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
Monroeville, PA
See all hospitals reporting HCPCS G0396 →Price type
UPMC East’s median price of $248 is 519% above the median hospital's median price ($40), higher than 98% 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: 6 payers, 37 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 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | UnitedHealthcare medicare facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $31 | $31 | $1 | 2% | — | $30 – $31 |
| 4 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Highmark medicare facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 7 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 9 | Highmark managed care - social mission facility · fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 10 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $156 | $156 | — | — | — | $156 – $156 |
| 11 | Highmark managed care facility · fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 12 | Highmark commercial - indemnity facility · fee schedule · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 13 | UnitedHealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | — | — | — | $210 – $210 |
| 14 | UnitedHealthcare compass exchange facility · percent of total billed charges · inpatientfrom % of charges | $217 | $217 | — | — | — | $217 – $217 |
| 15 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $224 | $224 | — | — | — | $224 – $224 |
| 16 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $229 | $229 | — | — | — | $229 – $229 |
| 17 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $242 | $242 | — | — | — | $242 – $242 |
| 18 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $242 | $242 | — | — | — | $242 – $242 |
| 19 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | — | — | — | $243 – $243 |
| 20 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 21 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 22 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 23 | UnitedHealthcare all business facility · percent of total billed charges · outpatientfrom % of charges | $248 | $248 | — | — | — | $248 – $248 |
| 24 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $250 | $250 | — | — | — | $250 – $250 |
| 25 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $255 | $255 | — | — | — | $255 – $255 |
Last updated: Mar 6, 2026
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