45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
138
Insurances with rates
5
CPT / HCPCS codes
133
Most expensive procedures (gross)
Psychiatric, Room & Board - Private
—
Psychiatric, Room & Board - Private
Gross
$1,714
Detox, Room & Board - Private
—
Detox, Room & Board - Private
Gross
$1,714
Psychiatric; room and board semi private
—
Psychiatric; room and board semi private
Gross
$1,714
Detoxification, room and board 2 Beds
—
Detoxification, room and board 2 Beds
Gross
$1,714
90792
—
Diagnostic evaluation with medical
Gross
$621
99255
—
Initial Inp Consultation 1hr50mn
Gross
$617
99236
—
OBS/IP same day admit/dc, high complexit
Gross
$591
90791
—
Diagnostic evaluation (no medical)
Gross
$556
99223
—
Initial Hospital Visit
Gross
$546
99245
—
Office Consultation Comprehensive
Gross
$528
99239
—
Hospital Discharge Day
Gross
$498
99254
—
Initial Inpatient Consultation
Gross
$458
90834
—
Psychotherapy 45 min (38-52min)
Gross
$443
99244
—
Office Consultation Extended
Gross
$433
99235
—
OBS/IP same day admit/dc, mod complexity
Gross
$402
80159
—
Drug Screen Quant Clozapine
Gross
$397
99222
—
Initial Hospital Visit
Gross
$373
99234
—
OBS/IP same day admit/dc, low complexity
Gross
$368
99356
—
Prolonged Service INP
Gross
$333
90847
—
Psychotherapy Family Therapy (Pt Pr)
Gross
$331
90846
—
Psychotherapy Family Therapy (Pt not Pr)
Gross
$320
99253
—
Initial Inpatient Consultation 55 min
Gross
$314
99233
—
Subsequent Hospital Visit
Gross
$302
90887
—
Results Explanation
Gross
$276
99221
—
Initial Hospital Visit
Gross
$275
90832
—
Psychotherapy 30 min (16-37min)
Gross
$271
99357
—
Prolonged Service INP
Gross
$251
99238
—
Hospital Discharge Day
Gross
$249
99252
—
Intial Inpatient Consultation 40 min
Gross
$223
99232
—
Subsequent Hospital Visit
Gross
$206
90837
$150
Individual Therapy (60 min)
Gross
$200
99282
—
Emergency Room Visit Limited
Gross
$195
90889
—
Reports Preparation
Gross
$181
99251
—
Initial Inpatient Consultation 20 min
Gross
$134
Reserved Inpatient Bed - Hospitalization
—
Reserved Inpatient Bed - Hospitalization
Gross
$133
99231
—
Subsequent Hospital Visit
Gross
$125
87536
—
Hiv-1 quant&revrse trnscrpj
Gross
$117
90849
—
Psychotherapy Family Therapy (Group)
Gross
$113
87591
—
N Gonorrhoeae DNA AMP Probe
Gross
$101
90853
—
Group Psychotherapy
Gross
$97.19
87491
—
Chylmd Trach DNA AMP Probe
Gross
$96
80175
—
Drug Screen Quan Lamotrigine
Gross
$92
99418
—
Prolonged Observation/Inp Add on
Gross
$90
80307
—
Drug Screen
Gross
$79.81
87426
—
Inf Antigen Detection by Immunoassay Tec
Gross
$70
86360
—
T cell absolute count/ratio
Gross
$64.45
80074
—
Acute hepatitis panel
Gross
$63.65
80100
—
Drug screen; multiple drug classes
Gross
$63
87521
—
Hepatitis c probe&rvrs trnsc
Gross
$48.14
87538
—
Hiv-2 probe&revrse trnscripj
Gross
$48.14
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Psychiatric, Room & Board - Private | Psychiatric, Room & Board - Private | $1,714 | — | — | — | 3 |
| Detox, Room & Board - Private | Detox, Room & Board - Private | $1,714 | — | — | — | 3 |
| Psychiatric; room and board semi private | Psychiatric; room and board semi private | $1,714 | — | — | — | 5 |
| Detoxification, room and board 2 Beds | Detoxification, room and board 2 Beds | $1,714 | — | — | — | 5 |
| 90792 | Diagnostic evaluation with medical | $621 | — | — | — | 0 |
| 99255 | Initial Inp Consultation 1hr50mn | $617 | — | — | — | 0 |
| 99236 | OBS/IP same day admit/dc, high complexit | $591 | — | — | — | 0 |
| 90791 | Diagnostic evaluation (no medical) | $556 | — | — | — | 0 |
| 99223 | Initial Hospital Visit | $546 | — | — | — | 0 |
| 99245 | Office Consultation Comprehensive | $528 | — | — | — | 0 |
| 99239 | Hospital Discharge Day | $498 | — | — | — | 0 |
| 99254 | Initial Inpatient Consultation | $458 | — | — | — | 0 |
| 90834 | Psychotherapy 45 min (38-52min) | $443 | — | — | — | 0 |
| 99244 | Office Consultation Extended | $433 | — | — | — | 0 |
| 99235 | OBS/IP same day admit/dc, mod complexity | $402 | — | — | — | 0 |
| 80159 | Drug Screen Quant Clozapine | $397 | — | — | — | 0 |
| 99222 | Initial Hospital Visit | $373 | — | — | — | 0 |
| 99234 | OBS/IP same day admit/dc, low complexity | $368 | — | — | — | 0 |
| 99356 | Prolonged Service INP | $333 | — | — | — | 0 |
| 90847 | Psychotherapy Family Therapy (Pt Pr) | $331 | — | — | — | 0 |
| 90846 | Psychotherapy Family Therapy (Pt not Pr) | $320 | — | — | — | 0 |
| 99253 | Initial Inpatient Consultation 55 min | $314 | — | — | — | 0 |
| 99233 | Subsequent Hospital Visit | $302 | — | — | — | 0 |
| 90887 | Results Explanation | $276 | — | — | — | 0 |
| 99221 | Initial Hospital Visit | $275 | — | — | — | 0 |
| 90832 | Psychotherapy 30 min (16-37min) | $271 | — | — | — | 0 |
| 99357 | Prolonged Service INP | $251 | — | — | — | 0 |
| 99238 | Hospital Discharge Day | $249 | — | — | — | 0 |
| 99252 | Intial Inpatient Consultation 40 min | $223 | — | — | — | 0 |
| 99232 | Subsequent Hospital Visit | $206 | — | — | — | 0 |
| 90837 | Individual Therapy (60 min) | $200 | $150 | — | — | 0 |
| 99282 | Emergency Room Visit Limited | $195 | — | — | — | 0 |
| 90889 | Reports Preparation | $181 | — | — | — | 0 |
| 99251 | Initial Inpatient Consultation 20 min | $134 | — | — | — | 0 |
| Reserved Inpatient Bed - Hospitalization | Reserved Inpatient Bed - Hospitalization | $133 | — | — | — | 0 |
| 99231 | Subsequent Hospital Visit | $125 | — | — | — | 0 |
| 87536 | Hiv-1 quant&revrse trnscrpj | $117 | — | — | — | 0 |
| 90849 | Psychotherapy Family Therapy (Group) | $113 | — | — | — | 0 |
| 87591 | N Gonorrhoeae DNA AMP Probe | $101 | — | — | — | 0 |
| 90853 | Group Psychotherapy | $97.19 | — | — | — | 0 |
| 87491 | Chylmd Trach DNA AMP Probe | $96 | — | — | — | 0 |
| 80175 | Drug Screen Quan Lamotrigine | $92 | — | — | — | 0 |
| 99418 | Prolonged Observation/Inp Add on | $90 | — | — | — | 0 |
| 80307 | Drug Screen | $79.81 | — | — | — | 0 |
| 87426 | Inf Antigen Detection by Immunoassay Tec | $70 | — | — | — | 0 |
| 86360 | T cell absolute count/ratio | $64.45 | — | — | — | 0 |
| 80074 | Acute hepatitis panel | $63.65 | — | — | — | 0 |
| 80100 | Drug screen; multiple drug classes | $63 | — | — | — | 0 |
| 87521 | Hepatitis c probe&rvrs trnsc | $48.14 | — | — | — | 0 |
| 87538 | Hiv-2 probe&revrse trnscripj | $48.14 | — | — | — | 0 |
Showing top 50 of 138 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.