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
Maple Grove, MN
See all hospitals reporting HCPCS H0004 →Price type
Fairview Maple Grove Surgery Center’s median price of $9 is 81% below the median hospital's median price ($49), higher than 6% of the 330 hospitals reporting HCPCS H0004. 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, 14 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 | Medica ma non-snp fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Medica ma snp fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Medica prime solution fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Medica vantage fee schedule · both | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Medica bold fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Medica choice without / elect fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Medica city of st paul / essential uplan fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Medica choice with fee schedule · both | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Blue Cross Blue Shield federal fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Cigna commercial fee schedule · both | $23 | $23 | $2 | 9% | — | $21 – $25 |
| 12 | Blue Cross Blue Shield commercial fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 13 | Blue Cross Blue Shield federal fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 14 | Blue Cross Blue Shield commercial fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
Last updated: May 18, 2026
See Alcohol and drug counseling services pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.