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
BRIEF TREATMENT 15 MINUTES
Jamestown, NY
See all hospitals reporting HCPCS H0004 →Price type
UPMC Chautauqua’s median price of $41 is 17% below the median hospital's median price ($49), higher than 43% of the 326 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: 7 payers, 16 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna medicare facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 2 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 4 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 6 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 7 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 9 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 10 | Blue Cross Blue Shield essential plans 3&4 facility · fee schedule · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 11 | Molina chip (for kids)/medicaid facility · case rate · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 12 | UnitedHealthcare medicaid facility · case rate · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 13 | Blue Cross Blue Shield essential plans 1&2 facility · fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Blue Cross Blue Shield medicaid facility · fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 15 | Molina essential plan facility · case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 16 | Aetna commercial facility · per diem · outpatient | $300 | $300 | — | — | — | $300 – $300 |
Last updated: Mar 6, 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.