RC 432
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
OT RE-EVAL EST PLAN CARE
Low
$7
Average
$216
Median
$207
High
$531
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
209 hospitals; the 90th percentile is 3.8× 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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219 hospital rates
iThe hospitals that file a Cigna 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 | Novant Health Matthews Medical Center LLC Matthews, NC percent of total billed charges · outpatientfrom % of charges | 1 | $120 | $120 | $37 | 31% | 14–23 | $83 – $156 |
| 2 | Novant Health New Hanover Regional Medical Center LLC Wilmington, NC percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | $12 | 6% | 2–20 | $200 – $224 |
| 3 | Novant Health Rowan Medical Center LLC Salisbury, NC percent of total billed charges · outpatientfrom % of charges | 1 | $127 | $127 | $33 | 26% | 2–20 | $95 – $160 |
| 4 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 5 | Novant Health Ballantyne Medical Center LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 6 | Novant Health Mint Hill Medical Center, LLC Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 7 | The Presbyterian Hospital Charlotte, NC percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 8 | The Presbyterian Hospital Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | — | — | 1–10 | $156 – $156 |
| 9 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA case rate · outpatient | 2 | $125 | $125 | — | — | — | $125 – $125 |
| 10 | Amisub of South Carolina, Inc. Fort Mill, SC per diem · outpatient | 2 | $531 | $531 | $22 | 4% | — | $509 – $552 |
| 11 | Ascension Calumet Hospital, Inc. Chilton, WI per diem · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 12 | Ascension Cedar Park Park, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 13 | Ascension NE Wisconsin, Inc. Appleton, WI per diem · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 14 | Ascension NE Wisconsin, Inc. Oshkosh, WI per diem · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 15 | Ascension Providence Waco, TX per diem · outpatient | 1 | $169 | $169 | — | — | — | $169 – $169 |
| 16 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI per diem · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 17 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI per diem · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 18 | Ascension SE Wisconsin Hospital, Inc. Brookfield, WI per diem · outpatient | 1 | $345 | $345 | — | — | — | $345 – $345 |
| 19 | Ascension Seton Austin, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 20 | Ascension Seton Austin, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 21 | Ascension Seton Austin, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 22 | Ascension Seton Luling, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 23 | Ascension Seton Burnet, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 24 | Ascension Seton Smithville, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 25 | Ascension Seton Bastrop, TX per diem · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
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