45 CFR § 180 compliance
C · 70
This hospital published part of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
○Discounted cash price: below assessment threshold
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
71
Insurances with rates
7
CPT / HCPCS codes
65
Most expensive procedures (gross)
124
—
Room & Board - Psych
Gross
$900
126
—
Room & Board - Detox
Gross
$900
154
—
Room & Board - CSU
Gross
$750
762
—
23 Hr Observation
Gross
$600
99245
—
OP New Consult 80 Minute
Gross
$543
99255
—
IP New Consult 110 Minute
Gross
$543
99285
—
ER Consult Level 5
Gross
$489
99205
—
E/M OP New patient 60 Minutes
Gross
$474
99254
—
IP New Consult 80 Minute
Gross
$394
99244
—
OP New Consult 60 Minute
Gross
$373
H0014
—
BMAT Induction/Stabilization Phase (with therapy same day)
Gross
$350
99243
—
OP New Consult 40 Minute
Gross
$333
99284
—
ER Consult Level 4
Gross
$328
99236
—
MD Admit/DC Same Day - High Complexity
Gross
$306
99223
—
I/P Initial MD - High Complexity
Gross
$301
99253
—
IP New Consult 55 Minute
Gross
$273
99203
—
E/M OP New patient 30 Minutes
Gross
$263
H0033
—
BMAT Stabilization/Maintenance Phase (no therapy same day)
Gross
$250
99242
—
OP New Consult 30 Minute
Gross
$249
H0045
—
Crisis Respite
Gross
$225
99283
—
ER Consult Level 3
Gross
$219
99252
—
IP New Consult 40 Minute
Gross
$201
905
—
Intensive Outpatient Therapy - MH
Gross
$200
906
—
Intensive Outpatient Therapy - SA
Gross
$200
90792
—
Individual Therapy with Medical Eval and Management
Gross
$200
99235
—
MD Admit/DC Same Day - Moderate Complexity
Gross
$190
99202
—
E/M OP New patient 20 Minutes
Gross
$177
99241
—
OP New Consult 15 Minute
Gross
$152
99251
—
IP New Consult 20 Minute
Gross
$152
90791
—
Intake with Individual Therapy
Gross
$150
90839
—
Psychotherapy for Crisis
Gross
$150
90846
—
Family Psychotherapy w/out Patient
Gross
$150
90847
—
Family Psychotherapy with Patient
Gross
$150
99233
—
Inpatient Subsequent Hospital Care - High Complexity.
Gross
$150
99238
—
MD Discharge Interview <30 Min
Gross
$150
99222
—
I/P Initial MD - Moderate Complexity
Gross
$150
90837
—
Individual Psychotherapy 60 Minutes
Gross
$150
99234
—
MD Admit/DC Same Day - Low Complexity
Gross
$150
99239
—
MD Discharge Interview >30 Min
Gross
$150
99282
—
ER Consult Level 2
Gross
$146
99215
—
E/M Established patient 40 Minutes
Gross
$140
99214
—
E/M Established patient 25 Minutes
Gross
$125
96101
—
Psychological Evaluation and Testing
Gross
$125
96130
—
Psychological Testing Eval Services
Gross
$125
96131
—
Psychological Testing Add:On
Gross
$125
90838
—
Add On: Individual Psychotherapy 60 minutes w/E&M
Gross
$120
99213
—
E/M Established patient 15 Minutes
Gross
$115
99281
—
ER Consult Level 1
Gross
$108
90834
—
Individual Psychotherapy 45 Minutes
Gross
$105
99201
—
E/M OP New patient 10 Minutes
Gross
$104
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 124 | Room & Board - Psych | $900 | — | — | — | 11 |
| 126 | Room & Board - Detox | $900 | — | — | — | 9 |
| 154 | Room & Board - CSU | $750 | — | — | — | 11 |
| 762 | 23 Hr Observation | $600 | — | — | — | 5 |
| 99245 | OP New Consult 80 Minute | $543 | — | — | — | 6 |
| 99255 | IP New Consult 110 Minute | $543 | — | — | — | 5 |
| 99285 | ER Consult Level 5 | $489 | — | — | — | 3 |
| 99205 | E/M OP New patient 60 Minutes | $474 | — | — | — | 3 |
| 99254 | IP New Consult 80 Minute | $394 | — | — | — | 5 |
| 99244 | OP New Consult 60 Minute | $373 | — | — | — | 6 |
| H0014 | BMAT Induction/Stabilization Phase (with therapy same day) | $350 | — | — | — | 4 |
| 99243 | OP New Consult 40 Minute | $333 | — | — | — | 6 |
| 99284 | ER Consult Level 4 | $328 | — | — | — | 3 |
| 99236 | MD Admit/DC Same Day - High Complexity | $306 | — | — | — | 5 |
| 99223 | I/P Initial MD - High Complexity | $301 | — | — | — | 4 |
| 99253 | IP New Consult 55 Minute | $273 | — | — | — | 5 |
| 99203 | E/M OP New patient 30 Minutes | $263 | — | — | — | 3 |
| H0033 | BMAT Stabilization/Maintenance Phase (no therapy same day) | $250 | — | — | — | 1 |
| 99242 | OP New Consult 30 Minute | $249 | — | — | — | 6 |
| H0045 | Crisis Respite | $225 | — | — | — | 4 |
| 99283 | ER Consult Level 3 | $219 | — | — | — | 3 |
| 99252 | IP New Consult 40 Minute | $201 | — | — | — | 5 |
| 905 | Intensive Outpatient Therapy - MH | $200 | — | — | — | 7 |
| 906 | Intensive Outpatient Therapy - SA | $200 | — | — | — | 7 |
| 90792 | Individual Therapy with Medical Eval and Management | $200 | — | — | — | 15 |
| 99235 | MD Admit/DC Same Day - Moderate Complexity | $190 | — | — | — | 5 |
| 99202 | E/M OP New patient 20 Minutes | $177 | — | — | — | 3 |
| 99241 | OP New Consult 15 Minute | $152 | — | — | — | 6 |
| 99251 | IP New Consult 20 Minute | $152 | — | — | — | 5 |
| 90791 | Intake with Individual Therapy | $150 | — | — | — | 23 |
| 90839 | Psychotherapy for Crisis | $150 | — | — | — | 19 |
| 90846 | Family Psychotherapy w/out Patient | $150 | — | — | — | 23 |
| 90847 | Family Psychotherapy with Patient | $150 | — | — | — | 23 |
| 99233 | Inpatient Subsequent Hospital Care - High Complexity. | $150 | — | — | — | 13 |
| 99238 | MD Discharge Interview <30 Min | $150 | — | — | — | 13 |
| 99222 | I/P Initial MD - Moderate Complexity | $150 | — | — | — | 8 |
| 90837 | Individual Psychotherapy 60 Minutes | $150 | — | — | — | 7 |
| 99234 | MD Admit/DC Same Day - Low Complexity | $150 | — | — | — | 5 |
| 99239 | MD Discharge Interview >30 Min | $150 | — | — | — | 5 |
| 99282 | ER Consult Level 2 | $146 | — | — | — | 3 |
| 99215 | E/M Established patient 40 Minutes | $140 | — | — | — | 12 |
| 99214 | E/M Established patient 25 Minutes | $125 | — | — | — | 10 |
| 96101 | Psychological Evaluation and Testing | $125 | — | — | — | 13 |
| 96130 | Psychological Testing Eval Services | $125 | — | — | — | 3 |
| 96131 | Psychological Testing Add:On | $125 | — | — | — | 3 |
| 90838 | Add On: Individual Psychotherapy 60 minutes w/E&M | $120 | — | — | — | 3 |
| 99213 | E/M Established patient 15 Minutes | $115 | — | — | — | 12 |
| 99281 | ER Consult Level 1 | $108 | — | — | — | 3 |
| 90834 | Individual Psychotherapy 45 Minutes | $105 | — | — | — | 23 |
| 99201 | E/M OP New patient 10 Minutes | $104 | — | — | — | 1 |
Showing top 50 of 71 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.