45 CFR § 180 compliance
F · 50
This hospital published little 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
121
Insurances with rates
4
CPT / HCPCS codes
120
Most expensive procedures (gross)
00041 Inpatient Day of Care
—
00041 Inpatient Day of Care
Gross
$1,400
S9485
—
Mobile Crisis
Gross
$635
S9484
—
Mobile Crisis
Gross
$325
87913
—
87913 Nfct agt gntyp alys sarscov2
Gross
$260
28190
—
28190 Removal of Foot Foreign Body
Gross
$225
99205
—
99205 - New Patient High Complex
Gross
$205
99223
—
00331 Initial Hospital Consult
Gross
$190
99215
—
99215 - Est Pt High Complex
Gross
$186
69209
—
69209 Ear Lavage
Gross
$180
90791
—
00005 Clinical Assessment
Gross
$165
86308
—
86308 Heterophile Antibodies Screening
Gross
$162
90791
—
9500 Facility Code Assessment
Gross
$162
90832
—
Individual therapy facility
Gross
$162
90834
—
Individual therapy facility
Gross
$162
90837
—
Individual therapy facility
Gross
$162
90839
—
90839 Psychotherapy for Crisis Facility
Gross
$162
93005
—
93005 EKG Tracing
Gross
$162
94640
—
94640 Airway Inhalation Treatment
Gross
$162
96127
—
96127 PHQ-9 Screening
Gross
$162
96372
—
96372 IM Injection
Gross
$162
99202
—
9601 Facility 99202
Gross
$162
99203
—
9601 Facility 99203
Gross
$162
99204
—
9601 Facility 99204
Gross
$162
99205
—
9601 Facility 99205
Gross
$162
99211
—
9608 Facility 99211
Gross
$162
99212
—
9608 Facility 99212
Gross
$162
99213
—
9608 Facility 99213
Gross
$162
99214
—
9608 Facility 99214
Gross
$162
99215
—
9608 Facility 99215
Gross
$162
90837
—
Individual Therapy
Gross
$155
99204
—
99204 - New Patient Comprehensive
Gross
$155
99387
—
Annual Wellness Visit - New Patient
Gross
$150
11106
—
Incisional Biopsy
Gross
$145
90839
—
90839 Psychotherapy for Crisis
Gross
$145
99222
—
00331 Initial Hospital Consult
Gross
$140
99386
—
Annual Wellness Visit - New Patient
Gross
$140
90838
—
Psychotherapy with E&M
Gross
$130
10060
—
10060 Incision & Drainage
Gross
$125
99384
—
Annual Wellness Visit - New Patient
Gross
$125
99397
—
Annual Wellness Visit - Estab Patient
Gross
$125
99214
—
99214 - Est Pt Moderate Complex
Gross
$120
99385
—
Annual Wellness Visit - New Patient
Gross
$120
11104
—
Punch Biopsy
Gross
$115
99396
—
Annual Wellness Visit - Estab Patient
Gross
$115
99233
—
00336 Hospital consult follow up
Gross
$110
99239
—
Discharge IPU Rounds
Gross
$110
99383
—
Annual Wellness Visit - New Patient
Gross
$110
99395
—
Annual Wellness Visit - Estab Patient
Gross
$110
90834
—
Individual Therapy
Gross
$105
90847
—
00011 Family therapy
Gross
$105
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 00041 Inpatient Day of Care | 00041 Inpatient Day of Care | $1,400 | — | — | — | 5 |
| S9485 | Mobile Crisis | $635 | — | — | — | 1 |
| S9484 | Mobile Crisis | $325 | — | — | — | 1 |
| 87913 | 87913 Nfct agt gntyp alys sarscov2 | $260 | — | — | — | 0 |
| 28190 | 28190 Removal of Foot Foreign Body | $225 | — | — | — | 0 |
| 99205 | 99205 - New Patient High Complex | $205 | — | — | — | 7 |
| 99223 | 00331 Initial Hospital Consult | $190 | — | — | — | 7 |
| 99215 | 99215 - Est Pt High Complex | $186 | — | — | — | 7 |
| 69209 | 69209 Ear Lavage | $180 | — | — | — | 0 |
| 90791 | 00005 Clinical Assessment | $165 | — | — | — | 7 |
| 86308 | 86308 Heterophile Antibodies Screening | $162 | — | — | — | 0 |
| 90791 | 9500 Facility Code Assessment | $162 | — | — | — | 0 |
| 90832 | Individual therapy facility | $162 | — | — | — | 0 |
| 90834 | Individual therapy facility | $162 | — | — | — | 0 |
| 90837 | Individual therapy facility | $162 | — | — | — | 0 |
| 90839 | 90839 Psychotherapy for Crisis Facility | $162 | — | — | — | 0 |
| 93005 | 93005 EKG Tracing | $162 | — | — | — | 0 |
| 94640 | 94640 Airway Inhalation Treatment | $162 | — | — | — | 0 |
| 96127 | 96127 PHQ-9 Screening | $162 | — | — | — | 0 |
| 96372 | 96372 IM Injection | $162 | — | — | — | 0 |
| 99202 | 9601 Facility 99202 | $162 | — | — | — | 0 |
| 99203 | 9601 Facility 99203 | $162 | — | — | — | 0 |
| 99204 | 9601 Facility 99204 | $162 | — | — | — | 0 |
| 99205 | 9601 Facility 99205 | $162 | — | — | — | 0 |
| 99211 | 9608 Facility 99211 | $162 | — | — | — | 0 |
| 99212 | 9608 Facility 99212 | $162 | — | — | — | 0 |
| 99213 | 9608 Facility 99213 | $162 | — | — | — | 0 |
| 99214 | 9608 Facility 99214 | $162 | — | — | — | 0 |
| 99215 | 9608 Facility 99215 | $162 | — | — | — | 0 |
| 90837 | Individual Therapy | $155 | — | — | — | 7 |
| 99204 | 99204 - New Patient Comprehensive | $155 | — | — | — | 7 |
| 99387 | Annual Wellness Visit - New Patient | $150 | — | — | — | 0 |
| 11106 | Incisional Biopsy | $145 | — | — | — | 0 |
| 90839 | 90839 Psychotherapy for Crisis | $145 | — | — | — | 7 |
| 99222 | 00331 Initial Hospital Consult | $140 | — | — | — | 7 |
| 99386 | Annual Wellness Visit - New Patient | $140 | — | — | — | 0 |
| 90838 | Psychotherapy with E&M | $130 | — | — | — | 7 |
| 10060 | 10060 Incision & Drainage | $125 | — | — | — | 0 |
| 99384 | Annual Wellness Visit - New Patient | $125 | — | — | — | 0 |
| 99397 | Annual Wellness Visit - Estab Patient | $125 | — | — | — | 0 |
| 99214 | 99214 - Est Pt Moderate Complex | $120 | — | — | — | 7 |
| 99385 | Annual Wellness Visit - New Patient | $120 | — | — | — | 0 |
| 11104 | Punch Biopsy | $115 | — | — | — | 0 |
| 99396 | Annual Wellness Visit - Estab Patient | $115 | — | — | — | 0 |
| 99233 | 00336 Hospital consult follow up | $110 | — | — | — | 7 |
| 99239 | Discharge IPU Rounds | $110 | — | — | — | 7 |
| 99383 | Annual Wellness Visit - New Patient | $110 | — | — | — | 0 |
| 99395 | Annual Wellness Visit - Estab Patient | $110 | — | — | — | 0 |
| 90834 | Individual Therapy | $105 | — | — | — | 7 |
| 90847 | 00011 Family therapy | $105 | — | — | — | 7 |
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.