CMS Price Transparency Data

Community mental health services

Facility: Central Peninsula General Hospital

Billing Code: H0038 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H0038
Insurance Median: $23
Cash Discount Price: $25
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Community mental health services at Central Peninsula General Hospital is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 250 Hospital Place, Soldotna, AK.

Cash / Self-Pay

$25

Average discount available for prompt cash payment at this facility.

Insurance Median

$23

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
Kenai Peninsula School	$15	N/A
Kenai Peninsula Premera - All Other Plans	$15	N/A
Moda Cph - All Other Plans	$15	N/A
Blue Cross Blue Shield	$21	N/A
Aetna	$22	N/A
UnitedHealthcare	$22	N/A
Cigna	$22	N/A
Moda Non-Cph	$22	N/A
Rehn - All Plans	$23	N/A
First Choice PPO - All Plans	$24	N/A
Geha - All Plans	$24	N/A
Vnpn - All Plans	$24	N/A
Multiplan Primary - All Other Plans	$24	N/A
Multiplan Comp	$24	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 $25.
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 Central Peninsula General Hospital 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.