90000396 — Hc Pbb Alcohol/subs Interv 15-30mn
Cite this view
HANK Price Transparency. (n.d.). HC PBB ALCOHOL/SUBS INTERV 15-30MN (CDM 90000396) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/90000396?code_type=CDM
“HC PBB ALCOHOL/SUBS INTERV 15-30MN (CDM 90000396) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/90000396?code_type=CDM. Accessed .
“HC PBB ALCOHOL/SUBS INTERV 15-30MN (CDM 90000396) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/90000396?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $15–$33 (25th–75th percentile) across 5 hospitals · 36 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 90000396 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| FRIO REGIONAL HOSPITAL Outpatient | Amerigroup Texas | Medicare Advantage | $3.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Cigna | Medicare Advantage | $3.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Superior Health Plan | Commercial | $3.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Aetna | Commercial | $11.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SMARTHEALTH | 1129_SMARTHEALTH EMPLOYEES 20221001 | $12.48 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Blue Advantage | $13.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | HMO | $13.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PATHWAYS | 1121_ANTHEM PATHWAYS 20221001 | $13.12 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | United Healthcare | Commercial | $14.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Blue Cross Blue Shield of Texas | Traditional | $14.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | ChoiceCare | Commercial | $15.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Humana | Medicare Advantage | $15.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | Humana | Commercial | $15.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| FRIO REGIONAL HOSPITAL Outpatient | ChoiceCare | Medicare Advantage | $15.00 | $15.00 | $11.00 | 2026-05-15 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM BLUE CONNECTION | 1117_ANTHEM BLUE CONNECTION 20221001 | $16.64 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA WVN | 1135_HUMANA WVN 20221001 | $16.64 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | SEHN C89 | 1128_SEHN 20221001 | $16.96 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CCHP MARKETPLACE | 1124_CCHP MARKETPLACE 20221001 | $17.28 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM HMO POS | 1120_ANTHEM HMO POS 20221001 | $18.56 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA PPP | 204_WEA PPP 20160101 | $18.88 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ALLIANCE | 1066_ALLIANCE 20220101 | $18.88 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PREFERRED | 1134_HUMANA PREFERRED 20221001 | $20.48 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HUMANA PPO | 1133_HUMANA PPO 20221001 | $20.48 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AMERIGROUP MEDICAID-ALL PLANS | AMERIGROUP MEDICAID-ALL PLANS | $20.66 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | CENTIVO | 1125_CENTIVO 20221001 | $21.44 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WPS | 1132_WISCONSIN PHYSICIAN SERVICES MCWI OCWI 20221001 | $22.08 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ARISE | 1123_ARISE PREMIER MCWI OCWI 20221001 | $22.40 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | AETNA | 567_AETNA 20190701 | $22.40 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | TRILOGY | 1070_TRILOGY 20220101 | $23.36 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | HEALTH PAYMENT SYSTEMS | 1126_HEALTH PAYMENT SYSTEMS 20221001 | $24.32 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | COORDINATED CARE-ALL PLANS | COORDINATED CARE-ALL PLANS | $24.96 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | MOLINA MEDICARE-ALL PLANS | MOLINA MEDICARE-ALL PLANS | $24.96 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CASCADE-ALL PLANS | CASCADE-ALL PLANS | $25.35 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | ANTHEM PPO | 1122_ANTHEM PPO 20221001 | $25.92 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | NETWORK HEALTH PLAN | 1136_NETWORK HEALTH PLAN 20221001 | $25.92 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | PARADIGM NETWORK | 580_PARADIGM NETWORK 20161001 | $26.24 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA POS | 539_WEA POS 20090101 | $27.52 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Outpatient | WEA | 419_WEA 20090116 | $28.48 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | HEALTH CARE AUTHORITY-ALL PLANS | HEALTH CARE AUTHORITY-ALL PLANS | $31.20 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| Ascension Columbia St. Mary's Hospital Ozaukee Both | CDM DEFAULT - NON-NEGOTIATED RATE | CDM DEFAULT - NON-NEGOTIATED RATE | $32.00 | $32.00 | $16.96 | 2026-01-01 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA ACN | PREMERA ACN | $33.15 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | PREMERA COMMERCIAL-ALL OTHER PLANS | PREMERA COMMERCIAL-ALL OTHER PLANS | $33.15 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $33.15 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | CIGNA-ALL PLANS | CIGNA-ALL PLANS | $34.13 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | UHC-ALL PLANS | UHC-ALL PLANS | $35.10 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| QUINCY VALLEY MEDICAL CENTER Outpatient | AETNA-ALL PLANS | AETNA-ALL PLANS | $37.05 | $39.00 | $39.00 | 2026-03-12 | MRF ↗ |
| FOREST HEALTH MEDICAL CENTER Both | None | — | — | $69.27 | — | 2026-02-26 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | United Health Care | Medicare Advantage | $5,289.00 | $9,445.00 | $8,501.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Humana | Medicare Advantage | $5,289.00 | $9,445.00 | $8,501.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | BCBS | Medicare Advantage | $5,289.00 | $9,445.00 | $8,501.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Medica | Commercial | $8,595.00 | $9,445.00 | $8,501.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Ambetter | Commercial | $8,784.00 | $9,445.00 | $8,501.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | BCBS | Commercial | $8,973.00 | $9,445.00 | $8,501.00 | 2025-05-12 | MRF ↗ |
| COZAD COMMUNITY HOSPITAL Outpatient | Aetna | Commercial | $9,445.00 | $9,445.00 | $8,501.00 | 2025-05-12 | MRF ↗ |