45 CFR § 180 compliance
D · 65
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
○Payer-specific negotiated rates: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
121
Insurances with rates
0
CPT / HCPCS codes
114
Most expensive procedures (gross)
99236
$2,028
IP EM Adm and D/C same day 85-106 min
Gross
$2,028
99223
$1,807
IP Initial Hospital Care for EM Moderate
Gross
$1,807
ISHA
$1,750
Inpatient ISHA Day
Gross
$1,750
MURPHY
$1,750
Inpatient MURPHY Day
Gross
$1,750
99235
$1,697
IP EM Adm and D/C same day 70-84 min
Gross
$1,697
99222
$1,433
IP Initial Hospital Care for EM Moderate
Gross
$1,433
ODR
$1,400
Inpatient ODR Day
Gross
$1,400
90792
$1,322
Psychiatric Diagnostic Interview with EM
Gross
$1,322
90838
$1,322
Add On Therapy for EM 53 - 67 min
Gross
$1,322
99239
$1,322
Hospital D/C Day Mgmt 31 min or more
Gross
$1,322
99233
$1,256
IP Subsequent Hospital Care for EM
Gross
$1,256
99234
$1,256
IP EM Adm and D/C same day 45-69 min
Gross
$1,256
SELFPAY
$1,229
Inpatient PRIVATE/SELF PAY Day
Gross
$1,229
DCFSSCA
$1,200
Inpatient DCFS-SCA Day
Gross
$1,200
99221
$1,036
IP Initial Hospital Care for EM Low Seve
Gross
$1,036
90836
$992
Add On Therapy for EM 38 - 52 min
Gross
$992
99232
$926
IP Subsequent Hospital Care for EM
Gross
$926
90833
$661
ADD ON-THERAPY FOR EM 16 - 37 MIN
Gross
$661
99231
$661
IP Subsequent Hospital Care for EM
Gross
$661
99238
$661
Hospital D/C Day Mgmt 30 min or less
Gross
$661
FOLLOWUP
$658
History and Physical Follow Up
Gross
$658
HANDP
$658
History and Physical
Gross
$658
96105
$532
ASSESSMENT OF APHASIA FIRST HR
Gross
$532
96110
$532
DEVELOPMENTAL SCREENING
Gross
$532
96112
$532
DEVELOPMENTAL TESTING FIRST HR
Gross
$532
96116
$532
NEUROBEHAVIORAL STATUS EXAM
Gross
$532
96125
$532
STANDARDIZED COGNITIVE PERFORMANCE TESTING FIRST HR
Gross
$532
96130
$532
PSYCHOLOGICAL TESTING EVALUATION FIRST HOUR
Gross
$532
96131
$532
Add On for 96130 ea additional hour
Gross
$532
96132
$532
NEUROPSYCHOLOGICAL TESTING EVALUATION
Gross
$532
96133
$532
ADD ON FOR 96132 each additional hour
Gross
$532
96146
$532
PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINISTRATION
Gross
$532
99484
$532
CARE MGMT SVCS FOR BEHAVIORAL HEALTH CONDITIONS DIRECTED BY PHYSICIAN LESS THAN 20 MIN
Gross
$532
97165
$450
OCCUPATIONAL THERAPY EVALUATION LOW COMPLEXITY
Gross
$450
97166
$450
OCCUPATIONAL THERAPY EVALUATION MODERATE COMPLEXITY
Gross
$450
97167
$450
OCCUPATIONAL THERAPY EVALUATION HIGH COMPLEXITY
Gross
$450
97168
$450
OCCUPATIONAL THERAPY RE-EVALUATION
Gross
$450
90791
$344
Psychiatric Diagnostic Interview
Gross
$344
90837
$344
Indv Psychotherapy 53 - 67 min
Gross
$344
90839
$344
PSYCHOTHERAPY FOR CRISIS FIRST 30 - 89 MIN
Gross
$344
90885
$344
PSYCH EVAL OF HOSP RECS/RPTS/PROJECTIVE TESTS/ACCUMULATED DATA FOR MED DIAG
Gross
$344
96127
$344
BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT
Gross
$344
99366
$344
MED TEAM CONF W/INTERDISCIPLINARY TEAM FTF W/PATIENT 30 MIN OR MORE
Gross
$344
99368
$344
MED TEAM CONF W/INTERDISCIPLINARY TEAM W/OUT PT OR FAM 30 MIN OR MORE
Gross
$344
G0316
$331
G0316 ADD ON FOR 99223 ADD'L 97+ MIN
Gross
$331
90847
$287
Family Psychotherapy w/o family present
Gross
$287
90887
$287
ADD ON EXPLAIN RESULTS TO PARENTS/OTHERS
Gross
$287
96136
$266
TWO OR MORE PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TESTS OF NOT MORE THAN 30 MINUTES
Gross
$266
96137
$266
ADD ON FOR 96136 each additional 30 min
Gross
$266
90834
$258
Indv Psychotherapy 38 - 52 min
Gross
$258
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 99236 | IP EM Adm and D/C same day 85-106 min | $2,028 | $2,028 | — | — | 0 |
| 99223 | IP Initial Hospital Care for EM Moderate | $1,807 | $1,807 | — | — | 0 |
| ISHA | Inpatient ISHA Day | $1,750 | $1,750 | — | — | 0 |
| MURPHY | Inpatient MURPHY Day | $1,750 | $1,750 | — | — | 0 |
| 99235 | IP EM Adm and D/C same day 70-84 min | $1,697 | $1,697 | — | — | 0 |
| 99222 | IP Initial Hospital Care for EM Moderate | $1,433 | $1,433 | — | — | 0 |
| ODR | Inpatient ODR Day | $1,400 | $1,400 | — | — | 0 |
| 90792 | Psychiatric Diagnostic Interview with EM | $1,322 | $1,322 | — | — | 0 |
| 90838 | Add On Therapy for EM 53 - 67 min | $1,322 | $1,322 | — | — | 0 |
| 99239 | Hospital D/C Day Mgmt 31 min or more | $1,322 | $1,322 | — | — | 0 |
| 99233 | IP Subsequent Hospital Care for EM | $1,256 | $1,256 | — | — | 0 |
| 99234 | IP EM Adm and D/C same day 45-69 min | $1,256 | $1,256 | — | — | 0 |
| SELFPAY | Inpatient PRIVATE/SELF PAY Day | $1,229 | $1,229 | — | — | 0 |
| DCFSSCA | Inpatient DCFS-SCA Day | $1,200 | $1,200 | — | — | 0 |
| 99221 | IP Initial Hospital Care for EM Low Seve | $1,036 | $1,036 | — | — | 0 |
| 90836 | Add On Therapy for EM 38 - 52 min | $992 | $992 | — | — | 0 |
| 99232 | IP Subsequent Hospital Care for EM | $926 | $926 | — | — | 0 |
| 90833 | ADD ON-THERAPY FOR EM 16 - 37 MIN | $661 | $661 | — | — | 0 |
| 99231 | IP Subsequent Hospital Care for EM | $661 | $661 | — | — | 0 |
| 99238 | Hospital D/C Day Mgmt 30 min or less | $661 | $661 | — | — | 0 |
| FOLLOWUP | History and Physical Follow Up | $658 | $658 | — | — | 0 |
| HANDP | History and Physical | $658 | $658 | — | — | 0 |
| 96105 | ASSESSMENT OF APHASIA FIRST HR | $532 | $532 | — | — | 0 |
| 96110 | DEVELOPMENTAL SCREENING | $532 | $532 | — | — | 0 |
| 96112 | DEVELOPMENTAL TESTING FIRST HR | $532 | $532 | — | — | 0 |
| 96116 | NEUROBEHAVIORAL STATUS EXAM | $532 | $532 | — | — | 0 |
| 96125 | STANDARDIZED COGNITIVE PERFORMANCE TESTING FIRST HR | $532 | $532 | — | — | 0 |
| 96130 | PSYCHOLOGICAL TESTING EVALUATION FIRST HOUR | $532 | $532 | — | — | 0 |
| 96131 | Add On for 96130 ea additional hour | $532 | $532 | — | — | 0 |
| 96132 | NEUROPSYCHOLOGICAL TESTING EVALUATION | $532 | $532 | — | — | 0 |
| 96133 | ADD ON FOR 96132 each additional hour | $532 | $532 | — | — | 0 |
| 96146 | PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TEST ADMINISTRATION | $532 | $532 | — | — | 0 |
| 99484 | CARE MGMT SVCS FOR BEHAVIORAL HEALTH CONDITIONS DIRECTED BY PHYSICIAN LESS THAN 20 MIN | $532 | $532 | — | — | 0 |
| 97165 | OCCUPATIONAL THERAPY EVALUATION LOW COMPLEXITY | $450 | $450 | — | — | 0 |
| 97166 | OCCUPATIONAL THERAPY EVALUATION MODERATE COMPLEXITY | $450 | $450 | — | — | 0 |
| 97167 | OCCUPATIONAL THERAPY EVALUATION HIGH COMPLEXITY | $450 | $450 | — | — | 0 |
| 97168 | OCCUPATIONAL THERAPY RE-EVALUATION | $450 | $450 | — | — | 0 |
| 90791 | Psychiatric Diagnostic Interview | $344 | $344 | — | — | 0 |
| 90837 | Indv Psychotherapy 53 - 67 min | $344 | $344 | — | — | 0 |
| 90839 | PSYCHOTHERAPY FOR CRISIS FIRST 30 - 89 MIN | $344 | $344 | — | — | 0 |
| 90885 | PSYCH EVAL OF HOSP RECS/RPTS/PROJECTIVE TESTS/ACCUMULATED DATA FOR MED DIAG | $344 | $344 | — | — | 0 |
| 96127 | BRIEF EMOTIONAL/BEHAVIORAL ASSESSMENT | $344 | $344 | — | — | 0 |
| 99366 | MED TEAM CONF W/INTERDISCIPLINARY TEAM FTF W/PATIENT 30 MIN OR MORE | $344 | $344 | — | — | 0 |
| 99368 | MED TEAM CONF W/INTERDISCIPLINARY TEAM W/OUT PT OR FAM 30 MIN OR MORE | $344 | $344 | — | — | 0 |
| G0316 | G0316 ADD ON FOR 99223 ADD'L 97+ MIN | $331 | $331 | — | — | 0 |
| 90847 | Family Psychotherapy w/o family present | $287 | $287 | — | — | 0 |
| 90887 | ADD ON EXPLAIN RESULTS TO PARENTS/OTHERS | $287 | $287 | — | — | 0 |
| 96136 | TWO OR MORE PSYCHOLOGICAL OR NEUROPSYCHOLOGICAL TESTS OF NOT MORE THAN 30 MINUTES | $266 | $266 | — | — | 0 |
| 96137 | ADD ON FOR 96136 each additional 30 min | $266 | $266 | — | — | 0 |
| 90834 | Indv Psychotherapy 38 - 52 min | $258 | $258 | — | — | 0 |
Showing top 50 of 121 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.