CMS Price Transparency Data

Behavioral health day program

Facility: Park Nicollet Methodist Hospital

Billing Code: H2012 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H2012
Insurance Median: $244
Cash Discount Price: $111
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Behavioral health day program at Park Nicollet Methodist Hospital is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 6500 Excelsior Blvd, Saint Louis Park, MN.

Cash / Self-Pay

$111

Average discount available for prompt cash payment at this facility.

Insurance Median

$244

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$22 - $270	N/A
Medicaid / KanCare	$124 - $161	N/A
Medica [900156]	$244	N/A
UnitedHealthcare	$244	N/A
Healthpartners [900713]	$248	N/A
First Health Network [950334]	$318 - $321	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $111.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: H2012.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Park Nicollet Methodist Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code H2012.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.