CMS Price Transparency Data

Community mental health services

Facility: Cody Regional Health

Billing Code: H0038 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H0038
Insurance Median: $25
Cash Discount Price: $24
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Community mental health services at Cody Regional Health is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$24

Average discount available for prompt cash payment at this facility.

Insurance Median

$25

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
Tricare	$13	N/A
Christian Hlthcare - All Plans	$22	N/A
Cigna	$22	N/A
Blue Cross Blue Shield	$24 - $27	N/A
First Choice Health - All Plans	$25	N/A
Medica Comm - All Other Plans	$25	N/A
Mountain Health - All Plans	$25	N/A
Pacific Source - All Plans	$25	N/A
Rocky Mtn Admin - All Plans	$25	N/A
First Health Ntwrk-All Plans	$26	N/A
Humana	$26	N/A
Interwest Health PPO - All Plans	$26	N/A
UnitedHealthcare	$26	N/A
Three Rivers - All Plans	$27	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 $24.
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 Cody Regional Health 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.