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
ST RE-EVALUATION 15
Glendale, CA
See all hospitals reporting HCPCS S9152 →Price type
Dignity Community Care’s median price of $260 is 108% above the median hospital's median price ($125), higher than 82% of the 292 hospitals reporting HCPCS S9152. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Kaiser commercial|all plans fee schedule · inpatient | $208 | $218 | $98 | 45% | — | $104 – $342 |
| 2 | Kaiser commercial|all plans fee schedule · outpatient | $208 | $218 | $98 | 45% | — | $104 – $342 |
| 3 | Blue Cross Blue Shield commercial|magellan fee schedule · inpatient | $223 | $233 | $105 | 45% | — | $111 – $367 |
| 4 | Blue Cross Blue Shield commercial|magellan fee schedule · outpatient | $223 | $233 | $105 | 45% | — | $111 – $367 |
| 5 | First Health commercial|all plans fee schedule · inpatient | $241 | $253 | $113 | 45% | — | $120 – $397 |
| 6 | First Health commercial|all plans fee schedule · outpatient | $241 | $253 | $113 | 45% | — | $120 – $397 |
| 7 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $366 | $306 | $85 | 28% | — | $185 – $366 |
| 8 | MultiPlan commercial|all plans fee schedule · inpatient | $297 | $311 | $140 | 45% | — | $148 – $489 |
| 9 | MultiPlan commercial|all plans fee schedule · outpatient | $297 | $311 | $140 | 45% | — | $148 – $489 |
| 10 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $371 | $335 | $111 | 33% | — | $185 – $449 |
| 11 | UnitedHealthcare commercial|ppo fee schedule · outpatient | $371 | $344 | $120 | 35% | — | $185 – $476 |
| 12 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $371 | $357 | $135 | 38% | — | $185 – $514 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $371 | $359 | $137 | 38% | — | $185 – $520 |
| 14 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $412 | $412 | — | — | — | $412 – $412 |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $570 | $570 | — | — | — | $570 – $570 |
| 16 | Cigna commercial|ppo fee schedule · outpatient | $570 | $570 | — | — | — | $570 – $570 |
Last updated: Feb 28, 2026
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