CMS Price Transparency Data

Behavioral health assessment

Facility: East Adams Rural Hospital

Billing Code: H0001 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: H0001
Insurance Median: $73
Cash Discount Price: $62
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Behavioral health assessment at East Adams Rural Hospital is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $62. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 903 South Adams, Ritzville, WA.

Cash / Self-Pay

$62

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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
Aetna	$36 - $74	N/A
Molina Markeplace-All Other Plans	$41 - $73	N/A
Molina McR Adv	$41 - $73	N/A
Triwest Va-All Plans	$62 - $73	N/A
Molina McAid	$68 - $170	N/A
Ambetter / Centene	$70	N/A
Coordinated Care McAid	$70 - $162	N/A
Premera First-All Plans	$72 - $198	N/A
Amerigroup McAid-All Plans	$72 - $170	N/A
Asuris Nw Hlth McR Adv	$73	N/A
Assured Hospice McR-All Plans	$73	N/A
UnitedHealthcare	$74	N/A
Asuris Indiv and Family	$78	N/A
Asuris Nw Health-All Other Plans	$78	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 $62.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: H0001.

Insurance In-Network Protection Plan

Contact your insurance company to confirm East Adams Rural Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code H0001.
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.