CMS Price Transparency Data

Community mental health services

Facility: Saint Clare's Hospital/ Denville Campus

Billing Code: H0038 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: H0038
  • Insurance Median: $83
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: N/A Medicare
The contracted insurance negotiated median rate for a Community mental health services at Saint Clare's Hospital/ Denville Campus is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 25 Pocono Road, Denville, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$83

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

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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
Aetna $2 N/A
UnitedHealthcare $83 N/A

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 25 Pocono Road, Denville, NJ 07834
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals