Aurora Psychiatric Hospital Prices – BEHAVIORAL TX/HR PHP SA is $295
Overview:
Behavioral health treatment at Aurora Psychiatric Hospital, specifically the Partial Hospitalization Program (PHP) for substance abuse (SA) billed under CPT code H2012 and revenue code 913, is priced at $295 per hour. This fee typically covers direct professional services, structured programming, therapeutic interventions, and facility resources during treatment sessions. When considering this service, patients should request an itemized cost estimate, clarify what is included in the hourly rate, and inquire about additional costs such as assessments, medication management, or ancillary services. Understanding these details upfront helps avoid unexpected expenses and allows for better financial planning.
Cost Breakdown
- Base Fee (per hour): $295
- Includes: Individual/group therapy, clinical supervision, facility charges, and program materials for each hour of PHP SA treatment
- May Exclude: Initial psychiatric assessment, lab tests, medications, family sessions, or special therapies (billed separately)
Associated Costs
- Initial evaluation or intake appointment
- Medication management visits
- Laboratory or toxicology testing (if required)
- Additional or adjunctive therapies (e.g., family sessions, occupational therapy)
- Follow-up outpatient appointments after PHP completion
Insurance & Payment Advice
- Verify with your insurer if PHP (CPT H2012) is a covered service and what your copay or coinsurance will be.
- Ask about preauthorization requirements for behavioral health services.
- Request a detailed, itemized cost estimate from the provider before starting treatment.
- Inquire about self-pay discounts, financial assistance, or payment plans if you are uninsured or underinsured.
Side-Effect Considerations
- Partial hospitalization often involves medication; discuss potential side effects and medication costs with your provider.
- Therapy sessions can be emotionally demanding—know the available support resources during and after program participation.
Recovery Tips
- Follow your provider’s recommendations for aftercare and outpatient follow-up to maintain progress made in PHP.
- Engage with support groups or community resources for ongoing recovery support.
- Plan for transportation and daily scheduling, as PHP typically involves several hours per day over multiple weeks.
Frequently Asked Questions
-
What does the $295 fee for PHP SA cover?
This fee covers one hour of structured partial hospitalization programming for substance abuse, including therapeutic services and facility resources during that time. -
Are there additional costs beyond the hourly rate?
Yes, costs such as initial assessments, medication management, lab tests, and specialized therapies may be billed separately. -
Will insurance cover this service?
Coverage depends on your insurance plan; contact your insurer to verify benefits for CPT H2012 and inquire about preauthorization or copayments. -
How many hours per day or week does PHP typically involve?
Partial hospitalization programs often require 4–6 hours per day over several days a week, but the schedule may vary based on individual treatment plans. -
Can I get an itemized estimate before starting treatment?
Yes, you can and should request an itemized estimate that details all expected charges, including ancillary services. -
What payment options are available if I am uninsured?
Ask about self-pay rates, payment plans, and financial assistance programs that may reduce your out-of-pocket costs. -
What types of therapy are included in PHP SA?
PHP SA generally includes group therapy, individual counseling, psychoeducation, and relapse prevention sessions. -
Will I receive medication as part of PHP SA?
Medication may be part of your treatment if clinically indicated, but medication management visits and prescriptions may involve additional costs. -
How do I plan for time away from work or family?
PHP schedules are intensive; coordinate with your employer and support system and discuss flexible options with your treatment team. -
Are family members involved in the treatment process?
Some programs offer family therapy or education sessions, which may be billed separately—ask your provider for details. -
What happens after completing PHP?
After PHP, most patients transition to outpatient therapy or support groups for continued care and relapse prevention.
Aurora Psychiatric Hospital – price for Charge Code 10005041 BEHAVIORAL TX/HR PHP SA rev 913 cpt H2012 is $295
- Location: 1220 Dewey Avenue, Wauwatosa, WI 53213
- Phone: (414) 454-6600
- Website: https://www.aurorahealthcare.org
- Services Offered: Comprehensive mental health services, substance use disorder treatment, partial hospitalization, intensive outpatient programming.
- Hours: Open 24 hours
At Aurora Psychiatric Hospital, we’re committed to transparency and clarity in our healthcare services and costs. For Charge Code 10005041, which pertains to BEHAVIORAL TX/HR PHP SA with a revenue code of 913 and a corresponding CPT code of H2012, the fee is $295.
This initiative, part of CompareMedCosts program, is designed to ensure that you have all the necessary information upfront, much like having a clear map before embarking on a journey. This way, you can navigate your healthcare decisions with confidence, understanding the financial aspects of your care with the same clarity you seek in your health outcomes.
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