HCPCS H0011: Acute Detoxification, Residential Addiction Inpatient
HCPCS Level II code H0011 denotes acute detoxification services provided within a residential addiction program inpatient setting for individuals requiring medically supervised withdrawal management; the code is used to bill for the clinical service of acute alcohol and/or drug detoxification delivered in a residential inpatient site of service.
For related coverage guidance, see recent payer policy updates: Home Health, Skilled, and Custodial Care Services (for Idaho Only), Private Duty Nursing Services, Private Duty Nursing Services (for Florida Only).
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National Reimbursement Benchmarks
Commercial pricing for HCPCS H0011 centers around a BUCA average of $227, with meaningful variability across national payers. Blue Cross Blue Shield shows one of the widest interquartile spreads (P75–P25 = $162), indicating broader mid‑range deviation, while Aetna’s IQR is $103, reflecting moderately concentrated mid‑range pricing. UnitedHealth Group has an IQR of $289, the largest spread and the greatest dispersion across the central 50% of its rates. Cigna’s IQR is $160, also relatively wide, and BUCA’s own P75–P25 equals $168, consistent with wide commercial variation overall.
Looking at central tendency, Aetna’s mean of $301.90 and UnitedHealth Group’s mean of $162.10 bracket the market, while Cigna’s low median of $15.20 signals a skew toward very low typical payments for some contracts. Blue Cross Blue Shield’s mean is $244.50. These patterns highlight a market where mid‑market averages coexist with substantial payer‑level dispersion in the central 50% of rates.