Alcohol and drug abuse 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

Alcohol and/or other drug abuse services, not otherwise specified

Payers reporting HCPCS H0047

Payer pricing summary

Low

Average

$125

Median

$99

High

$655

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	85	$246	$243	$18	7%	—	$184 – $277
2	Molina facility · case rate · outpatient · +8 other terms	29	$93	$97	$25	26%	—	$53 – $185
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	26	$339	$352	$345	98%	—	$0 – $1.1k
4	UnitedHealthcare facility · case rate · outpatient · +12 other terms	18	$87	$96	$24	25%	—	$53 – $149
5	Anthem facility · case rate · outpatient · +9 other terms	15	$86	$94	$23	24%	—	$51 – $146
6	Caresource fee schedule · outpatient · +2 other terms	15	$254	$254	—	—	—	$254 – $254
7	Optum facility · case rate · outpatient · +2 other terms	13	$78	$87	$19	22%	—	$73 – $132
8	Aetna professional · fee schedule · outpatient · +10 other terms	11	$65	$45	$28	62%	—	$0 – $65
9	Bcbs Tx per diem · outpatient	11	$640	$655	$74	11%	—	$514 – $803
10	Cigna professional · fee schedule · outpatient · +8 other terms	10	$420	$293	$180	61%	—	$27 – $420
11	Medica fee schedule · both · +1 other terms	9	$23	$23	—	—	—	$23 – $23
12	Ucare fee schedule · both · +1 other terms	9	$23	$23	$1	5%	—	$22 – $25
13	Bcbs Mn fee schedule · both · +2 other terms	8	$24	$24	$1	2%	—	$23 – $25
14	Aetna Better Health facility · case rate · outpatient · +2 other terms	7	$94	$94	$1	1%	—	$90 – $96
15	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$86	$87	$3	3%	—	$86 – $94
16	First Health percent of total billed charges · bothfrom % of charges · +2 other terms	6	$108	$111	$7	6%	—	$108 – $125
17	MultiPlan percent of total billed charges · bothfrom % of charges · +3 other terms	6	$116	$115	$2	2%	—	$111 – $116
18	Tricare facility · fee schedule · outpatient · +1 other terms	6	$290	$247	$95	38%	—	$35 – $291
19	Ambetter percent of total billed charges · bothfrom % of charges	5	$111	$111	—	—	—	$111 – $111
20	Kaiser percent of total billed charges · bothfrom % of charges	5	$91	$91	—	—	—	$91 – $91
21	Phcs percent of total billed charges · bothfrom % of charges	5	$91	$91	—	—	—	$91 – $91
22	Wellmark facility · case rate · outpatient	3	$313	$275	$87	32%	—	$128 – $346
23	Medicaid facility · case rate · outpatient · +1 other terms	2	$78	$78	—	—	—	$78 – $78
24	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
25	Bcbs Nj facility · other · outpatient · +2 other terms	1	$35	$35	—	—	—	$35 – $35

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