HCPCS H0008: Alcohol and/or Drug Sub-Acute Detoxification (Inpatient)
Commercial payers pay $279 on average nationally for this procedure.
HCPCS Level II code H0008 describes alcohol and/or drug services for sub-acute detoxification provided in a hospital inpatient setting and represents clinical care focused on medically monitored withdrawal management for patients requiring detoxification but not acute inpatient detox; the service type is sub-acute detoxification and the typical site of service is hospital inpatient.
For related coverage guidance, see recent payer policy updates: Home Health, Skilled, and Custodial Care Services (for Idaho Only), Private Duty Nursing Services (for Florida Only), Private Duty Nursing Services.
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National Reimbursement Benchmarks
National commercial pricing centers on BUCA’s average commercial rate of $279.30, which serves as a mid-market reference point relative to major payers. Cigna shows the highest central tendency with a median of $984.40 and substantial tail values (max $1,575), while Aetna and Blue Cross Blue Shield cluster lower—Aetna’s median at $112.00 and Blue Cross Blue Shield’s median at $153.00—indicating pronounced segmentation between aggressive and conservative commercial reimbursements.
Dispersion analysis (P75 minus P25) highlights Cigna as the widest spread: $1,338.70 − $315.00 = $1,023.70, reflecting large variability in commercial arrangements. Aetna’s spread is $360.00 − $112.00 = $248.00 and Blue Cross Blue Shield’s spread is $177.20 − $143.20 = $34.00, making Blue Cross Blue Shield the tightest of the three with the smallest interquartile dispersion. UnitedHealth Group’s spread is $65.00 − $40.60 = $24.40, indicating a similarly narrow distribution around lower central rates.