CMS Price Transparency Data

Mental health services (assessment)

Facility: Charleston Area Medical Center

Billing Code: H0031 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H0031
Insurance Median: $13
Cash Discount Price: $17
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Mental health services (assessment) at Charleston Area Medical Center is $13. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$17

Average discount available for prompt cash payment at this facility.

Insurance Median

$13

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
Choicecare Network	$4 - $17	N/A
Triwest VA	$4	N/A
The Health Plan of West Virginia Inc.	$4 - $16	N/A
Unicare Health Plan of West Virginia Inc.	$4	N/A
Blue Cross Blue Shield	$4 - $16	N/A
West Virginia Senior Advantage Inc.	$4	N/A
UnitedHealthcare	$4 - $17	N/A
Optimum Choice Inc.	$7	N/A
Integrated Medical Solutions	$8	N/A
Naphcare	$8	N/A
Tricare	$10	N/A
Caresource	$11	N/A
City of Charleston	$13	N/A
Aetna	$15 - $17	N/A
Cigna	$16	N/A
Three Rivers Providers Network	$16	N/A
Multiplan	$17	N/A
Healthsmart	$17	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 $17.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: H0031.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Charleston Area Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code H0031.
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.