CMS Price Transparency Data

Community mental health services

Facility: Cheshire Medical Center

Billing Code: H0038 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H0038
Insurance Median: $68
Cash Discount Price: $30
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Community mental health services at Cheshire Medical Center is $68. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$30

Average discount available for prompt cash payment at this facility.

Insurance Median

$68

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 (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$2 - $73	N/A
Amerihealth Caritas Nh	$13 - $25	N/A
Wellsense Health Plan	$15 - $25	N/A
Granite State Health Plan	$18 - $25	N/A
Harvard Pilgrim Health Care of Ne	$23 - $49	N/A
Mass General Brigham Health Plan	$37 - $107	N/A
Maine Community Health Options	$48	N/A
Mvp	$53 - $101	N/A
Cigna	$53 - $101	N/A
UnitedHealthcare	$63 - $81	N/A
Tufts Health Plan	$68	N/A
Blue Cross Blue Shield	$82 - $85	N/A
First Health/Hcvm	$91	N/A
PHCS	$96	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 $30.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: H0038.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cheshire Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code H0038.
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.