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Partial Hospitalization, Hospital-Based Program

Virginia rates for APC 5863

Partial Hospitalization (3 services) for Hospital-based PHPs

Rates data updated July 2026.

How much rates vary

Facilitymedian $288 · 10th to 90th $195 to $525
$200$500$1Kfacility $288

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
$194.98
Median
$288.40
Typical High
$524.81