Aurora Psychiatric Hospital Prices – HALOPERIDOL DECANOATE 50 MG/ML IM SOLN is $94.21
Overview: Haloperidol Decanoate 50 mg/mL IM Solution is a long-acting antipsychotic medication administered via intramuscular injection, commonly used in the management of schizophrenia and other psychiatric disorders. At Aurora Psychiatric Hospital, the fee for this medication—under Charge Code 10002800, Rev 250, and CPT J1631—is $94.21. This price typically covers the cost of the medication itself and its administration by qualified clinical staff. It’s important to request an itemized estimate prior to your appointment to ensure clarity on what is included, as fees for additional services (like office visits, monitoring, or other medications) may be billed separately.
Cost Breakdown
- Medication Cost: Haloperidol Decanoate 50 mg/mL IM Solution – $94.21 per dose
- Administration Fee: Often included, but verify if a separate charge for the injection procedure or nursing time applies
- Other Associated Fees: Additional costs may occur for physician evaluation, follow-up visits, lab tests, or monitoring
Associated Costs to Consider
- Initial Psychiatric Evaluation: May be required before starting treatment
- Ongoing Mental Health Care: Regular follow-up appointments and possible therapy sessions
- Lab Testing: Occasionally ordered to monitor side effects or overall health
- Medication Management: Adjustments or additional prescriptions as indicated
Insurance & Payment Advice
- Check with your insurance provider to confirm coverage for both the drug (CPT J1631) and its administration; coverage may vary.
- Ask Aurora Psychiatric Hospital for a pre-treatment cost estimate and itemized bill to compare with your insurance Explanation of Benefits (EOB).
- Inquire about financial assistance or self-pay discounts if you are uninsured or have a high-deductible plan.
Side-Effect Considerations & Recovery Tips
- Common side effects include injection site pain, drowsiness, or restlessness; report severe or persistent symptoms to your clinician.
- Plan for transportation if you experience sedation after your injection.
- Stay hydrated and maintain regular follow-up appointments for ongoing monitoring and dose adjustments.
Frequently Asked Questions
-
What does the $94.21 fee for Haloperidol Decanoate cover?
This fee typically includes the medication itself and its intramuscular administration. However, additional facility or provider charges may apply, so always request an itemized estimate before your visit. -
Is Haloperidol Decanoate 50 mg/mL covered by insurance?
Coverage varies by insurance plan. Contact your insurer and provide the CPT code J1631 to verify if the medication and its administration are included in your benefits. -
Are there extra costs beyond the medication fee?
Yes, you may be billed separately for provider visits, laboratory tests, monitoring, or additional medications. Always confirm with the hospital what is included in your quoted price. -
How often will I need to receive Haloperidol Decanoate injections?
The injection is usually administered every 4 weeks, but the exact schedule depends on your individual treatment plan and your doctor’s recommendations. -
Can I get a cost estimate for the entire course of treatment?
Yes, you can request a written, itemized estimate for your anticipated full course of injections, including all related services, from the hospital’s billing department. -
What are common side effects of Haloperidol Decanoate?
Side effects may include injection site discomfort, sedation, restlessness, or muscle stiffness. Serious side effects are rare but should be reported immediately to your provider. -
Can I bring my own prescription or use a pharmacy benefit?
Some facilities allow patients to bring their own medication, but confirm this in advance. Also, check if your insurance’s pharmacy benefit covers the drug for in-office administration. -
What should I do if I cannot afford the medication?
Ask about financial assistance programs or sliding-scale fees. Some hospitals and pharmaceutical companies offer support for eligible patients. -
How do I dispute a billing error?
Contact the hospital’s billing department promptly with your invoice and insurance EOB. Request a detailed explanation and provide supporting documentation as needed. -
Are there alternatives to Haloperidol Decanoate?
Your psychiatrist can discuss alternative medications or formulations based on your diagnosis, response, and insurance coverage.
Aurora Psychiatric Hospital – price for Charge Code 10002800 HALOPERIDOL DECANOATE 50 MG/ML IM SOLN rev 250 cpt J1631 is $94.21
- 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 10002800, which pertains to HALOPERIDOL DECANOATE 50 MG/ML IM SOLN with a revenue code of 250 and a corresponding CPT code of J1631, the fee is $94.21.
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