How much does a Behavioral health residential care typically cost in the United States?

Across 222 U.S. hospitals in 41 states, the modeled national fair BaseRate for Behavioral health residential care is $344, with most hospital negotiated prices falling between $235 and $949.

Why do hospital prices for Behavioral health residential care 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 · 222 hospitals

Behavioral health residential care cost

What a behavioral health residential care 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 FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Newport Hospital prices shoppable and inpatient services (1.8× to 1.7× Medicare, divergence 0.94×) in alignment with regional hospital peers (1.50× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#5 of 6 in RI · 66th State Percentile#2,638 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.18× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 12% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 74% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 1.71× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.00× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 5.5× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.94× Divergence

1.7× Medicare

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

Quantile Tail Spread+4% Upper Tail

Q25 1.18× · Q50 1.71× · Q75 1.77×

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

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.0× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.6× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

1.0× MedicareGood

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

12% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

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

National State Price Index Heatmap · Behavioral health residential care

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 ME0.82× 1.5× Med WA1.24× 1.5× Med ID0.87× 1.6× Med MT1.20× 1.5× Med ND0.82× 2.4× Med MN1.15× 1.6× Med WI2.13× 2.0× Med MI0.77× 1.1× Med VT0.86× 1.3× Med NH1.02× 1.9× Med OR1.14× 1.5× Med NV1.30× 1.7× Med WY0.85× 1.0× Med SD2.19× 1.8× Med IA2.87× 1.7× Med IL0.98× 1.5× Med IN1.01× 1.4× Med OH0.75× 1.4× Med PA1.56× 1.3× Med NY0.70× 1.4× Med MA1.35× 1.9× Med CA3.50× 1.5× Med UT1.00× 2.2× Med CO0.98× 1.9× Med NE2.49× 2.5× Med MO0.69× 1.4× Med KY0.93× 1.7× Med WV0.86× 1.5× Med VA0.94× 1.7× Med MD1.20× 1.2× Med NJ1.33× 1.7× Med CT1.00× 1.3× Med AZ1.76× 1.5× Med NM1.10× 2.0× Med KS1.00× 1.8× Med AR0.93× 1.4× Med TN0.94× 1.3× Med NC0.69× 1.6× Med SC0.86× 1.4× Med DE1.24× 2.3× Med DC1.31× 1.9× Med RI0.35× 1.6× Med OK1.97× 1.7× Med LA1.68× 1.4× Med MS0.70× 1.3× Med AL2.31× 1.1× Med GA1.07× 1.6× Med HI0.98× 1.3× Med TX0.70× 1.8× Med FL0.99× 2.1× Med PR0.77× 1.1× Med

RI0.35×1.6× Med MO0.69×1.4× Med NC0.69×1.6× Med MS0.70×1.3× Med NY0.70×1.4× Med TX0.70×1.8× Med OH0.75×1.4× Med MI0.77×1.1× Med PR0.77×1.1× Med ME0.82×1.5× Med ND0.82×2.4× Med WY0.85×1.0× Med SC0.86×1.4× Med VT0.86×1.3× Med WV0.86×1.5× Med ID0.87×1.6× Med AR0.93×1.4× Med KY0.93×1.7× Med TN0.94×1.3× Med VA0.94×1.7× Med CO0.98×1.9× Med HI0.98×1.3× Med IL0.98×1.5× Med FL0.99×2.1× Med CT1.00×1.3× Med KS1.00×1.8× Med UT1.00×2.2× Med IN1.01×1.4× Med NH1.02×1.9× Med GA1.07×1.6× Med NM1.10×2.0× Med OR1.14×1.5× Med AK1.15×1.8× Med MN1.15×1.6× Med MD1.20×1.2× Med MT1.20×1.5× Med DE1.24×2.3× Med WA1.24×1.5× Med NV1.30×1.7× Med DC1.31×1.9× Med NJ1.33×1.7× Med MA1.35×1.9× Med PA1.56×1.3× Med LA1.68×1.4× Med AZ1.76×1.5× Med OK1.97×1.7× Med WI2.13×2.0× Med SD2.19×1.8× Med AL2.31×1.1× Med NE2.49×2.5× Med IA2.87×1.7× Med CA3.50×1.5× Med

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

RI0.35×(1.6×)MO0.69×(1.4×)NC0.69×(1.6×)MS0.70×(1.3×)NY0.70×(1.4×)

5 Highest-Markup States (Strict Bill Audit Recommended)

CA3.50×(1.5×)IA2.87×(1.7×)NE2.49×(2.5×)AL2.31×(1.1×)SD2.19×(1.8×)

The BaseRate high confidence

$344

the fair national price for a behavioral health residential care

typically $235–$949 across 222 hospitals · how we calculate it

modeled estimate · not a bill or quote

222

hospitals priced

states

4×

price spread — where shopping matters

—

vs. Medicare

Across 222 hospitals in 41 states, a behavioral health residential care has a fair BaseRate of $344 and typically costs $235–$949. The cheapest state is RI; the priciest is IA.

Cheapest hospitals for a behavioral health residential care

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™ $344

Medicare Rate $200

Self-Pay Cash Request Quote

Insurer Median $364

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: $317 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $317

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 = $317).

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 +$530 Above Fair BaseRate

Negotiate Toward $344 Fair BaseRate ($200 Medicare)

Your bill ($874) is $530 above the denoised Fair BaseRate ($344) and 4.4× the $200 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.