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
35
Insurances with rates
0
CPT / HCPCS codes
29
Most expensive procedures (gross)
R1000
$1,523
ROOM & BOARD - M
Gross
$1,523
R1001
$1,523
ROOM & BOARD - NM
Gross
$1,523
96132
$233
NEURO TESTING
Gross
$233
90837
$220
PSYCHOTHERAPY, 60 MINUTES
Gross
$220
90792
$207
PSYCHIATRIC EVAL W/ MED SVC
Gross
$207
96130
$206
PSYCH TESTING
Gross
$206
90791
$200
PSYCHIATRIC EVAL NO MED SVC
Gross
$200
96133
$177
NEURO TESTING
Gross
$177
96131
$157
PSYCH TESTING
Gross
$157
G0397
$140
ALCOHOL/SUBSTANCE ABUSE
Gross
$140
97165
$132
OCCUPATIONAL THERAPY EVAL
Gross
$132
97166
$132
OCCUPATIONAL THERAPY EVAL
Gross
$132
97167
$132
OCCUPATIONAL THERAPY EVAL
Gross
$132
99239
$121
DISCHARGE DAY MGT > 30 MINS
Gross
$121
G0479
$111
DRUG TEST PRESUMP OPT INST
Gross
$111
H2010
$97.6
Med Management-15 mn increment
Gross
$97.6
Y8038
$90.13
STAT LAB DRAW
Gross
$90.13
U0002
$89.79
SARS-COV-2 TESTING NON-CDC
Gross
$89.79
90834
$89.69
PSYCHOTHERAPY, 45 MINUTES
Gross
$89.69
97168
$87.13
OCCUPATIONAL THERAPY EVAL
Gross
$87.13
69200
$84.28
Removal foreign body from ear
Gross
$84.28
90836
$81.92
ADD ON PSYCHOTHERAPY, 60 MINS
Gross
$81.92
G0396
$70
ALCOHOL/SUBSTANCE
Gross
$70
U0001
$62.84
SARS-COV-2 TESTING CDC
Gross
$62.84
90833
$50.03
ADD ON PSYCHOTHERAPY, 30 MINS
Gross
$50.03
H0004 HH
$36.75
OP THERAPY CO-OCURRING 15 MIN
Gross
$36.75
H0004 MHA
$36.75
OP THERPY MEN HLTH AGCY 15 MIN
Gross
$36.75
H2000
$36.75
COMPREHENSIVE ASSESSEMENT MHA
Gross
$36.75
H2000 HH
$36.75
COMP ASSESSMENT CO-OCCURRING
Gross
$36.75
H0004 AH
$31.75
OP THERAPY PSYCHOLOGIST 15 MIN
Gross
$31.75
H2015
$22.33
Comm. Integrat Svcs-15 Min inc
Gross
$22.33
69209
$20.53
EAR IRRIGATION, UNILATERAL
Gross
$20.53
H0004 AH HQ
$10.34
OP THERAPY GROUP-15 MIN
Gross
$10.34
H0004 HQHH
$9.19
OP THERAPY-GROUP CO-OCURRING
Gross
$9.19
36415
$5.25
COLL VENOUS BLOOD BY VENIPUCTU
Gross
$5.25
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| R1000 | ROOM & BOARD - M | $1,523 | $1,523 | — | — | 0 |
| R1001 | ROOM & BOARD - NM | $1,523 | $1,523 | — | — | 0 |
| 96132 | NEURO TESTING | $233 | $233 | — | — | 0 |
| 90837 | PSYCHOTHERAPY, 60 MINUTES | $220 | $220 | — | — | 0 |
| 90792 | PSYCHIATRIC EVAL W/ MED SVC | $207 | $207 | — | — | 0 |
| 96130 | PSYCH TESTING | $206 | $206 | — | — | 0 |
| 90791 | PSYCHIATRIC EVAL NO MED SVC | $200 | $200 | — | — | 0 |
| 96133 | NEURO TESTING | $177 | $177 | — | — | 0 |
| 96131 | PSYCH TESTING | $157 | $157 | — | — | 0 |
| G0397 | ALCOHOL/SUBSTANCE ABUSE | $140 | $140 | — | — | 0 |
| 97165 | OCCUPATIONAL THERAPY EVAL | $132 | $132 | — | — | 0 |
| 97166 | OCCUPATIONAL THERAPY EVAL | $132 | $132 | — | — | 0 |
| 97167 | OCCUPATIONAL THERAPY EVAL | $132 | $132 | — | — | 0 |
| 99239 | DISCHARGE DAY MGT > 30 MINS | $121 | $121 | — | — | 0 |
| G0479 | DRUG TEST PRESUMP OPT INST | $111 | $111 | — | — | 0 |
| H2010 | Med Management-15 mn increment | $97.6 | $97.6 | — | — | 0 |
| Y8038 | STAT LAB DRAW | $90.13 | $90.13 | — | — | 0 |
| U0002 | SARS-COV-2 TESTING NON-CDC | $89.79 | $89.79 | — | — | 0 |
| 90834 | PSYCHOTHERAPY, 45 MINUTES | $89.69 | $89.69 | — | — | 0 |
| 97168 | OCCUPATIONAL THERAPY EVAL | $87.13 | $87.13 | — | — | 0 |
| 69200 | Removal foreign body from ear | $84.28 | $84.28 | — | — | 0 |
| 90836 | ADD ON PSYCHOTHERAPY, 60 MINS | $81.92 | $81.92 | — | — | 0 |
| G0396 | ALCOHOL/SUBSTANCE | $70 | $70 | — | — | 0 |
| U0001 | SARS-COV-2 TESTING CDC | $62.84 | $62.84 | — | — | 0 |
| 90833 | ADD ON PSYCHOTHERAPY, 30 MINS | $50.03 | $50.03 | — | — | 0 |
| H0004 HH | OP THERAPY CO-OCURRING 15 MIN | $36.75 | $36.75 | — | — | 0 |
| H0004 MHA | OP THERPY MEN HLTH AGCY 15 MIN | $36.75 | $36.75 | — | — | 0 |
| H2000 | COMPREHENSIVE ASSESSEMENT MHA | $36.75 | $36.75 | — | — | 0 |
| H2000 HH | COMP ASSESSMENT CO-OCCURRING | $36.75 | $36.75 | — | — | 0 |
| H0004 AH | OP THERAPY PSYCHOLOGIST 15 MIN | $31.75 | $31.75 | — | — | 0 |
| H2015 | Comm. Integrat Svcs-15 Min inc | $22.33 | $22.33 | — | — | 0 |
| 69209 | EAR IRRIGATION, UNILATERAL | $20.53 | $20.53 | — | — | 0 |
| H0004 AH HQ | OP THERAPY GROUP-15 MIN | $10.34 | $10.34 | — | — | 0 |
| H0004 HQHH | OP THERAPY-GROUP CO-OCURRING | $9.19 | $9.19 | — | — | 0 |
| 36415 | COLL VENOUS BLOOD BY VENIPUCTU | $5.25 | $5.25 | — | — | 0 |
Showing top 35 of 35 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.