45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
○Discounted cash price
○Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
31
Insurances with rates
7
CPT / HCPCS codes
8
Source MRF
Most expensive procedures (gross)
Psychiatric Inpatient semi private Room and Boar
—
Psychiatric Inpatient semi private Room and Boarding/day
Gross
$1,600
124
—
Psychiatric Inpatient semi private Room and Boarding/day
Gross
$1,600
PARTIAL HOSPITALIZATION PROGRM PER DAY
—
PARTIAL HOSPITALIZATION PROGRM PER DAY
Gross
$1,200
PARTIAL HSPTLIZN PRGM - INTNSV PER DAY
—
PARTIAL HSPTLIZN PRGM - INTNSV PER DAY
Gross
$1,200
912
—
PARTIAL HOSPITALIZATION PROGRM PER DAY
Gross
$1,200
913
—
PARTIAL HSPTLIZN PRGM - INTNSV PER DAY
Gross
$1,200
S9480
—
INTENSIVE OUTPAT PSYCHIATRIC PER DAY
Gross
$900
H0015HO
—
SUBST ABUSE PER DIEM COMMRCIAL PER DAY
Gross
$900
905
—
INTENSIVE OUTPAT PSYCHIATRIC PER DAY
Gross
$900
906
—
SUBST ABUSE IOP PER DIEM COMMRCIAL PER DAY
Gross
$900
900
—
DAY OF DISCHARGE -- Included in Perdium rate
Gross
$800
320
—
Radiology/X-ray -- Included in Perdium rate
Gross
$450
90853HO
—
GROUP PSYCHOTHERAPY
Gross
$300
G0176
—
BH ACTIVITY THERAPY
Gross
$300
G0177
—
EDUCATION/TRAINING
Gross
$300
G0410
—
GROUP THERAPY - PSYCH/GROUP RX
Gross
$300
90791
—
INITIAL ASSESSMENT
Gross
$300
90834
—
IND THERAPY - PSYCH/INDIV RX
Gross
$300
96101
—
PSYCHOLOGICAL TESTING
Gross
$300
250
—
Pharmacy (average/Day ) cost -- Included in perdium rate
Gross
$300
904
—
BH/ACTIVITY THERAPY -- Included in Perdium rate
Gross
$300
914
—
BH/IND PSYCHOTHERAPY -- Included in Perdium rate
Gross
$300
942
—
EDUCATION/TRAINING -- Included in Perdium rate
Gross
$300
915
—
BH/GROUP THERAPY -- Included in Perdium rate
Gross
$300
918
—
PSYCHOLOGICAL TESTING
Gross
$300
90847
—
FAMILY PSYCHOTHERAPY
Gross
$200
916
—
FAMILY PSYCHOTHERAPY
Gross
$200
300
—
LAB (Average/Day) cost -- Included in Perdium rate
Gross
$100
240
—
Ancillary-General -- Included in Perdium rate
Gross
$100
540
—
ALKALINE PHOSPHATE
Gross
$21.63
VITAMIN K
—
VITAMIN K
Gross
$3
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| Psychiatric Inpatient semi private Room and Boar | Psychiatric Inpatient semi private Room and Boarding/day | $1,600 | — | — | — | 4 |
| 124 | Psychiatric Inpatient semi private Room and Boarding/day | $1,600 | — | — | — | 5 |
| PARTIAL HOSPITALIZATION PROGRM PER DAY | PARTIAL HOSPITALIZATION PROGRM PER DAY | $1,200 | — | — | — | 4 |
| PARTIAL HSPTLIZN PRGM - INTNSV PER DAY | PARTIAL HSPTLIZN PRGM - INTNSV PER DAY | $1,200 | — | — | — | 3 |
| 912 | PARTIAL HOSPITALIZATION PROGRM PER DAY | $1,200 | — | — | — | 5 |
| 913 | PARTIAL HSPTLIZN PRGM - INTNSV PER DAY | $1,200 | — | — | — | 3 |
| S9480 | INTENSIVE OUTPAT PSYCHIATRIC PER DAY | $900 | — | — | — | 4 |
| H0015HO | SUBST ABUSE PER DIEM COMMRCIAL PER DAY | $900 | — | — | — | 2 |
| 905 | INTENSIVE OUTPAT PSYCHIATRIC PER DAY | $900 | — | — | — | 6 |
| 906 | SUBST ABUSE IOP PER DIEM COMMRCIAL PER DAY | $900 | — | — | — | 5 |
| 900 | DAY OF DISCHARGE -- Included in Perdium rate | $800 | — | — | — | 0 |
| 320 | Radiology/X-ray -- Included in Perdium rate | $450 | — | — | — | 0 |
| 90853HO | GROUP PSYCHOTHERAPY | $300 | — | — | — | 0 |
| G0176 | BH ACTIVITY THERAPY | $300 | — | — | — | 0 |
| G0177 | EDUCATION/TRAINING | $300 | — | — | — | 0 |
| G0410 | GROUP THERAPY - PSYCH/GROUP RX | $300 | — | — | — | 0 |
| 90791 | INITIAL ASSESSMENT | $300 | — | — | — | 0 |
| 90834 | IND THERAPY - PSYCH/INDIV RX | $300 | — | — | — | 0 |
| 96101 | PSYCHOLOGICAL TESTING | $300 | — | — | — | 0 |
| 250 | Pharmacy (average/Day ) cost -- Included in perdium rate | $300 | — | — | — | 0 |
| 904 | BH/ACTIVITY THERAPY -- Included in Perdium rate | $300 | — | — | — | 0 |
| 914 | BH/IND PSYCHOTHERAPY -- Included in Perdium rate | $300 | — | — | — | 0 |
| 942 | EDUCATION/TRAINING -- Included in Perdium rate | $300 | — | — | — | 0 |
| 915 | BH/GROUP THERAPY -- Included in Perdium rate | $300 | — | — | — | 0 |
| 918 | PSYCHOLOGICAL TESTING | $300 | — | — | — | 0 |
| 90847 | FAMILY PSYCHOTHERAPY | $200 | — | — | — | 0 |
| 916 | FAMILY PSYCHOTHERAPY | $200 | — | — | — | 0 |
| 300 | LAB (Average/Day) cost -- Included in Perdium rate | $100 | — | — | — | 0 |
| 240 | Ancillary-General -- Included in Perdium rate | $100 | — | — | — | 0 |
| 540 | ALKALINE PHOSPHATE | $21.63 | — | — | — | 0 |
| VITAMIN K | VITAMIN K | $3 | — | — | — | 0 |
Showing top 31 of 31 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.