45 CFR § 180 compliance
B · 80
This hospital published most of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
○Payer-specific negotiated rates
●Min / max negotiated charges
●Free, public, no login required
Procedures listed
28
Insurances with rates
0
CPT / HCPCS codes
27
Source MRF
Most expensive procedures (gross)
n/a
$2,650
Inpatient Psychiatric Semiprivate Room & Board - Child (12 and under) per diem
Gross
$2,650
99236
$644
Professional fee inpatient or observation same day admit/discharge - high
Gross
$644
99223
$599
Professional fee hospital inpatient - initial - high
Gross
$599
99220
$549
Professional fee initial observation care - high
Gross
$549
99235
$501
Professional fee inpatient or observation same day admit/discharge - medium
Gross
$501
99222
$405
Professional fee hospital inpatient - initial - medium
Gross
$405
99219
$402
Professional fee initial observation care - medium
Gross
$402
90837
$400
Individual Therapy (53+ minutes)*
Gross
$400
99234
$394
Professional fee inpatient or observation same day admit/discharge - low
Gross
$394
90847
$334
Family Therapy w/ Client (26+ minutes)*
Gross
$334
90846
$321
Family Therapy w/o Client (26+ minutes)*
Gross
$321
99239
$317
Professional fee discharge day management - greater than 30 minutes
Gross
$317
99226
$310
Professional fee subsequent observation care - high
Gross
$310
99233
$308
Professional fee hospital inpatient - subsequent - high
Gross
$308
90834
$300
Individual Therapy (38-52 minutes)*
Gross
$300
99221
$300
Professional fee hospital inpatient - initial - low
Gross
$300
99218
$295
Professional fee initial observation care - low
Gross
$295
99217
$216
Professional fee Observation care discharge day
Gross
$216
99225
$216
Professional fee subsequent observation care - medium
Gross
$216
99238
$216
Professional fee discharge day management - 30 minutes or less
Gross
$216
99232
$215
Professional fee hospital inpatient - subsequent - medium
Gross
$215
90832
$200
Individual Therapy (16-37 minutes)*
Gross
$200
99356
$200
Professional fee prolonged service during inpatient - hour
Gross
$200
99357
$125
Professional fee prolonged service during inpatient - additional 30 minutes
Gross
$125
99224
$118
Professional fee subsequent observation care - low
Gross
$118
99231
$117
Professional fee hospital inpatient - subsequent - low
Gross
$117
G0378
$82
Hospital observation, per hour charge
Gross
$82
90853
$80
Group Therapy*
Gross
$80
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| n/a | Inpatient Psychiatric Semiprivate Room & Board - Child (12 and under) per diem | $2,650 | $2,650 | $1,060 | $1,593 | 0 |
| 99236 | Professional fee inpatient or observation same day admit/discharge - high | $644 | $644 | $154 | $342 | 0 |
| 99223 | Professional fee hospital inpatient - initial - high | $599 | $599 | $174 | $319 | 0 |
| 99220 | Professional fee initial observation care - high | $549 | $549 | $189 | $292 | 0 |
| 99235 | Professional fee inpatient or observation same day admit/discharge - medium | $501 | $501 | $142 | $265 | 0 |
| 99222 | Professional fee hospital inpatient - initial - medium | $405 | $405 | $135 | $215 | 0 |
| 99219 | Professional fee initial observation care - medium | $402 | $402 | $134 | $213 | 0 |
| 90837 | Individual Therapy (53+ minutes)* | $400 | $400 | $139 | $198 | 0 |
| 99234 | Professional fee inpatient or observation same day admit/discharge - low | $394 | $394 | $144 | $210 | 0 |
| 90847 | Family Therapy w/ Client (26+ minutes)* | $334 | $334 | $134 | $140 | 0 |
| 90846 | Family Therapy w/o Client (26+ minutes)* | $321 | $321 | $120 | $138 | 0 |
| 99239 | Professional fee discharge day management - greater than 30 minutes | $317 | $317 | $116 | $169 | 0 |
| 99226 | Professional fee subsequent observation care - high | $310 | $310 | $124 | $165 | 0 |
| 99233 | Professional fee hospital inpatient - subsequent - high | $308 | $308 | $90.41 | $164 | 0 |
| 90834 | Individual Therapy (38-52 minutes)* | $300 | $300 | $120 | $138 | 0 |
| 99221 | Professional fee hospital inpatient - initial - low | $300 | $300 | $77.73 | $197 | 0 |
| 99218 | Professional fee initial observation care - low | $295 | $295 | $80.69 | $158 | 0 |
| 99217 | Professional fee Observation care discharge day | $216 | $216 | $84.84 | $114 | 0 |
| 99225 | Professional fee subsequent observation care - medium | $216 | $216 | $86.4 | $114 | 0 |
| 99238 | Professional fee discharge day management - 30 minutes or less | $216 | $216 | $86.4 | $121 | 0 |
| 99232 | Professional fee hospital inpatient - subsequent - medium | $215 | $215 | $71.94 | $121 | 0 |
| 90832 | Individual Therapy (16-37 minutes)* | $200 | $200 | $78.72 | $95.92 | 0 |
| 99356 | Professional fee prolonged service during inpatient - hour | $200 | $200 | $80 | $80 | 0 |
| 99357 | Professional fee prolonged service during inpatient - additional 30 minutes | $125 | $125 | $50 | $50 | 0 |
| 99224 | Professional fee subsequent observation care - low | $118 | $118 | $47.2 | $61.73 | 0 |
| 99231 | Professional fee hospital inpatient - subsequent - low | $117 | $117 | $44.4 | $121 | 0 |
| G0378 | Hospital observation, per hour charge | $82 | $82 | $32.8 | $950 | 0 |
| 90853 | Group Therapy* | $80 | $80 | $32 | $78 | 0 |
Showing top 28 of 28 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.