45 CFR § 180 compliance
C · 70
This hospital published part 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: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
24
Insurances with rates
8
CPT / HCPCS codes
21
Most expensive procedures (gross)
0124
—
Psychiatric, room & board, private (general classification).
Gross
$2,038
0126
—
Psychiatric, room & board, semi-private (two-bed).
Gross
$1,279
S9485
—
Crisis intervention, per diem
Gross
$1,073
H0031
—
Mental health assessment by non-physician
Gross
$459
90792
—
Psychiatric diagnostic evaluation with medical services
Gross
$445
90792
—
Psychiatric diagnostic evaluation with medical services.
Gross
$445
90791
—
Psychiatric diagnostic evaluation (no medical services)
Gross
$428
99223
—
Initial hospital inpatient or observation care, per day; high level of medical decision making, or 7
Gross
$400
99222
—
Initial hospital inpatient or observation care, per day, for the evaluation and management of a pati
Gross
$358
99239
—
Hospital discharge day management
Gross
$252
99213
—
ESTABLISHED patient
Gross
$236
99358
—
Prolonged service, non-face-to-face, first hour
Gross
$214
99233
—
Subsequent hospital/observation care
Gross
$208
S9484
—
Crisis intervention, per hour
Gross
$182
99238
—
Hospital discharge day management
Gross
$175
0189
—
Psychiatric, room & board, subcategory "other.
Gross
$159
99232
—
Subsequent hospital/observation care
Gross
$146
99232
—
Subsequent hospital inpatient or observation care, per day; moderate level of medical decision makin
Gross
$146
99231
—
Subsequent hospital/observation care
Gross
$102
H0038
—
Self-help/peer services, per 15 minutes
Gross
$91.96
H0002
—
Behavioral health screening to determine program eligibility
Gross
$56.15
T1002
—
RN services, up to 15 minutes
Gross
$54.32
A0120
—
Non-emergency transportation (verify)
Gross
$37.48
S0215
—
Non-emergency transportation per mile
Gross
$7.86
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 0124 | Psychiatric, room & board, private (general classification). | $2,038 | — | — | — | 4 |
| 0126 | Psychiatric, room & board, semi-private (two-bed). | $1,279 | — | — | — | 4 |
| S9485 | Crisis intervention, per diem | $1,073 | — | — | — | 0 |
| H0031 | Mental health assessment by non-physician | $459 | — | — | — | 0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | $445 | — | — | — | 1 |
| 90792 | Psychiatric diagnostic evaluation with medical services. | $445 | — | — | — | 1 |
| 90791 | Psychiatric diagnostic evaluation (no medical services) | $428 | — | — | — | 2 |
| 99223 | Initial hospital inpatient or observation care, per day; high level of medical decision making, or 7 | $400 | — | — | — | 0 |
| 99222 | Initial hospital inpatient or observation care, per day, for the evaluation and management of a pati | $358 | — | — | — | 0 |
| 99239 | Hospital discharge day management | $252 | — | — | — | 0 |
| 99213 | ESTABLISHED patient | $236 | — | — | — | 0 |
| 99358 | Prolonged service, non-face-to-face, first hour | $214 | — | — | — | 0 |
| 99233 | Subsequent hospital/observation care | $208 | — | — | — | 3 |
| S9484 | Crisis intervention, per hour | $182 | — | — | — | 0 |
| 99238 | Hospital discharge day management | $175 | — | — | — | 4 |
| 0189 | Psychiatric, room & board, subcategory "other. | $159 | — | — | — | 0 |
| 99232 | Subsequent hospital/observation care | $146 | — | — | — | 3 |
| 99232 | Subsequent hospital inpatient or observation care, per day; moderate level of medical decision makin | $146 | — | — | — | 3 |
| 99231 | Subsequent hospital/observation care | $102 | — | — | — | 3 |
| H0038 | Self-help/peer services, per 15 minutes | $91.96 | — | — | — | 0 |
| H0002 | Behavioral health screening to determine program eligibility | $56.15 | — | — | — | 1 |
| T1002 | RN services, up to 15 minutes | $54.32 | — | — | — | 1 |
| A0120 | Non-emergency transportation (verify) | $37.48 | — | — | — | 0 |
| S0215 | Non-emergency transportation per mile | $7.86 | — | — | — | 0 |
Showing top 24 of 24 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.