CMS Price Transparency Data

Behavioral health day program

Facility: Aurora Psychiatric Hospital

Billing Code: H2012 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H2012
Insurance Median: $185
Cash Discount Price: $133
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Behavioral health day program at Aurora Psychiatric Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1220 Dewey Ave, Wauwatosa, WI.

Cash / Self-Pay

$133

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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
Everpointe Elite	$110 - $155	N/A
Hs Technology	$110 - $155	N/A
Aetna	$117 - $256	N/A
Quartz One	$121 - $170	N/A
UnitedHealthcare	$131 - $261	N/A
Aurora Caregiver	$132 - $186	N/A
Common Ground	$132 - $186	N/A
Health Eos Plus	$132 - $186	N/A
Healthpartners	$132 - $232	N/A
Quartz Group	$132 - $186	N/A
Wisconsin Physician Service	$136 - $202	N/A
Health Payment Systems	$143 - $202	N/A
Trilogy	$154 - $217	N/A
Centivo	$165 - $232	N/A
Cigna	$165 - $262	N/A
Health Eos	$176 - $248	N/A
Blue Cross Blue Shield	$187 - $765	N/A
Molina Exchange	$207 - $430	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 $133.
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 Aurora Psychiatric 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.