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
Jasper, TX
See all hospitals reporting HCPCS G0396 →Price type
Southeast Texas - Jasper Memorial’s median price of $32 is 22% below the median hospital's median price ($40), higher than 22% of the 1,047 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: 7 payers, 13 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 mm fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Humana gold choice mm fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 4 | Molina medicare adv mm fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 5 | UnitedHealthcare mm fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 6 | WellCare mm fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 7 | Devoted mm fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 8 | Humana choicecare fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 10 | Bcbs Tx heb fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 11 | Bcbs Tx hmo fee schedule · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 13 | Bcbs Tx traditional fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
Last updated: Jan 13, 2026
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