ROCHESTER PSYCHIATRIC CENTER (Rochester, NY) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
4002	State Operated Psych Center - Psych Inpatient, Children's	$3,015	—	—	—	1
S9485	Crisis Intervention - per diem	$2,381	—	—	—	8
J1943	Aristada Initio - Aripiprazole lauroxil-675mg/2.4ml	$2,194	—	—	—	14
J2798	Perseris - Risperidone SQ-90MG/0.6ML	$2,191	—	—	—	14
J0401	Abilify Maintena - 300 mg	$2,181	—	—	—	14
4508	Full Rate - Upstate	$2,112	—	—	—	8
J1944	Aristada - Aripiprazole lauroxil-441mg/1.6ml	$1,462	—	—	—	14
4001	State Operated Psych Center - Psych Inpatient, Adult	$1,348	—	—	—	2
4509	Partial Rate - Upstate	$1,056	—	—	—	8
S9484	Crisis Intervention - per hour	$992	—	—	—	8
4627	Children's Crisis	$914	—	—	—	7
J2426	Invega Sustenna - Paliperidone palmitate-39MG/0.25ML	$588	—	—	—	14
J2358	Zyprexa Relprevv - Olanzapine pamoate	$547	—	—	—	9
90847	Psychotherapy - Family&Client 1 hr	$510	—	—	—	14
96116	Psychological Testing - Neurobehavioral First Hour	$510	—	—	—	14
99215 + 90836 (G0463 for Medicare FFS and Medicare Advantage)	Office or Other Outpatient Visit with Psychotherapy (> 45 mins)	$510	—	—	—	14
90791	Psychiatric Diagnostic Evaluation (minimum 45 mins)	$425	—	—	—	14
90792	Psychiatric Diagnostic Evaluation with Medical Services (minimum 45 mins)	$425	—	—	—	14
99214 + 90833 (G0463 for Medicare FFS and Medicare Advantage)	Office or Other Outpatient Visit with Psychotherapy (30-44 mins)	$425	—	—	—	14
4060	Full	$375	—	—	—	5
4063	Home Visit	$375	—	—	—	5
4064	Crisis	$375	—	—	—	5
4065	Pre-admission, Full Day	$375	—	—	—	5
90834	Psychotherapy - Indiv 45 (38-52) mins	$340	—	—	—	14
96112	Developmental Testing - First Hour	$340	—	—	—	14
96136	Psychological Testing Admin and Scoring - First 30 mins	$340	—	—	—	14
G0451	Developmental Testing - limited (Replaces code 96110 for Medicare ONLY)	$340	—	—	—	14
96132	Psychological Testing - Various, maximum of 1 unit	$275	—	—	—	14
99382	New Patient - Initial comprehensive preventive medicine early childhood (< 5 years)	$272	—	—	—	8
G0463	Evaluation & Management Services (E/M)	$272	—	—	—	14
99383	New Patient - Initial comprehensive preventive medicine late childhood (5-11 years)	$272	—	—	—	8
99384	New Patient - Initial comprehensive preventive medicine adolescent (12-17 years)	$272	—	—	—	8
99385	New Patient - Initial comprehensive preventive medicine (18-39 years)	$272	—	—	—	8
99386	New Patient - Initial comprehensive preventive medicine (40-64 years)	$272	—	—	—	8
99387	New Patient - Initial comprehensive preventive medicine (65+ years)	$272	—	—	—	8
99393	Established Patient - Periodic comprehensive preventive medicine late childhood (5-11 years)	$272	—	—	—	8
99394	Established Patient - Periodic comprehensive preventive medicine adolescent (12-17 years)	$272	—	—	—	8
99395	Established Patient - Periodic comprehensive preventive medicine (18-39 years)	$272	—	—	—	8
99396	Established Patient - Periodic comprehensive preventive medicine (40-64 years)	$272	—	—	—	8
99397	Established Patient - Periodic comprehensive preventive medicine (65+ years)	$272	—	—	—	8
99202 (G0463 for Medicare FFS and Medicare Advantage)	New Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Other Outp	$272	—	—	—	14
99203 (G0463 for Medicare FFS and Medicare Advantage)	New Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Other Outp	$272	—	—	—	14
99204 (G0463 for Medicare FFS and Medicare Advantage)	New Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Other Outp	$272	—	—	—	14
99205 (G0463 for Medicare FFS and Medicare Advantage)	New Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Other Outp	$272	—	—	—	14
99212 (G0463 for Medicare FFS and Medicare Advantage)	Established Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Ot	$272	—	—	—	14
99213 (G0463 for Medicare FFS and Medicare Advantage)	Established Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Ot	$272	—	—	—	14
99214 (G0463 for Medicare FFS and Medicare Advantage)	Established Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Ot	$272	—	—	—	14
99215 (G0463 for Medicare FFS and Medicare Advantage)	Established Patient -- Psychotropic Medication Treatment or Psychiatric Consultation or Office or Ot	$272	—	—	—	14
J2794	Risperdal Consta - Risperidone microspheres IM-12.5MG	$270	—	—	—	14
90832	Psychotherapy - Indiv 30 minutes min ( Medicare 16-37) mins	$255	—	—	—	14

Showing top 50 of 78 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.