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HCPCS H0004

BEHAVIORAL HEALTH COUNSELING AND THERAPY; PER 15 MINUTES

Reported by 2 hospitals in the network under the other methodology.

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.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$19

Average

$21

Median

$21

High

$23

Hospitals reporting this code

#HospitalLocation
1Herbert J Thomas Memorial Hospital AssociationSouth Charleston, WV—$19$23—$7
2City Hospital, Inc.Martinsburg, WV—$19$19——

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