▸ Payer

community care behavorial health healthchoices

Negotiated rates published by hospitals for community care behavorial health healthchoices across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

3,438

Median neg. rate

$102.5

Top procedures for community care behavorial health healthchoices

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Office visit, established patient, 20-29 minutes	CPT	99213	10	$108.9
Office visit, established patient, 30-39 minutes	CPT	99214	10	$163.7
Office visit, new patient, 30-44 minutes	CPT	99203	10	$101.98
Office visit, new patient, 15-29 min	CPT	99202	10	$80.24
Office visit, new patient, 45-59 min	CPT	99204	10	$140.75
Office visit, new patient, 60-74 min	CPT	99205	10	$189.05
Office visit, established patient, 5 min	CPT	99211	10	$36.26
Office visit, established patient, 10-19 min	CPT	99212	10	$68.37
Office visit, established patient, 40-54 min	CPT	99215	10	$219.24
ED visit level 2	CPT	99282	10	$101.27
ED visit level 3	CPT	99283	10	$101.27
ED visit level 4	CPT	99284	10	$135.85
ED visit level 5	CPT	99285	10	$135.85
Initial hospital care, low complexity	CPT	99221	10	$67.57
Initial hospital care, moderate complexity	CPT	99222	10	$108.7
Initial hospital care, high complexity	CPT	99223	10	$145.79
Hospital discharge, <30 min	CPT	99238	10	$63.62
Hospital discharge, >30 min	CPT	99239	10	$91.57
Psychiatric diagnostic evaluation	CPT	90791	10	$118.68
Psychiatric eval with medical services	CPT	90792	10	$187.63
Psychotherapy 30 minutes	CPT	90832	10	$50.81
Psychotherapy 45 minutes	CPT	90834	10	$83.4
Psychotherapy 60 minutes	CPT	90837	10	$111.18

Loading procedures...

Top 20 cheapest hospitals for community care behavorial health healthchoices

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
SAINT VINCENT HOSPITAL	—	—	$112.39
ALLEGHENY GENERAL HOSPITAL	—	—	$115.41
JEFFERSON HOSPITAL	—	—	$115.41
GROVE CITY HOSPITAL	—	—	$115.59
Westfield Memorial Hospital	Westfield	NY	$115.59
CANONSBURG HOSPITAL	—	—	$115.59
ALLEGHENY VALLEY HOSPITAL	—	—	$115.59
Drew Memorial Hospital Inc	Monticello	AR	$115.59
FORBES HOSPITAL	—	—	$115.59
WEST PENN HOSPITAL	—	—	$115.59

Loading hospitals...

States covered

States with hospitals publishing rates for community care behavorial health healthchoices.

State	Hospitals	Avg rate
AR	1	$115.59
NY	1	$115.59

Loading state coverage...