CMS Price Transparency Data

Behavioral health counseling (group)

Facility: Insight Hospital and Medical Center Coldwater

Billing Code: H0009 (HCPCS)

The BaseRate · fair price low confidence

A fair price for this

$236

modeled fair price · typically $86–$1,351

modeled estimate · not a bill or quote

What this hospital charges insurers

$228

About the fair price

about $8 under the fair price

Fair price $236 This hospital $228 Cash price $260 Hospital's list price $325

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Highest price of the 5 MI hospitals we have prices for — worth calling around.

Cheapest $29 Priciest $228

Black dot = this hospital, among the 5 MI hospitals with a price for this procedure. Full list below.

A fair price for a Behavioral health counseling (group) is about $236. Insight Hospital and Medical Center Coldwater charges insurers about $228, or about $260 in cash — about the fair price. Located in Coldwater, MI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Humana Blue Cross Blue ShieldCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$162	—
Aetnamajor	$228	—
Humanamajor	$228	—

Government programs also on file: Medicare, Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 260), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the HCPCS code on your bill matches exactly: H0009.

Insurance Before you use insurance

Call your insurance company to confirm Insight Hospital and Medical Center Coldwater is in-network.
Ask your insurer whether prior approval is required for HCPCS code H0009.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Insight Hospital and Medical Center Coldwater

Compare: Behavioral health counseling (group) at other MI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.