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HCPCS H0004

HC ALCOHOL/DRUG SERVICES C&T PER 15 MINS

Reported by 118 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$2

Average

$111

Median

$50

High

$695

Hospitals reporting this code

#HospitalLocation
1Trinity Medical CenterRock Island, IL$13$20$20$25$4
2Trinity Medical CenterBettendorf, IA$13$23$20$25$4
3Unity HealthcareMuscatine, IA$11$17$18$26$5
4The Mount Sinai HospitalNew York, NY$20$20$20$20—
5Ukiah Adventist HospitalUkiah, CA$9$18$26$66$20
6Adventist Health Medical Center TehachapiTehachapi, CA$10$18$24$76$22
7Sonora Community HospitalSonora, CA$11$21$27$77$18
8Reedley Community HospitalReedley, CA$7$22$28$74$18
9Adventist Health Mendocino CoastBragg, CA$11$22$22$32$5
10Lodi Memorial Hospital Association IncLodi, CA$11$22$23$74$14
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