CMS Price Transparency Data

Behavioral health residential care

Facility: Insight Hospital and Medical Center Coldwater

Billing Code: H0011 (HCPCS)

The BaseRate · fair price medium confidence

A fair price for this

$394

modeled fair price · typically $229–$1,635

modeled estimate · not a bill or quote

What this hospital charges insurers

$263

Below the fair price — a good deal

about $131 under the fair price

Fair price $394 This hospital $263 Cash price $300 Hospital's list price $375

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

Lowest price of the 5 MI hospitals we have prices for — a strong deal.

Cheapest $263 Priciest $281

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 residential care is about $394. Insight Hospital and Medical Center Coldwater charges insurers about $263, or about $300 in cash — below the fair price — a good deal. 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	$188	—
Aetnamajor	$262	—
Humanamajor	$262	—

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 300), 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: H0011.

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 H0011.
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 residential care at other MI hospitals

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