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Partial Hospitalization, Hospital-Based Program

California rates for APC 5863

Partial Hospitalization (3 services) for Hospital-based PHPs

Rates data updated July 2026.

How much rates vary

Facilitymedian $129 · 10th to 90th $105 to $200
$100$200facility $129

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$204.17
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$120.23
Typical High
$151.36