CMS Price Transparency Data

Behavioral health day program

Facility: Children's Hosp of Los Angeles

Billing Code: H2012 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H2012
Insurance Median: $53
Cash Discount Price: $89
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Behavioral health day program at Children's Hosp of Los Angeles is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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
Molina	$13 - $35	N/A
Serendib Healthways Mmc	$13 - $89	N/A
Inland Empire Health Plan	$13	N/A
Medi-Cal	$13	N/A
Shriners Hospital	$27	N/A
Medicaid / KanCare	$27 - $89	N/A
St Francis Medical Center	$27 - $89	N/A
Hollywood Presbyterian Medical Center	$31 - $89	N/A
Valley Presbyterian Hospital	$34 - $89	N/A
Pacific Alliance Medical Center	$34 - $89	N/A
Non-Contract Payors	$36	N/A
Serra Community Med Clinic	$36 - $89	N/A
Beech Street	$36	N/A
Choc Health Alliance	$36	N/A
Incentive Health Network	$36	N/A
Superior Choice Medical Group	$36 - $89	N/A
Souther California Hosp System - Mmc	$37 - $89	N/A
Mabuhay Medical Group	$37 - $89	N/A
Centinela Valley IPA	$37 - $89	N/A
Watts Healthcare Mmc	$37 - $89	N/A
Kern Family Health Plan	$37 - $89	N/A
Alhambra Hospital Medical Center	$37 - $89	N/A
Bella Vista Med Grp	$37 - $89	N/A
Healthy New Life Medical Corp	$37 - $89	N/A
Cencal Health	$37 - $89	N/A
Family Health Alliance Med Grp	$37 - $89	N/A
Accountable Health	$37 - $89	N/A
Los Angeles Medical Center IPA	$37 - $89	N/A
California Pacific Physicians Medical Group	$37 - $89	N/A
Applecare Medical Group	$37 - $89	N/A
San Judas Med Grp	$37 - $89	N/A
Care 1St	$37 - $89	N/A
Primary Care and Pediatric IPA	$37 - $89	N/A
El Proyecto Del Barrio	$37 - $89	N/A
Exceptional Care Medical Group	$37 - $89	N/A
Premier Physicians Ntwk	$37 - $89	N/A
Health Care La IPA	$37 - $89	N/A
Blue Shield	$37 - $89	N/A
Karing Physicians Medical Group	$37 - $89	N/A
Global Care Medical Group	$37 - $89	N/A
Avalon IPA	$37 - $89	N/A
Health Net	$37 - $111	N/A
Asian Community Medical Group	$37 - $89	N/A
Dignity Health	$37 - $89	N/A
Regent Medical Group	$37 - $89	N/A
Noble Community Medical Associates	$37 - $89	N/A
Emanate Health Medical Center Mmc	$40	N/A
Beverly Hospital	$40 - $89	N/A
Preferred IPA	$40 - $89	N/A
Kaiser	$41 - $51	N/A
Community Care IPA Mmc	$42 - $89	N/A
Seaside Health Plan	$42 - $89	N/A
Crown City Medical Group	$42 - $89	N/A
Cigna	$42	N/A
Employee Health Systems Med Grp	$42 - $89	N/A
Angeles IPA	$42 - $89	N/A
Adventist Health Physicians	$42 - $89	N/A
Facey Medical Group	$43	N/A
St. John's Health Clinic	$43	N/A
Axminster Medical Group	$43	N/A
Family Care Specialists	$44 - $89	N/A
Accarent Health	$44	N/A
Staywell Insurance	$44	N/A
Sansum Clinic	$44	N/A
Mercy Care	$44	N/A
UnitedHealthcare	$44 - $69	N/A
Gold Coast Health Plan	$44 - $89	N/A
Citrus Valley Phys Grp	$44 - $58	N/A
Pioneer Prov Ntwk	$44	N/A
Altamed	$44 - $89	N/A
Gemcare IPA	$44	N/A
Managed Care Systems	$44	N/A
Heritage Provider Network	$44 - $89	N/A
La Care	$44 - $89	N/A
Book Md	$46	N/A
Aetna	$46 - $49	N/A
Good Samaritan Medical Group	$47	N/A
Community Care	$49	N/A
National Healthcare Solutions	$49	N/A
Intl - Quality Health Management	$49 - $58	N/A
Intl - Global Medical Management	$49	N/A
Intl - Global Excel Management	$49 - $58	N/A
Culinary Health Fund	$49	N/A
Choice Medical Group	$49	N/A
Blue Cross Blue Shield	$52 - $89	N/A
Ventura County Health Plan	$53	N/A
Private Hlthcare System	$53	N/A
Access Medical Group	$53	N/A
Emanate Health Medical Center Commercial	$53	N/A
Southern Atlantic Medical Group Mmc	$53 - $89	N/A
Hispanic Physician IPA	$53 - $89	N/A
Delta Health Systems	$53	N/A
Sanus Health	$53	N/A
Providence Health Network	$53	N/A
Seoul Medical Group	$53	N/A
Self-Pay	$53	N/A
Bright Medical Associates	$53	N/A
Preferred IPA - Commercial	$53	N/A
Allied Pacific IPA	$53 - $89	N/A
Sierra Health and Life Insurance Company	$56	N/A
Intl - Concierge Healthcare Services	$58	N/A
Intl - Aixin Life Insurance Co	$58	N/A
Calvo Selectcare	$58	N/A
Prime Health Services	$58	N/A
Redlands Community Hospital	$58	N/A
Intl - Erv Travel Services	$58 - $62	N/A
Axis Services International	$58	N/A
Lakewood Health Plan	$58	N/A
Cedar Sinai Med Grp	$58	N/A
Imperial Health Holdings Medical Group	$58 - $89	N/A
Marian Health Services	$58	N/A
Serra Community Med Clinic - Commercial	$58	N/A
Embassy - Saudi Arabia	$58	N/A
Star Healthcare Network Commercial	$58	N/A
Plotkin Health	$58	N/A
Intl - Msh China Enterprise Services	$58	N/A
Memorialcare Med Foundation	$62	N/A
Korean American Med Grp	$62	N/A
Beaver Medical Group	$62	N/A
Multiplan	$62	N/A
Primecare Medical Network	$62	N/A
Associated Hispanic Physicians IPA	$67 - $89	N/A
Interlink Health Services	$67	N/A
Embassy - Kuwait	$67	N/A
Prospect Medical Group	$67	N/A
Self-Pay International	$71	N/A
Embassy - All Others	$71	N/A
Champus	$89	N/A
Community Family Care IPA	$89	N/A
Cal Care IPA	$89	N/A
White Memorial Medical Center	$89	N/A
Southland San Gabriel Valley Medical Group	$89	N/A
Caloptima	$89	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 $89.
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 Children's Hosp of Los Angeles 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.