PHILHAVEN HOSPITAL (Mt Gretna, PA) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
114	Psych Inpatient Enhanced	$2,066	$1,653	—	—	17
124	Psych Room and Board	$1,477	$1,182	—	—	17
204	Psych Intensive Extended Room and Board	$1,477	$1,182	—	—	17
93005	Routine Electrocardiogram (Ecg) Using at Least 12 Leads With Tracing	$423	$338	—	—	2
90791	Psychiatric Diagnostic Evaluation	$334	$267	—	—	3
90837	Psychotherapy, 1 Hour	$248	$198	—	—	2
90836	Psychotherapy With Evaluation and Management Visit, 45 Minutes	$248	$198	—	—	2
90834	Psychotherapy, 45 Minutes	$168	$134	—	—	2
90846	Family Psychotherapy Without Patient, 50 Minutes	$168	$134	—	—	2
90847	Family Psychotherapy With Patient, 50 Minutes	$168	$134	—	—	2
S9484	Crisis Intervention Mental Health Services, per Hour	$140	$112	—	—	2
G0008	Administration of Influenza Virus Vaccine	$132	$106	—	—	2
S0201	Partial Hospitalization Services, Less Than 24 Hours, per Diem	$128	$102	—	—	31
90832	Psychotherapy, 30 Minutes	$93	$74.4	—	—	2
90471	Administration of Vaccine	$87	$69.6	—	—	2
96138	Administrate Psychologic/Neuropsychologic Test, 1st 30 Minutes	$72	$57.6	—	—	2
96139	Administrate Psychologic/Neuropsychologic Test, Ea Addl 30 Minutes	$72	$57.6	—	—	2
H0039	Assertive Community Treatment, Face-to-Face, per 15 Minutes	$63	$50.4	—	—	2
H2011	Crisis Intervention Service per 15 Minutes - Walk In	$36	$28.8	—	—	2
H0030	Behavioral Health Hotline Service	$23	$18.4	—	—	2
90853	Group Psychotherapy	$17	$13.6	—	—	4
92	Other Disorders Of Nervous System With Cc	—	—	—	—	17
832	Other Antepartum Diagnoses Without O.R. Procedures With Cc	—	—	—	—	17
880	Acute Adjustment Reaction And Psychosocial Dysfunction	—	—	—	—	17
881	Depressive Neuroses	—	—	—	—	17
882	Neuroses Except Depressive	—	—	—	—	17
883	Disorders Of Personality And Impulse Control	—	—	—	—	17
884	Organic Disturbances And Intellectual Disability	—	—	—	—	17
885	Psychoses	—	—	—	—	17
886	Behavioral And Developmental Disorders	—	—	—	—	17
897	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC	—	—	—	—	17

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.