Prairie View Inc prices — Hospital Ledger

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
SOTPBASIC	SOTP Basic Adult	$1,365	$1,297	—	—	0
IPHOSPITAL	Inpatient Hospital	$925	$879	$332	$873	7
ADOLCLIN	ADOL Clinical Review/Coordination	$852	$809	—	—	0
CHILDCLIN	CHILD Clinical Review/Coordination	$735	$698	—	—	0
PRTF	Turning Point	$685	$651	$247	$525	7
PVCLIN	Child/Adol PV Client Clinical Review/Coo	$683	$649	—	—	0
TMSREDT	TMS ReDetermine Motor Threshold	$560	$474	$131	$554	5
IPMEDCRD3	Medical Care IP 1st Day-High Complex	$525	$499	$105	$273	7
TMSINITIAL	TMS - Initial Visit	$525	$499	$164	$320	5
TMS	TMS	$446	$424	$130	$208	5
ADOLREPORT	ADOL Report	$420	$399	—	—	0
OCKCC	Care Coordination (OCKCC)	$368	$350	—	—	0
OCKCCM	Comprehensive Care Management	$368	$350	—	—	0
OCKCTC	Comprehensive Transitional Care	$368	$350	—	—	0
OCKHP	Health Promotion	$368	$350	—	—	0
OCKPFS	Patient and Family Support	$368	$350	—	—	0
OCKRCSS	Referral to Community and Social Support	$368	$350	—	—	0
PASRRSCRN	PASRR Screen Level II	$362	$344	—	—	0
NHMEDCKN3	Medical Care NH New-High Complex	$347	$330	$90	$224	7
COMPEVAL	Competency Evaluation	$331	$314	—	—	0
IPMEDCRD2	Medical Care IP 1st Day-Moderate Complex	$331	$314	$130	$202	7
NFMHSCRN	NFMH Screen Cont Stay - No Facilitator	$320	$304	—	—	0
NHMEDCKN2	Medical Care NH New-Moderate Complex	$273	$259	$90	$176	7
EVAL	Evaluation	$263	$250	$110	$180	7
MEDEVAL	Med Eval	$263	$250	$130	$202	7
MHRFRMSCR	Mental Health Reform Screen	$263	$250	$110	$180	7
VNSWPROG	VNS Therapy Simple	$263	$250	$37.7	$62.39	3
VNSWPROGCP	VNS Therapy Complex	$263	$250	$50.07	$83.38	3
NEUROTEVA2	Neuro Test Eval - Add Hour	$236	$224	$93.53	$154	7
NEUROTEVAL	Neuro Test Eval - First Hour	$236	$224	$123	$203	7
CRISISTHPY	Crisis Psychotherapy	$231	$219	$95	$225	7
IPMEDCRD1	Medical Care IP 1st Day-Straight Forward	$221	$210	$130	$202	7
IPMEDCRDC2	Medical Care IP Dschg 2	$221	$210	$83	$154	7
IPMEDCRSD3	Medical Care Ip Sub Day-High Complex	$221	$210	$72	$141	7
NHDISCDAY2	NH Discharge Day > 30 Mins	$221	$210	$90	$143	5
INDTHERADD	Individual Therapy First Additional Hour	$210	$200	$111	$135	3
INDTHERAPY	Individual Therapy	$210	$200	$100	$180	7
NEUBHEXAD	Neurobehavioral Status Exam Add On	$210	$200	$76.76	$127	7
NEUBHEXAM	Neurobehavioral Status Exam	$210	$200	$88.97	$130	7
NHMEDCR5	Medical Care NH Sub 5	$210	$200	$115	$193	6
OCKHAP	Health Action Plan	$210	$200	—	—	0
OPMEDCK5	OP Med Check 5	$210	$200	$88	$174	7
PSYCHTEVA2	Psych Testing Eval - Add Hour	$210	$200	$83.55	$138	6
PSYCHTEVAL	Psych Testing Eval - First Hour	$210	$200	$110	$181	6
ASAMEVAL	ASAM Assessment	$189	$180	—	—	0
NHMEDCKN1	Medical Care NH New-Low Complex	$189	$180	$80	$129	7
REPORTPREP	Psychiatric Report Preparation	$189	$180	—	—	0
SUDEVAL	Alcohol/Drug Evaluation	$189	$180	—	—	0
DRIVEVAL	Driving Capacity Eval	$184	$175	—	—	0
FAMTHERAPY	Family Therapy With Patient	$184	$175	$95	$149	7

Showing top 50 of 111 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.