Aurora Psychiatric Hospital Prices – CARBAMAZEPINE/TEGRETAL is $260
Carbamazepine (brand name Tegretal) is an anticonvulsant and mood-stabilizing medication commonly used to treat epilepsy, bipolar disorder, and certain types of nerve pain. At Aurora Psychiatric Hospital, the listed price for CARBAMAZEPINE/TEGRETAL (Charge Code 10002503, Revenue Code 301, CPT 80156) is $260. This fee typically covers the medication administration and potentially includes associated laboratory testing to monitor drug levels. To avoid unexpected expenses, patients should request an itemized estimate detailing what is included in the charge and inquire about any additional costs for related services such as lab work or physician oversight.
Cost Breakdown
- Medication Fee: $260 (for Carbamazepine/Tegretal administration and monitoring, per charge code)
- Included Components: Medication dispensation, possible therapeutic drug monitoring, and basic administrative services
- Not Always Included: Physician fees, additional lab tests, follow-up appointments, or other medications
Associated Costs
- Consultation or psychiatric evaluation fees
- Additional laboratory tests (e.g., liver function, blood counts)
- Other prescribed medications
- Inpatient or outpatient program fees, if applicable
Insurance & Payment Advice
- Check if your insurance covers both the medication and any required monitoring (CPT 80156 is often billed as a therapeutic drug assay).
- Request pre-authorization for the medication, if needed.
- Ask for an itemized bill to clarify all components of the charge.
- Explore patient assistance programs or manufacturer discounts if you are uninsured or underinsured.
Side-Effect Considerations
- Common side effects: Drowsiness, dizziness, nausea, and unsteadiness.
- Serious risks: Blood disorders, liver toxicity, or allergic reactions—regular blood tests may be required.
- Report any unusual symptoms to your care team promptly.
Recovery and Monitoring Tips
- Attend all scheduled follow-up appointments for medication level checks and side-effect monitoring.
- Take the medication as prescribed and do not stop abruptly without consulting your provider.
- Maintain a medication diary to track doses and any side effects.
Frequently Asked Questions
-
What does the $260 fee for Carbamazepine/Tegretal cover?
The fee typically covers the medication administration and therapeutic drug monitoring, but may not include physician fees or additional lab work. -
Are there additional costs beyond the listed price?
Yes, you may incur extra charges for consultations, other medications, and further laboratory tests required for monitoring your health while on carbamazepine. -
Will my insurance cover this medication and related monitoring?
Coverage varies by plan; check with your insurer and provide the CPT code 80156 to confirm benefits and any required authorizations. -
Why is lab monitoring necessary with carbamazepine?
Carbamazepine levels in the blood must be monitored to ensure effectiveness and prevent side effects, as well as to check for potential toxicity or interactions. -
Can I request an itemized estimate before starting treatment?
Yes, it is recommended to ask for an itemized cost estimate so you understand all potential charges related to your care. -
What if I cannot afford the medication?
Ask about patient assistance programs, sliding scale fees, or manufacturer coupons that may help reduce out-of-pocket costs. -
What side effects should I watch for?
Common effects include drowsiness and nausea, but also monitor for rash, fever, sore throat, or jaundice and report these to your provider immediately. -
Can I stop taking carbamazepine on my own?
No, stopping abruptly can cause withdrawal or worsening symptoms. Always consult your healthcare provider before changing your regimen. -
Is this medication used only for psychiatric conditions?
No, carbamazepine is also used for seizure disorders and some pain syndromes, so its use may span multiple specialties. -
How often will I need to return for monitoring?
Initially, monitoring may be frequent (every few weeks), but over time intervals may be extended depending on your response and lab results.
Aurora Psychiatric Hospital – price for Charge Code 10002503 CARBAMAZEPINE/TEGRETAL rev 301 cpt 80156 is $260
- 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 10002503, which pertains to CARBAMAZEPINE/TEGRETAL with a revenue code of 301 and a corresponding CPT code of 80156, the fee is $260.
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