HCPCS H0015
Substance-use intensive outpatient treatment
- Aetna
- $158.98
- Cigna
- Not available
- United
- Not available
- Anthem
- Not available
Behavioral Health Facilities reimbursement rates in West Virginia
Explore behavioral health facilities reimbursement rates in West Virginia. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
221,137 national provider-rate observations4 payers in national source data51 states in national dataset30 billing codes in national dataset
Rate data shownAug–Dec 2023, Jan–May 2026About these rates
Behavioral Health Facilities rate explorerThree reference services
Rate measure$ per reported unit
Billing contextBehavioral health facility
West Virginia behavioral health facilities reference averages
Publication period: Aug–Dec 2023, Jan–May 2026HCPCS H0035
Mental health partial hospitalization, less than 24 hours
- Aetna
- $302.10
- Cigna
- Not available
- United
- Not available
- Anthem
- Not available
HCPCS H2036
Alcohol or drug treatment program, per diem
- Aetna
- $411.83
- Cigna
- Not available
- United
- Not available
- Anthem
- Not available
National behavioral health facilities rates by payer
Compare facility and program rates by level of care without forcing revenue codes, HCPCS services, and inpatient case rates into one unit.
Aetna state variation for H0015
LowerHigher
West Virginia
Select a state to reveal payer percentiles and provider examples.National H0015 rate distribution
PayerMedian
Published rate$ per reported unit
$100$150$200$250$300
AetnaAug–Dec 2023, Jan–May 2026
AetnaProviders12,562Average$155.02
$134.33median
CignaAug–Dec 2023, Jan–May 2026
CignaProviders3,107Average$233.80
$232median
UnitedAug–Dec 2023, Jan–May 2026
UnitedProviders10Average$136.83
$128.50median
AnthemAug–Dec 2023, Jan–May 2026
AnthemProviders171Average$168.60
$157.50median
Each marker shows the national median published rate across billing entities for that payer.
National H0015 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Aug–Dec 2023, Jan–May 2026 | 12,562 | $134.33 | $155.02 | |||
| Cigna | Aug–Dec 2023, Jan–May 2026 | 3,107 | $232 | $233.80 | |||
| United | Aug–Dec 2023, Jan–May 2026 | 10 | $128.50 | $136.83 | |||
| Anthem | Aug–Dec 2023, Jan–May 2026 | 171 | $157.50 | $168.60 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for intensive outpatient treatment (H0015).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific behavioral health facilities compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Behavioral health facility rates by payer (HCPCS H0015)
| Provider entity | State | Size | $ per reported unit | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| VISION LOSS ALLIANCE OF NEW JERSEYNPI 1003361775 · Tax ID 221592609 | NJ | 13 | $62.88 | -$71.45 | Below P25 |
| ENSO PSYCH GROUP LLCNPI 1265683551 · Tax ID 208187316 | FL | 8 | $121.05 | -$13.28 | Below P25 |
| PHILLY PREGNANCY CENTER PCNPI 1184954505 · Tax ID 270309719 | PA | 2 | $134.33 | +$0 | Median to P75 |
| IMAGINE MORE COUNSELING SOLUTIONS LLCNPI 1598346561 · Tax ID 862603442 | IL | 2 | $134.33 | +$0 | Median to P75 |
| A BETTER YOU COUNSELING WELLNESS LLCNPI 1992302830 · Tax ID 851365677 | PA | 8 | $134.33 | +$0 | Median to P75 |
| BOCA RI LLCNPI 1932631827 · Tax ID 815056602 | FL | 20 | Above P75 |
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No trial or data preparation required.How reimbursement changes by behavioral health level of care
Keep withdrawal management, intensive outpatient, partial hospitalization, residential treatment, revenue-code services, and inpatient cases in their appropriate payment units.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per reported unit · 7 codes | ||||
H0008Sub-acute detoxification, hospital inpatient | $289.03 | Not available | Not available | Not available |
H0009Acute detoxification, hospital inpatient | $339.08 | Not available | Not available | Not available |
H0010Sub-acute detoxification, residential inpatient | $264.60 | $197.88 | $833.35 | $636.68 |
H0011Acute detoxification, residential inpatient | $374.18 | $329.21 | $802.95 | $519.14 |
H0012Sub-acute detoxification, residential outpatient | $70.19 | Not available | Not available | Not available |
H0013Acute detoxification, residential outpatient | $429.28 | Not available | Not available | Not available |
H0014Ambulatory detoxification | $173.17 | $317.46 | Not available | $243.85 |
$ per reported unit · 4 codes | ||||
H0015Substance-use intensive outpatient treatment | $155.02 | $233.80 | $136.83 | $168.60 |
H0035Mental health partial hospitalization, less than 24 hours | $281.65 | $610.27 | Not available | $376.88 |
S0201Partial hospitalization services, per diem | $279.28 | $581.34 | Not available | $506.59 |
S9480Intensive outpatient psychiatric services, per diem | $109.10 | $268.31 | Not available | $253.16 |
$ per reported unit · 4 codes | ||||
H0017Hospital residential behavioral health treatment, per diem | $668.31 | $282.15 | Not available | Not available |
H0018Short-term non-hospital residential treatment, per diem | $315.47 | $484.93 | Not available | $586.52 |
H0019Long-term non-hospital residential treatment, per diem | $212.94 | $411.62 | Not available | Not available |
H2036Alcohol or drug treatment program, per diem | $357.83 | $228.40 | Not available | $349.84 |
$ per reported unit · 8 codes | ||||
0905Psychiatric intensive outpatient services | $245.14 | $266.25 | $265.24 | $289.67 |
0906Chemical-dependency intensive outpatient services | $241.56 | $232.42 | $220.42 | $252.77 |
0912Partial hospitalization, less intensive | $449.93 | $432.45 | $410.30 | $493.13 |
0913Partial hospitalization, intensive | $450.31 | $427.59 | $433.89 | $532.44 |
0914Individual behavioral health therapy | $149.46 | $177.89 | Not available | $304.35 |
0915Group behavioral health therapy | $213.51 | $88.56 | Not available | $283.99 |
0944Drug rehabilitation | $347.84 | $133.12 | $212.37 | $297.37 |
0945Alcohol rehabilitation | $348.69 | $135.86 | $232.07 | $360.55 |
$ per case · 7 codes | ||||
880Acute adjustment reaction and psychosocial dysfunction | $15,843.41 | $16,018.35 | $16,114.77 | $3,140.46 |
881Depressive neuroses | $15,444.03 | $15,197.24 | $15,777.58 | $3,088.58 |
885Psychoses | $22,808 | $23,078.82 | $22,895.88 | $3,725.36 |
894Alcohol or drug dependence, left against medical advice | $10,281.52 | $9,985.71 | $10,779.23 | $2,779.13 |
895Alcohol or drug dependence with rehabilitation therapy | $24,149.22 | $26,775.17 | $23,523.40 | $4,595.36 |
896Alcohol or drug dependence without rehabilitation, with MCC | $28,890.92 | $30,406.48 | $28,478.73 | $5,206.13 |
897Alcohol or drug dependence without rehabilitation, without MCC | $14,659.13 | $14,787.84 | $14,935.85 | $3,335.40 |
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Book a 20-min scoping call No trial or data preparation required.How these behavioral health facility rates are calculated
We start with negotiated or fee-schedule rates published in payer machine-readable files and included in the underlying behavioral health facility report. For each selected code, eligible records are grouped by payer and summarized as averages and percentile distributions.
- Rate sourceThe displayed amount is a negotiated facility or program rate published in a payer machine-readable file, not a paid claim, billed charge, or utilization-based estimate.
- CalculationNational values summarize eligible published records across available states. State views use records associated with the selected state, and averages are not weighted by patient or service volume.
- Provider entityNamed examples use payer-file billing entities and may represent a treatment facility, operating organization, health system, or other contracted entity.
- Comparable ratesMatch the level of care, code system, program definition, setting, payment unit, payer product, and network. Per-service, per-diem, and inpatient case rates should remain separate.
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Explore behavioral health facilities rates by state
Choose a state to compare payer reference averages for common services.
How to interpret behavioral health facility rates
How to interpret the selected market and payer-published rates.
Which behavioral health facility services are represented?
The report includes HCPCS treatment codes, behavioral health revenue codes, selected MS-DRGs, and market-specific local codes.
Can per-diem and per-service rates be combined?
No. Residential, partial hospitalization, intensive outpatient, and inpatient services can use different units and payment structures.
Are these physician professional rates?
No. This page is designed around behavioral health facility and program reimbursement rather than physician-group professional services.
Which details make two behavioral health facility rates comparable?
Confirm the level of care, code system, program definition, patient population, setting, payment unit, payer product, and network before comparing two published rates.
How are named behavioral health facilities selected?
The public table selects billing entities across each payer's published rate range. Named examples may represent a facility, treatment organization, health system, or other billing entity.