45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
○Gross / standard charges: below assessment threshold
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
●Min / max negotiated charges: assessment threshold met
●Free, public, no login required: assessment threshold met
Procedures listed
18
Insurances with rates
30
CPT / HCPCS codes
10
Most expensive procedures (gross)
1001
$350
RTC Psych R&B
Gross
$3,000
124
$600
Acute Adult R&B
Gross
$3,000
126
$600
Acute Adult CD R&B
Gross
$3,000
128
$600
Acute Adult Rehab R&B
Gross
$3,000
169
$2,350
Acute Adol DAP R&B
Gross
$3,000
H0035
$350
PHP Daily Child/Adol
Gross
$2,500
H0015
—
Adol Psych IOP 3 hrs
Gross
$1,700
90853
$258
Adult Psych IOP 3 hrs
Gross
$1,700
G0411
—
Tri/Medi Adult PHP-5 units
Gross
$500
90791
—
Psych Eval
Gross
$250
99238
—
Discharge <30 min
Gross
$170
99222
—
Initial Hosp Scv Mod 50 min
Gross
$170
99231
—
Subsequent Hosp visit 15 min
Gross
$140
H0039
—
ACT 15 min Assertive Outreach
Gross
$100
H0032
—
Bridge Services
Gross
—
5008
$2,400
RTC CD R&B
Gross
—
5009
$2,350
Acute Child DAP R&B
Gross
—
5010
—
Acute Adult DAP R&B
Gross
—
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 1001 | RTC Psych R&B | $3,000 | $350 | $213 | $2,400 | 41 |
| 124 | Acute Adult R&B | $3,000 | $600 | $150 | $1,406 | 175 |
| 126 | Acute Adult CD R&B | $3,000 | $600 | $493 | $2,350 | 75 |
| 128 | Acute Adult Rehab R&B | $3,000 | $600 | $493 | $2,800 | 49 |
| 169 | Acute Adol DAP R&B | $3,000 | $2,350 | $276 | $2,800 | 13 |
| H0035 | PHP Daily Child/Adol | $2,500 | $350 | $34.18 | $794 | 54 |
| H0015 | Adol Psych IOP 3 hrs | $1,700 | — | $100 | $378 | 33 |
| 90853 | Adult Psych IOP 3 hrs | $1,700 | $258 | $60.97 | $378 | 34 |
| G0411 | Tri/Medi Adult PHP-5 units | $500 | — | $29.55 | $225 | 17 |
| 90791 | Psych Eval | $250 | — | $0.65 | $0.65 | 3 |
| 99238 | Discharge <30 min | $170 | — | $0.65 | $0.65 | 3 |
| 99222 | Initial Hosp Scv Mod 50 min | $170 | — | $348 | $348 | 1 |
| 99231 | Subsequent Hosp visit 15 min | $140 | — | $0.65 | $0.65 | 3 |
| H0039 | ACT 15 min Assertive Outreach | $100 | — | $61.11 | $79.5 | 8 |
| H0032 | Bridge Services | — | — | $20 | $150 | 6 |
| 5008 | RTC CD R&B | — | $2,400 | $213 | $2,400 | 35 |
| 5009 | Acute Child DAP R&B | — | $2,350 | $260 | $2,350 | 7 |
| 5010 | Acute Adult DAP R&B | — | — | $325 | $600 | 2 |
Showing top 18 of 18 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.