WABASH VALLEY ALLIANCE, INC. / RIVER BEND HOSPITAL (West Lafayette, IN) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
126	Inpatient day DETOX	$1,300	$1,300	—	—	20
124	IP A-UNIT LOA DAY	$650	$650	—	—	20
99236	Admission/Discharge Same Day - High Comp	$300	$300	—	—	20
99223	Initial Hospital Care Level 3	$250	$250	—	—	20
99235	Admission/Discharge Same Day - Moderate Comp	$200	$200	—	—	20
99239	Discharge Day >30 minutes	$200	$200	—	—	20
99222	Initial Hospital Care Level 2	$200	$200	—	—	20
99234	Admission/Discharge Same Day - Low Comp	$150	$150	—	—	20
99221	Initial Hospital Care Level 1	$150	$150	—	—	20
96130	Psychological Testing MD	$130	$130	—	—	20
99233	Subsequent Hospital Care Level 3	$125	$125	—	—	20
99238	Discharge Day 30 minutes	$100	$100	—	—	20
99232	Subsequent Hospital Care Level 2	$100	$100	—	—	20
96131	Psychological Testing MD additional hour	$98	$98	—	—	20
99231	Subsequent Hospital Care Level 1	$80	$80	—	—	20
96136	Psychological Testing Admin MD	$50	$50	—	—	20
96137	Psychological Testing Admin MD additional 30 min	$47	$47	—	—	20

Showing top 17 of 17 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.