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
ALCOHOL AND/OR DRUG SERVICES; INTENSIVE OUTPATIENT (TREATMENT PROGRAM THAT OPERATES AT LEAST 3 HOURS/DAY AND AT LEAST 3 DAYS/WEEK AND IS BASED ON AN INDIVIDUALIZED TREATMENT PLAN), INCLUDING ASSESSMENT, COUNSELING; CRISIS INTERVENTION, AND ACTIVITY THERAP
The hospitals that file a Medica 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.
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42 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 1 | $351.00 | $351.00 – $351.00 |
| 2 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 1 | $351.00 | $351.00 – $351.00 |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 1 | $351.00 | $351.00 – $351.00 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 1 | $351.00 | $351.00 – $351.00 |
| 5 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 1 | $351.00 | $351.00 – $351.00 |
| 6 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $68.25 | $40.46 – $119.00 |
| 7 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $68.25 | $40.46 – $119.00 |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $504.54 | $504.54 – $504.54 |
| 9 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $525.00 | $525.00 – $525.00 |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $296.10 | $277.20 – $315.00 |
| 11 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $207.06 | $207.06 – $207.06 |
| 12 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 7 | $211.25 | $126.14 – $257.99 |
| 13 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 7 | $271.78 | $119.62 – $471.85 |
| 14 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 7 | $289.33 | $118.94 – $504.65 |
| 15 | Fairview Health Services Edina, MN fee schedule · both | 7 | $211.25 | $126.14 – $257.99 |
| 16 | Fairview Health Services Edina, MN fee schedule · outpatient | 7 | $252.01 | $146.37 – $311.78 |
| 17 | Fairview Health Services Minneapolis, MN fee schedule · both | 7 | $211.25 | $126.14 – $257.99 |
| 18 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 7 | $245.43 | $146.37 – $302.14 |
| 19 | Fairview Health Services Burnsville, MN fee schedule · both | 7 | $211.25 | $126.14 – $257.99 |
| 20 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 7 | $252.01 | $146.37 – $311.78 |
| 21 | Fairview Health Services Wyoming, MN fee schedule · both | 7 | $211.25 | $126.14 – $257.99 |
| 22 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 7 | $233.56 | $146.37 – $284.41 |
| 23 | Fairview Health Services Princeton, MN fee schedule · both | 7 | $211.25 | $126.14 – $257.99 |
| 24 | Fairview Health Services Princeton, MN fee schedule · outpatient | 7 | $237.63 | $146.37 – $284.41 |
| 25 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 8 | $185.69 | $126.14 – $257.99 |
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