Alcohol and drug counseling services

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC BEHAVIORAL HEALTH COUNSELING AND THERAPY PER 15 MINUTES

Payers reporting HCPCS H0004

Payer pricing summary

Low

Average

$135

Median

$79

High

$927

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +20 other terms	33	$24	$132	$185	140%	—	$1 – $723
2	Molina facility · case rate · outpatient · +12 other terms	30	$92	$95	$26	27%	—	$46 – $185
3	UnitedHealthcare fee schedule · outpatient · +21 other terms	25	$49	$96	$139	145%	—	$1 – $723
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +14 other terms	24	$87	$79	$44	55%	—	$11 – $213
5	MultiPlan percent of total billed charges · bothfrom % of charges · +6 other terms	19	$78	$506	$109	22%	—	$59 – $535
6	Anthem facility · case rate · outpatient · +17 other terms	15	$86	$94	$23	24%	—	$51 – $146
7	Caresource facility · case rate · outpatient · +6 other terms	15	$88	$94	$22	24%	—	$51 – $149
8	Humana facility · fee schedule · outpatient · +17 other terms	14	$48	$48	$1	1%	—	$46 – $48
9	Medcost percent of total billed charges · bothfrom % of charges · +1 other terms	13	$69	$68	$6	9%	—	$49 – $73
10	Optum facility · case rate · outpatient · +3 other terms	13	$78	$87	$19	22%	—	$73 – $132
11	Tricare fee schedule · both · +3 other terms	13	$45	$46	$1	3%	—	$45 – $48
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$102	$81	$43	53%	—	$13 – $128
13	Medica fee schedule · outpatient · +5 other terms	12	$2	$3	$4	134%	—	$1 – $21
14	Bcbs Tx per diem · outpatient	11	$640	$655	$74	11%	—	$514 – $803
15	Cigna professional · fee schedule · outpatient · +13 other terms	10	$8	$9	$1	14%	—	$8 – $12
16	Medicaid fee schedule · outpatient · +4 other terms	10	$22	$40	$42	104%	—	$1 – $123
17	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$15	$15	—	—	—	$15 – $15
18	Amerihealth Caritas facility · case rate · outpatient · +3 other terms	7	$86	$87	$3	3%	—	$86 – $94
19	Ambetter fee schedule · both · +2 other terms	4	$0	$0	—	—	—	$0 – $0
20	Beechstreet percent of total billed charges · outpatientfrom % of charges	4	$54	$55	$3	5%	—	$54 – $60
21	Phcs percent of total billed charges · bothfrom % of charges · +6 other terms	4	$72	$72	—	—	—	$72 – $72
22	Excellus professional · fee schedule · both · +6 other terms	3	$116	$157	$75	48%	—	$94 – $263
23	First Health professional · fee schedule · both · +10 other terms	3	$16	$16	—	—	—	$16 – $16
24	WellCare fee schedule · outpatient · +5 other terms	3	$124	$113	$11	9%	—	$100 – $125
25	Wellmark facility · case rate · outpatient · +6 other terms	3	$313	$275	$87	32%	—	$128 – $346

Page 1 of 2 · 41 payers