HCPCS H0004 at EvergreenHealth Monroe

Behavioral health counseling and therapy, per 15 minutes

EvergreenHealth Monroe, Monroe

Description from CMS's HCPCS Level II code file.

What EvergreenHealth Monroe publishes for this code: as an outpatient

EvergreenHealth Monroe’s prices for HCPCS H0004, as an outpatient
Who pays	Hospital’s fee (lowest – highest)	Doctor’s fee the hospital lists
Commercial insuranceInsurer rates	$54.81 – $80.9114 plans	—
UnknownInsurer rates	$60.32 – $70.917 plans	—
Cash pricePaying yourself, without insurance	$69.60	—
List priceBefore any discount; few people pay it	$87.00	—

Lowest and highest amounts EvergreenHealth Monroe lists for this code as an outpatient, including lines it lists for both settings or without saying which. This is one line of a bill; most care brings several.

Bills to expect

The hospital’s fee is the price above. Doctors usually send their own bills. Their amounts here are what original Medicare allows in the rest of Washington for 2026, and a private-plan estimate of 118% to 179% of that (the range found across studies of what insurers pay doctors). Those are estimates, not quotes.

Bills to expect for HCPCS H0004 at EvergreenHealth Monroe
Bill	What it’s for	Original Medicare allows	Private plan estimate
Hospital's feeThe hospital	The clinic's facility fee, when the clinic belongs to the hospital	—	The price above
Doctor's visitThe doctor's practice	The visit itself	—	—

Original Medicare amounts are only for people on original Medicare. Your share depends on your plan’s deductible, copay and coinsurance.

Compare HCPCS H0004 at every Washington hospital, with Medicare’s reference amounts.