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
HC ALCOHOL/SUBS INTERV 15-30 MN
Enumclaw, WA
See all hospitals reporting HCPCS G0396 →Price type
Enumclaw Regional Hospital Association’s median price of $46 is 15% above the median hospital's median price ($40), higher than 59% of the 1,054 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: 9 payers, 26 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 | Kaiser medicare|all plans fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 2 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Molina medicaid|all plans fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 4 | Optum medicare|all plans fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 5 | Premera medicare|all plans fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Regence medicare|all plans fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Humana medicare|all plans fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 8 | Molina medicare|all plans fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 9 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 10 | Aetna medicare|all plans fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $46 | $46 | — | — | — | $46 – $46 |
| 12 | Molina medicaid|all plans fee schedule · inpatient | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Molina commercial|marketplace exchange fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Aetna commercial|awh fee schedule · inpatient | $62 | $62 | — | — | — | $62 – $62 |
| 15 | Aetna commercial|all other plans fee schedule · inpatient | $74 | $74 | — | — | — | $74 – $74 |
| 16 | Kaiser commercial|hmo fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 17 | Regence commercial|all plans case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 18 | Kaiser commercial|ppo fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 19 | Aetna commercial|rental fee schedule · inpatient | $112 | $112 | — | — | — | $112 – $112 |
| 20 | Aetna commercial|rental fee schedule · outpatient | $112 | $112 | — | — | — | $112 – $112 |
| 21 | Premera commercial|all plans case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 22 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $133 | $133 | — | — | — | $133 – $133 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $140 | $140 | — | — | — | $140 – $140 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $140 | $140 | — | — | — | $140 – $140 |
| 25 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
Last updated: Feb 28, 2026
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