go back

Partial Hospitalization, Community Mental Health Center

Wisconsin rates for APC 5853

Partial Hospitalization (3 services) for CMHCs

Rates data updated October 2026.

How much does Partial Hospitalization, Community Mental Health Center cost?

$363

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $363 for this service. Most negotiated rates run $339 to $389.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $363 · 10th to 90th $282 to $447
$100$200$500facility $363

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$281.84
Median
$346.74
Typical High
$691.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$245.47
Median
$389.05
Typical High
$446.68
Quartz
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$380.19
Typical High
$524.81

Where Wisconsin sits

The same service costs 4.8 times more in Maine than in South Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 6th of 26

$363

ME $513SD $107

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.