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
IOP Alc Drug/Act Gr 45M G0176
Holyoke, MA
See all hospitals reporting HCPCS H0015 →Price type
Holyoke Medical Center’s median price of $131 is 55% below the median hospital's median price ($291), higher than 16% of the 500 hospitals reporting HCPCS H0015. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $71.06 | $71.57 | $39.52 – $104.12 |
| 2 | Cigna cigna commercial facility · fee schedule · outpatient | $105.65 | $106.41 | $58.76 – $154.81 |
| 3 | UnitedHealthcare uhc harvard pilgrim facility · percent of total billed charges · outpatientfrom % of charges | $129.03 | $129.95 | $71.76 – $189.06 |
| 4 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $130.90 | $131.83 | $72.80 – $191.80 |
| 5 | Cigna evernorth bh facility · percent of total billed charges · inpatientfrom % of charges | $130.90 | $131.83 | $72.80 – $191.80 |
| 6 | Cigna evernorth bh facility · percent of total billed charges · outpatientfrom % of charges | $130.90 | $131.83 | $72.80 – $191.80 |
| 7 | Magellan magellan mass facility · percent of total billed charges · inpatientfrom % of charges | $130.90 | $131.83 | $72.80 – $191.80 |
| 8 | Magellan magellan mass facility · percent of total billed charges · outpatientfrom % of charges | $130.90 | $131.83 | $72.80 – $191.80 |
| 9 | Magellan magellan swh facility · percent of total billed charges · inpatientfrom % of charges | $130.90 | $131.83 | $72.80 – $191.80 |
| 10 | Magellan magellan swh facility · percent of total billed charges · outpatientfrom % of charges | $130.90 | $131.83 | $72.80 – $191.80 |
| 11 | Cigna cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $137.44 | $138.42 | $76.44 – $201.39 |
| 12 | Blue Cross Blue Shield blue cross blue shield hmo facility · other · outpatient | $152.33 | $153.42 | $84.72 – $223.20 |
| 13 | Blue Cross Blue Shield blue cross blue shield indemnity facility · other · outpatient | $153.06 | $154.15 | $85.12 – $224.27 |
| 14 | Blue Cross Blue Shield blue cross blue shield ppo facility · other · outpatient | $153.06 | $154.15 | $85.12 – $224.27 |
Last updated: May 1, 2026
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