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 Tricare 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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18 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $212.31 | $212.31 – $212.31 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · case rate · outpatient | 1 | $207.28 | $207.28 – $207.28 |
| 3 | Clarion Hospital Clarion, PA facility · case rate · outpatient | 1 | $207.28 | $207.28 – $207.28 |
| 4 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $113.68 | $113.68 – $113.68 |
| 5 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95.58 | $95.58 – $95.58 |
| 6 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 5 | $211.15 | $211.15 – $211.15 |
| 7 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · case rate · outpatient | 1 | $206.56 | $206.56 – $206.56 |
| 8 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · case rate · outpatient | 1 | $206.56 | $206.56 – $206.56 |
| 9 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · fee schedule · outpatient | 1 | $204.70 | $204.70 – $204.70 |
| 10 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $204.70 | $204.70 – $204.70 |
| 11 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $137.00 | $137.00 – $137.00 |
| 12 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $137.00 | $137.00 – $137.00 |
| 13 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $137.00 | $137.00 – $137.00 |
| 14 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $137.00 | $137.00 – $137.00 |
| 15 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $137.00 | $137.00 – $137.00 |
| 16 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $88.00 | $88.00 – $88.00 |
| 17 | SBH-El Paso, LLC Santa Teresa, NM fee schedule · outpatient | 1 | $378.10 | $378.10 – $378.10 |
| 18 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient | 1 | $93.00 | $93.00 – $93.00 |
← Payers reporting HCPCS H0015 · Snapshot 20261108T203506Z-bb90dbab