GLENBEIGH HEALTH SOURCES (Rock Creek, OH) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0126	Inpatient Detox w/MAT	$2,276	$1,138	—	—	28
G0378	23 Hour Observation	$2,276	$1,138	—	—	17
0120	Inpatient Rehab	$2,190	$1,095	—	—	4
H0014	Ambulatory Detox	$1,551	$776	—	—	15
H0018	Inpatient Residential	$1,464	$732	—	—	29
0160	Day Partial w/ON	$1,245	$623	—	—	2
H0035	Day Partial	$1,099	$550	—	—	32
87536	HIV-1 Quantitation	$863	$432	—	—	16
H2034	Halfway House	$844	$422	—	—	16
H0001	Assessment - Outpatient	$764	$382	—	—	11
87535	HIV-1, Amplif NA Probe	$728	$364	—	—	16
83970	PTH Intact	$697	$349	—	—	16
82088	Aldosterone (Serum)	$591	$296	—	—	16
71046	XR Chest PA/Lat 2 Views	$572	$286	—	—	16
H0015	Intensive Outpatient	$511	$256	—	—	35
84146	Prolactin	$466	$233	—	—	16
80183	Oxcarbazepine	$440	$220	—	—	16
87253	Herpes Simp Culture	$417	$209	—	—	16
84481	Free T3	$401	$201	—	—	16
82533	Cortisol Random	$399	$200	—	—	16
82533	Cortisol AM	$399	$200	—	—	16
84075	Alkaline Phosphatase	$393	$197	—	—	16
80305	Drug Screen	$389	$195	—	—	17
87502	Influenza A & B by PCR	$349	$175	—	—	16
84403	Testosterone; Total	$344	$172	—	—	16
82306	Vitamin D 25 OH	$344	$172	—	—	16
80197	FK506 (Tacrolimus)	$343	$172	—	—	16
84439	Free T4 (Total)	$343	$172	—	—	16
84480	T3; Total	$337	$169	—	—	16
G0482	Drug Tests per day 15-21	$337	$169	—	—	16
80156	Carbamazipine (Tegretol)	$332	$166	—	—	16
87040	Blood Culture	$330	$165	—	—	16
87116	TB Culture (AFB)	$324	$162	—	—	16
82378	CEA	$324	$162	—	—	16
83701	Lipoprotein Electrophor	$321	$161	—	—	16
84144	Progesterone	$314	$157	—	—	16
80069	Renal Function	$312	$156	—	—	16
86480	Blood TB Test	$304	$152	—	—	16
80076	Hepatic Function Panel	$297	$149	—	—	16
G0103	PSA, Total, Screen	$294	$147	—	—	16
84153	PSA, Total	$294	$147	—	—	16
87045	Culture, Stool	$280	$140	—	—	16
80162	Digoxin	$279	$140	—	—	16
90837	Indiv OP/60 min billable	$278	$139	—	—	20
84484	Troponin	$277	$139	—	—	16
84165	Electro. Protein - Urine	$259	$130	—	—	16
87102	Fungus Culture	$259	$130	—	—	16
87426	Covid-19 Rapid Antigen (CV2AG)	$258	$129	—	—	16
93005	EKG	$257	$129	—	—	16
86140	C-Reactive Protein	$254	$127	—	—	16

Showing top 50 of 9,070 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.