Medical Center Normal, IL fee schedule · outpatient	1	$92	$92	—	—	—	$92 – $92
5	Carle Eureka Hospital Eureka, IL fee schedule · inpatient	1	$92	$92	—	—	—	$92 – $92
6	Carle Eureka Hospital Eureka, IL fee schedule · outpatient	1	$92	$92	—	—	—	$92 – $92
7	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN percent of total billed charges · bothfrom % of charges	2	$124	$124	$1	1%	—	$122 – $125
8	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN percent of total billed charges · bothfrom % of charges	12	$142	$148	$7	5%	—	$142 – $157
9	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN percent of total billed charges · bothfrom % of charges	10	$125	$124	$1	1%	—	$122 – $125
10	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN percent of total billed charges · bothfrom % of charges	3	$100	$100	$8	8%	—	$90 – $110
11	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN percent of total billed charges · bothfrom % of charges	2	$130	$130	$7	5%	—	$123 – $137
12	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN percent of total billed charges · bothfrom % of charges	2	$130	$130	$7	5%	—	$123 – $137
13	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN percent of total billed charges · bothfrom % of charges	2	$124	$124	$1	1%	—	$122 – $125
14	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	2	$120	$120	—	—	—	$120 – $120
15	JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient	2	$120	$120	—	—	—	$120 – $120
16	Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient	1	$92	$92	—	—	—	$92 – $92
17	Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient	1	$92	$92	—	—	—	$92 – $92
18	NYU Langone Hospital?Suffolk Patchogue, NY percent of total billed charges · bothfrom % of charges	3	$144	$144	—	—	—	$144 – $144
19	Pekin Memorial Hospital Pekin, IL fee schedule · inpatient	1	$92	$92	—	—	—	$92 – $92
20	Pekin Memorial Hospital Pekin, IL fee schedule · outpatient	1	$92	$92	—	—	—	$92 – $92
21	Proctor Community Hospital Peoria, IL fee schedule · inpatient	1	$92	$92	—	—	—	$92 – $92
22	Proctor Community Hospital Peoria, IL fee schedule · outpatient	1	$92	$92	—	—	—	$92 – $92
23	SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient	2	$120	$120	—	—	—	$120 – $120
24	WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA fee schedule · outpatient	2	$120	$120	—	—	—	$120 – $120
25	WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA fee schedule · outpatient	2	$120	$120	—	—	—	$120 – $120

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HCPCS T1028