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
428
Insurances with rates
10
CPT / HCPCS codes
0
Most expensive procedures (gross)
5100410
—
Evaluation of psychological test, first hour
Gross
$6,000
9180010
—
Evaluation of psychological test, first hour
Gross
$6,000
5100400
—
REV - IHS-MOA CLINIC VISIT
Gross
$5,520
9000070
—
REV - BH/TREATMENTS
Gross
$5,520
1140010
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$5,250
1140020
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$5,250
1140030
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$5,250
1160010
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$5,250
1160020
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$5,250
1160030
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$5,250
9000060
—
REV - BH/TREATMENTS
Gross
$4,500
9010030
$2,500
Therapy using electrical currents
Gross
$3,400
9000050
—
REV - BH/TREATMENTS
Gross
$3,000
1240010
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$2,650
1240020
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$2,650
1240030
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$2,650
1260010
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$2,650
1260030
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$2,650
1260070
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$2,650
1260080
—
BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER
Gross
$2,650
5100450
—
Psychiatric evaluation of hospital records, reports, testing, or data for diagnosis
Gross
$1,850
9000040
—
REV - BH/TREATMENTS
Gross
$1,500
3000630
—
LAB
Gross
$1,356
5100430
—
REV - IHS-MOA CLINIC VISIT
Gross
$1,000
5100440
—
Test to assess the ability to complete specific functional tasks applicable to environment
Gross
$1,000
3000081
—
Liver function blood test panel
Gross
$938
3002300
—
ABETA 42/40 & PTAU217 EVAL
Gross
$840
3000570
—
Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common variants
Gross
$838
3002500
—
FLU A/B RSV RNA QL,RT-PCR
Gross
$801
3002600
—
LUP PAN 2 W/ANA W/REFL TIT/PAT
Gross
$650
9050010
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9050030
—
TP IOP PSYCH
Gross
$635
9050040
—
TELEHEALTH OP PSY
Gross
$635
9050050
—
Group psychotherapy
Gross
$635
9050100
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9050110
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9050120
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9050130
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9050131
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9050150
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9050160
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9060010
—
INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM
Gross
$635
9060020
—
TELEHEALTH IOP SUB
Gross
$635
9060030
—
Group psychotherapy
Gross
$635
9060100
—
Group psychotherapy
Gross
$635
9060110
—
Group psychotherapy
Gross
$635
9060120
—
Group psychotherapy
Gross
$635
9060130
—
Group psychotherapy
Gross
$635
9060140
—
Group psychotherapy
Gross
$635
9060150
—
Group psychotherapy
Gross
$635
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 5100410 | Evaluation of psychological test, first hour | $6,000 | — | — | — | 6 |
| 9180010 | Evaluation of psychological test, first hour | $6,000 | — | — | — | 6 |
| 5100400 | REV - IHS-MOA CLINIC VISIT | $5,520 | — | — | — | 6 |
| 9000070 | REV - BH/TREATMENTS | $5,520 | — | — | — | 6 |
| 1140010 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $5,250 | — | — | — | 7 |
| 1140020 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $5,250 | — | — | — | 7 |
| 1140030 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $5,250 | — | — | — | 7 |
| 1160010 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $5,250 | — | — | — | 7 |
| 1160020 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $5,250 | — | — | — | 7 |
| 1160030 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $5,250 | — | — | — | 7 |
| 9000060 | REV - BH/TREATMENTS | $4,500 | — | — | — | 6 |
| 9010030 | Therapy using electrical currents | $3,400 | $2,500 | — | — | 10 |
| 9000050 | REV - BH/TREATMENTS | $3,000 | — | — | — | 6 |
| 1240010 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $2,650 | — | — | — | 9 |
| 1240020 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $2,650 | — | — | — | 9 |
| 1240030 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $2,650 | — | — | — | 9 |
| 1260010 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $2,650 | — | — | — | 9 |
| 1260030 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $2,650 | — | — | — | 9 |
| 1260070 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $2,650 | — | — | — | 9 |
| 1260080 | BEHAVIORAL HEALTH; RESIDENTIAL (HOSPITAL RESIDENTIAL TREATMENT PROGRAM), WITHOUT ROOM AND BOARD, PER | $2,650 | — | — | — | 9 |
| 5100450 | Psychiatric evaluation of hospital records, reports, testing, or data for diagnosis | $1,850 | — | — | — | 6 |
| 9000040 | REV - BH/TREATMENTS | $1,500 | — | — | — | 6 |
| 3000630 | LAB | $1,356 | — | — | — | 6 |
| 5100430 | REV - IHS-MOA CLINIC VISIT | $1,000 | — | — | — | 6 |
| 5100440 | Test to assess the ability to complete specific functional tasks applicable to environment | $1,000 | — | — | — | 6 |
| 3000081 | Liver function blood test panel | $938 | — | — | — | 6 |
| 3002300 | ABETA 42/40 & PTAU217 EVAL | $840 | — | — | — | 6 |
| 3000570 | Gene analysis (cytochrome P450, family 2, subfamily D, polypeptide 6) common variants | $838 | — | — | — | 6 |
| 3002500 | FLU A/B RSV RNA QL,RT-PCR | $801 | — | — | — | 6 |
| 3002600 | LUP PAN 2 W/ANA W/REFL TIT/PAT | $650 | — | — | — | 6 |
| 9050010 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9050030 | TP IOP PSYCH | $635 | — | — | — | 11 |
| 9050040 | TELEHEALTH OP PSY | $635 | — | — | — | 11 |
| 9050050 | Group psychotherapy | $635 | — | — | — | 11 |
| 9050100 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9050110 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9050120 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9050130 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9050131 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9050150 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9050160 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9060010 | INTENSIVE OUTPATIENT PSYCHIATRIC SERVICES, PER DIEM | $635 | — | — | — | 9 |
| 9060020 | TELEHEALTH IOP SUB | $635 | — | — | — | 11 |
| 9060030 | Group psychotherapy | $635 | — | — | — | 11 |
| 9060100 | Group psychotherapy | $635 | — | — | — | 11 |
| 9060110 | Group psychotherapy | $635 | — | — | — | 11 |
| 9060120 | Group psychotherapy | $635 | — | — | — | 11 |
| 9060130 | Group psychotherapy | $635 | — | — | — | 11 |
| 9060140 | Group psychotherapy | $635 | — | — | — | 11 |
| 9060150 | Group psychotherapy | $635 | — | — | — | 11 |
Showing top 50 of 428 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.