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
117
Insurances with rates
0
CPT / HCPCS codes
53
Most expensive procedures (gross)
90899
$515
UNLISTED PSYC SVC/THERAPY
Gross
$515
90839
$515
PSYTX CRISIS INITIAL 60 MIN
Gross
$515
90837GE
$429
PSYTX 60 MINS
Gross
$429
90839SCH
$400
PSYTX CRISIS INITIAL 60 MIN SCHOOL
Gross
$400
90839TEL
$400
TELEHEALTH PSYTX CRISIS INITIAL 60 MIN
Gross
$400
90847GE
$391
FAMILY PSYTX W PT 50 MIN
Gross
$391
90847TEL
$391
FAMILY PSYTX W/PT 50 MIN
Gross
$391
99215TEL
$379
TELEHEALTH OFFICE/OUTPATIENT VISIT EST
Gross
$379
H0010
$362
Alcohol and/or drug services
Gross
$362
99214TEL
$357
TELEHEALTH OFFICE/OUTPATIENT VISIT EST
Gross
$357
S9485UB
$356
Mobile Crisis W Transp 3 Or More Hrs
Gross
$356
S9485
$346
Crisis intervention mental h
Gross
$346
99213TEL
$339
TELEHEALTH OFFICE/OUTPATIENT VISIT EST
Gross
$339
90846TELE
$338
TELEHEALTH FAMILY PSYTX W/O PT 50 MIN
Gross
$338
99215
$330
OFFICE O/P EST HI 40 MIN
Gross
$330
90834GE
$329
PSYTX 45 MINS
Gross
$329
99214
$320
OFFICE O/P EST MOD 30 MIN
Gross
$320
99213
$310
OFFICE O/P EST LOW 20 MIN
Gross
$310
99212
$300
OFFICE O/P EST SF 10 MIN
Gross
$300
90791TELE
$271
TELEHALTH FQ PSYCH DIAGNOSTIC EVALUATION
Gross
$271
99350
$257
HOME/RES VST EST HIGH MDM 60
Gross
$257
99349
$250
HOME/RES VST EST MOD MDM 40
Gross
$250
99212TEL
$249
OFFICE/OUTPATIENT VISIT EST
Gross
$249
90847TELE
$222
TELEHEALTH FQ FAMILY PSYTX W/PT 50 MIN
Gross
$222
99223
$219
1ST HOSP IP/OBS HIGH 75
Gross
$219
90853TEL
$219
TELEHEALTH GROUP PSYCHOTHERAPY
Gross
$219
S9484UB
$195
Mobile Crisis W Transportation
Gross
$195
99443
$188
PHONE E/M PHYS/QHP 21-30 MIN
Gross
$188
99243
$188
OFF/OP CNSLTJ NEW/EST LOW 30
Gross
$188
S9484
$185
Crisis intervention per hour
Gross
$185
96156
$175
HLTH BHV ASSMT/REASSESSMENT
Gross
$175
90834TEL
$170
TELEHEALTH PSYTX 45 MINS
Gross
$170
90834TELE
$170
TELE FQ
Gross
$170
90792
$167
PSYCH DIAG EVAL W/MED SRVCS
Gross
$167
90792BH
$167
PSYCH DIAG EVAL W/MED SRVCS
Gross
$167
90791TBH
$159
PSYCH DIAGNOSTIC EVALUATION FAC
Gross
$159
90792TBH
$159
PSYCH DIAG EVAL W/MED SRVCS FAC
Gross
$159
90832TBH
$159
PSYTX W PT 30 MINUTES FAC
Gross
$159
90834TBH
$159
PSYTX W PT 45 MINUTES FAC
Gross
$159
90837TBH
$159
PSYTX W PT 60 MINUTES FAC
Gross
$159
90846TBH
$159
FAMILY PSYTX W/O PT 50 MIN FAC
Gross
$159
90847TBH
$159
FAMILY PSYTX W/ PT 50 MIN FAC
Gross
$159
90853TBH
$159
GROUP PSYCHOTHERAPY FAC
Gross
$159
99211TBH
$159
OFFICE/OUTPATIENT VISIT EST FAC
Gross
$159
99212TBH
$159
OFFICE/OUTPATIENT VISIT EST FAC
Gross
$159
99213TBH
$159
OFFICE/OUTPATIENT VISIT EST FAC
Gross
$159
99214TBH
$159
OFFICE/OUTPATIENT VISIT EST FAC
Gross
$159
99215TBH
$159
OFFICE/OUTPATIENT VISIT EST FAC
Gross
$159
99215BH
$156
OFFICE/OUTPATIENT VISIT EST
Gross
$156
99222
$150
1ST HOSP IP/OBS MODERATE 55
Gross
$150
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 90899 | UNLISTED PSYC SVC/THERAPY | $515 | $515 | — | — | 0 |
| 90839 | PSYTX CRISIS INITIAL 60 MIN | $515 | $515 | — | — | 0 |
| 90837GE | PSYTX 60 MINS | $429 | $429 | — | — | 0 |
| 90839SCH | PSYTX CRISIS INITIAL 60 MIN SCHOOL | $400 | $400 | — | — | 0 |
| 90839TEL | TELEHEALTH PSYTX CRISIS INITIAL 60 MIN | $400 | $400 | — | — | 0 |
| 90847GE | FAMILY PSYTX W PT 50 MIN | $391 | $391 | — | — | 0 |
| 90847TEL | FAMILY PSYTX W/PT 50 MIN | $391 | $391 | — | — | 0 |
| 99215TEL | TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $379 | $379 | — | — | 0 |
| H0010 | Alcohol and/or drug services | $362 | $362 | — | — | 0 |
| 99214TEL | TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $357 | $357 | — | — | 0 |
| S9485UB | Mobile Crisis W Transp 3 Or More Hrs | $356 | $356 | — | — | 0 |
| S9485 | Crisis intervention mental h | $346 | $346 | — | — | 0 |
| 99213TEL | TELEHEALTH OFFICE/OUTPATIENT VISIT EST | $339 | $339 | — | — | 0 |
| 90846TELE | TELEHEALTH FAMILY PSYTX W/O PT 50 MIN | $338 | $338 | — | — | 0 |
| 99215 | OFFICE O/P EST HI 40 MIN | $330 | $330 | — | — | 0 |
| 90834GE | PSYTX 45 MINS | $329 | $329 | — | — | 0 |
| 99214 | OFFICE O/P EST MOD 30 MIN | $320 | $320 | — | — | 0 |
| 99213 | OFFICE O/P EST LOW 20 MIN | $310 | $310 | — | — | 0 |
| 99212 | OFFICE O/P EST SF 10 MIN | $300 | $300 | — | — | 0 |
| 90791TELE | TELEHALTH FQ PSYCH DIAGNOSTIC EVALUATION | $271 | $271 | — | — | 0 |
| 99350 | HOME/RES VST EST HIGH MDM 60 | $257 | $257 | — | — | 0 |
| 99349 | HOME/RES VST EST MOD MDM 40 | $250 | $250 | — | — | 0 |
| 99212TEL | OFFICE/OUTPATIENT VISIT EST | $249 | $249 | — | — | 0 |
| 90847TELE | TELEHEALTH FQ FAMILY PSYTX W/PT 50 MIN | $222 | $222 | — | — | 0 |
| 99223 | 1ST HOSP IP/OBS HIGH 75 | $219 | $219 | — | — | 0 |
| 90853TEL | TELEHEALTH GROUP PSYCHOTHERAPY | $219 | $219 | — | — | 0 |
| S9484UB | Mobile Crisis W Transportation | $195 | $195 | — | — | 0 |
| 99443 | PHONE E/M PHYS/QHP 21-30 MIN | $188 | $188 | — | — | 0 |
| 99243 | OFF/OP CNSLTJ NEW/EST LOW 30 | $188 | $188 | — | — | 0 |
| S9484 | Crisis intervention per hour | $185 | $185 | — | — | 0 |
| 96156 | HLTH BHV ASSMT/REASSESSMENT | $175 | $175 | — | — | 0 |
| 90834TEL | TELEHEALTH PSYTX 45 MINS | $170 | $170 | — | — | 0 |
| 90834TELE | TELE FQ | $170 | $170 | — | — | 0 |
| 90792 | PSYCH DIAG EVAL W/MED SRVCS | $167 | $167 | — | — | 0 |
| 90792BH | PSYCH DIAG EVAL W/MED SRVCS | $167 | $167 | — | — | 0 |
| 90791TBH | PSYCH DIAGNOSTIC EVALUATION FAC | $159 | $159 | — | — | 0 |
| 90792TBH | PSYCH DIAG EVAL W/MED SRVCS FAC | $159 | $159 | — | — | 0 |
| 90832TBH | PSYTX W PT 30 MINUTES FAC | $159 | $159 | — | — | 0 |
| 90834TBH | PSYTX W PT 45 MINUTES FAC | $159 | $159 | — | — | 0 |
| 90837TBH | PSYTX W PT 60 MINUTES FAC | $159 | $159 | — | — | 0 |
| 90846TBH | FAMILY PSYTX W/O PT 50 MIN FAC | $159 | $159 | — | — | 0 |
| 90847TBH | FAMILY PSYTX W/ PT 50 MIN FAC | $159 | $159 | — | — | 0 |
| 90853TBH | GROUP PSYCHOTHERAPY FAC | $159 | $159 | — | — | 0 |
| 99211TBH | OFFICE/OUTPATIENT VISIT EST FAC | $159 | $159 | — | — | 0 |
| 99212TBH | OFFICE/OUTPATIENT VISIT EST FAC | $159 | $159 | — | — | 0 |
| 99213TBH | OFFICE/OUTPATIENT VISIT EST FAC | $159 | $159 | — | — | 0 |
| 99214TBH | OFFICE/OUTPATIENT VISIT EST FAC | $159 | $159 | — | — | 0 |
| 99215TBH | OFFICE/OUTPATIENT VISIT EST FAC | $159 | $159 | — | — | 0 |
| 99215BH | OFFICE/OUTPATIENT VISIT EST | $156 | $156 | — | — | 0 |
| 99222 | 1ST HOSP IP/OBS MODERATE 55 | $150 | $150 | — | — | 0 |
Showing top 50 of 117 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.