How much does a Behavioral health day program typically cost in the United States?

Across 329 U.S. hospitals in 42 states, the modeled national fair BaseRate for Behavioral health day program is $96, with most hospital negotiated prices falling between $25 and $413.

Why do hospital prices for Behavioral health day program vary across facilities?

Commercial rates are negotiated individually between hospital systems and insurers, creating wide local dispersion even within the same metro area. Comparing facility-specific cash and in-network rates before scheduling care helps avoid overpaying.

National price data · 329 hospitals

Behavioral health day program cost

What a behavioral health day program costs across the U.S. — and the fair price to aim for.

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintUpper-Quartile Spread · +45% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

This hospital prices routine shoppable procedures at 1.8× Medicare (median 1.33× Fair BaseRate) while upper-quartile commercial rates jump +45% to 1.93× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#11 of 14 in SD · 71st State Percentile#2,604 of 3,385 in U.S. · 76th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 61% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 83% patient recommendation (69/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.33× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.93×) jump +45% above the median procedure ratio (Q50 1.33×)
Consolidated metro market (HHI 5,135) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.83× Divergence

1.5× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+45% Upper Tail

Q25 1.00× · Q50 1.33× · Q75 1.93×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.3× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

61% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 69/100Fair

National Geographic Price Intelligence · 50-State + DC/PR Cartogram

National State Price Index Heatmap · Behavioral health day program

State commercial price index vs. U.S. median (1.00×) and average Medicare multiple across all 53 priced states & territories

<0.93× Below Fair Price 0.93–1.05× Near Average 1.05–1.18× Elevated >1.18× High-Cost State

AK1.15× 1.8× Med ME0.35× 1.5× Med WA1.24× 1.5× Med ID0.87× 1.6× Med MT1.20× 1.5× Med ND0.35× 2.4× Med MN0.80× 1.6× Med WI3.50× 2.0× Med MI1.19× 1.1× Med VT0.86× 1.3× Med NH0.35× 1.9× Med OR1.14× 1.5× Med NV1.00× 1.7× Med WY0.85× 1.0× Med SD0.35× 1.8× Med IA1.06× 1.7× Med IL0.54× 1.5× Med IN1.01× 1.4× Med OH0.66× 1.4× Med PA0.67× 1.3× Med NY2.72× 1.4× Med MA1.55× 1.9× Med CA0.77× 1.5× Med UT1.00× 2.2× Med CO0.72× 1.9× Med NE1.44× 2.5× Med MO0.35× 1.4× Med KY0.93× 1.7× Med WV1.79× 1.5× Med VA3.50× 1.7× Med MD1.20× 1.2× Med NJ0.35× 1.7× Med CT1.00× 1.3× Med AZ1.53× 1.5× Med NM1.10× 2.0× Med KS0.35× 1.8× Med AR1.24× 1.4× Med TN0.77× 1.3× Med NC0.43× 1.6× Med SC0.36× 1.4× Med DE1.21× 2.3× Med DC1.31× 1.9× Med RI1.40× 1.6× Med OK0.88× 1.7× Med LA0.35× 1.4× Med MS0.39× 1.3× Med AL3.50× 1.1× Med GA0.62× 1.6× Med HI0.98× 1.3× Med TX0.39× 1.8× Med FL2.26× 2.1× Med PR0.77× 1.1× Med

KS0.35×1.8× Med LA0.35×1.4× Med ME0.35×1.5× Med MO0.35×1.4× Med ND0.35×2.4× Med NH0.35×1.9× Med NJ0.35×1.7× Med SD0.35×1.8× Med SC0.36×1.4× Med MS0.39×1.3× Med TX0.39×1.8× Med NC0.43×1.6× Med IL0.54×1.5× Med GA0.62×1.6× Med OH0.66×1.4× Med PA0.67×1.3× Med CO0.72×1.9× Med CA0.77×1.5× Med PR0.77×1.1× Med TN0.77×1.3× Med MN0.80×1.6× Med WY0.85×1.0× Med VT0.86×1.3× Med ID0.87×1.6× Med OK0.88×1.7× Med KY0.93×1.7× Med HI0.98×1.3× Med CT1.00×1.3× Med NV1.00×1.7× Med UT1.00×2.2× Med IN1.01×1.4× Med IA1.06×1.7× Med NM1.10×2.0× Med OR1.14×1.5× Med AK1.15×1.8× Med MI1.19×1.1× Med MD1.20×1.2× Med MT1.20×1.5× Med DE1.21×2.3× Med AR1.24×1.4× Med WA1.24×1.5× Med DC1.31×1.9× Med RI1.40×1.6× Med NE1.44×2.5× Med AZ1.53×1.5× Med MA1.55×1.9× Med WV1.79×1.5× Med FL2.26×2.1× Med NY2.72×1.4× Med AL3.50×1.1× Med VA3.50×1.7× Med WI3.50×2.0× Med

5 Lowest-Price States (Confounder-Isolated Value Leaders)

KS0.35×(1.8×)LA0.35×(1.4×)ME0.35×(1.5×)MO0.35×(1.4×)ND0.35×(2.4×)

5 Highest-Markup States (Strict Bill Audit Recommended)

WI3.50×(2.0×)VA3.50×(1.7×)AL3.50×(1.1×)NY2.72×(1.4×)FL2.26×(2.1×)

The BaseRate high confidence

$96

the fair national price for a behavioral health day program

typically $25–$413 across 329 hospitals · how we calculate it

modeled estimate · not a bill or quote

329

hospitals priced

states

16.5×

price spread — where shopping matters

—

vs. Medicare

Across 329 hospitals in 42 states, a behavioral health day program has a fair BaseRate of $96 and typically costs $25–$413. The cheapest state is ND; the priciest is AL.

Cheapest hospitals for a behavioral health day program

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at U.S. Hospital Benchmark (Zero PHI Required)

Fair BaseRate™ $96

Medicare Rate $56

Self-Pay Cash Request Quote

Insurer Median $100

1. Amount on Your Bill or Quote ($) Pre-filled with U.S. Hospital Benchmark’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $87 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $87

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $87).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask U.S. Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$144 Above Fair BaseRate

Negotiate Toward $96 Fair BaseRate ($56 Medicare)

Your bill ($240) is $144 above the denoised Fair BaseRate ($96) and 4.3× the $56 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.