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/SUBS INTERV 15-30MN
Austin, TX
See all hospitals reporting HCPCS G0396 →Price type
Ascension Seton’s median price of $67 is 68% above the median hospital's median price ($40), higher than 77% of the 1,043 hospitals reporting HCPCS G0396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana 2668_humana hmo 20230701 other · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 3 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 4 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 5 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 6 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 7 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $141 | $141 | — | — | — | $141 – $141 |
Last updated: Jan 1, 2026
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