45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published: assessment threshold met
●Gross / standard charges: assessment threshold met
●Discounted cash price: assessment threshold met
●Payer-specific negotiated rates: assessment threshold met
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
36
Insurances with rates
1
CPT / HCPCS codes
32
Most expensive procedures (gross)
441
$1,778
INTERMEDIATE CARE FACILITY ROOM AND BOAR
Gross
$1,778
481
$1,481
COMMUNITY PREP. PSYCHOSOCIAL ROOM AND BO
Gross
$1,481
457
$1,418
ACUTE ADMISSIONS (IPT) ROOM AND BOARD
Gross
$1,418
99220
$243
INITIAL OBSERV CARE HIGH COMPLEX
Gross
$243
90792
$240
DIAGNOSTIC EVALUATION WITH MEDICAL
Gross
$240
G0438
$231
ANNUAL WELLNESS VISIT, FIRST VISIT
Gross
$231
99306
$224
INITIAL NURING FACILITY CARE, COMPLEX
Gross
$224
90791
$210
DIAGNOSTIC EVALUATION {NO MEDICAL}
Gross
$210
92004
$207
EYE EXAM COMPRE.NEW PATIENT
Gross
$207
99310
$182
SUBQ NURSING FACILITY CARE, COMPLEX
Gross
$182
90837
$181
PSYCHOTHERAPY 60 {53 + MIN}
Gross
$181
G0439
$181
ANNAUL WELLNESS, SUBSEQUENT VISIT
Gross
$181
99219
$180
INITIAL OBSERV CARE MODERATE COMPLEX
Gross
$180
99305
$175
INITIAL NURSING FACILITY CARE, MODERATE
Gross
$175
90839
$174
PSYCHOTHERAPY FOR CRISIS
Gross
$174
99358
$151
PROLONGED SERVICE W/O CONTACT, 60 MIN
Gross
$151
90838
$145
E/M PLUS PSYCHOTHERAPY VISIT 60 {53 + MI
Gross
$145
99233
$140
SUBSEQUENT HOSPITAL CARE HIGH 35
Gross
$140
90847
$139
FAMILY PSYCHOTHERAPY/CONJOINT
Gross
$139
90846
$134
FAMILY PSYCHOTHERAPY W/O THE PT
Gross
$134
90845
$133
PSYCHOANALYSIS
Gross
$133
99218
$133
INITIAL OBSERV CARE LOW COMPLEX
Gross
$133
99318
$130
E&M ANNUAL NURSING FACILITY ASSESSMENT
Gross
$130
90834
$124
PSYCHOTHERAPY 45{38-52 MIN}
Gross
$124
99309
$124
SUBQ NURSING FACILITY CARE, MODERATE
Gross
$124
99357
$124
PROLONGED SERVICE INPT: EA ADD 30 MIN
Gross
$124
99356
$123
PROLONGED SERVICE INPT: 30 MIN TO 1 HR
Gross
$123
99304
$121
INITIAL NURSING FACILITY CARE, LOW
Gross
$121
90836
$110
E/M PLUS PSYCHOTHERAPY VISIT 45 {38-52 M
Gross
$110
99217
$98
OBSERVATION CARE DISCHARGE
Gross
$98
90832
$94
PSYCHOTHERAPY 30 {16-37 MIN}
Gross
$94
99308
$94
SUBQ NURSING FACILITY CARE, LOW
Gross
$94
90840
$88
PSYCHOTHERAPY FOR CRISIS
Gross
$88
90833
$87
E/M PLUS PSYCHOTHERAPY VISIT 30 {16-37 M
Gross
$87
99307
$60
SUBQ NURSING FACILITY CARE, SIMPLE
Gross
$60
1
$1
ANCILLARY DAILY RATE
Gross
$1
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 441 | INTERMEDIATE CARE FACILITY ROOM AND BOAR | $1,778 | $1,778 | — | — | 1 |
| 481 | COMMUNITY PREP. PSYCHOSOCIAL ROOM AND BO | $1,481 | $1,481 | — | — | 1 |
| 457 | ACUTE ADMISSIONS (IPT) ROOM AND BOARD | $1,418 | $1,418 | — | — | 1 |
| 99220 | INITIAL OBSERV CARE HIGH COMPLEX | $243 | $243 | — | — | 1 |
| 90792 | DIAGNOSTIC EVALUATION WITH MEDICAL | $240 | $240 | — | — | 1 |
| G0438 | ANNUAL WELLNESS VISIT, FIRST VISIT | $231 | $231 | — | — | 1 |
| 99306 | INITIAL NURING FACILITY CARE, COMPLEX | $224 | $224 | — | — | 1 |
| 90791 | DIAGNOSTIC EVALUATION {NO MEDICAL} | $210 | $210 | — | — | 1 |
| 92004 | EYE EXAM COMPRE.NEW PATIENT | $207 | $207 | — | — | 1 |
| 99310 | SUBQ NURSING FACILITY CARE, COMPLEX | $182 | $182 | — | — | 1 |
| 90837 | PSYCHOTHERAPY 60 {53 + MIN} | $181 | $181 | — | — | 1 |
| G0439 | ANNAUL WELLNESS, SUBSEQUENT VISIT | $181 | $181 | — | — | 1 |
| 99219 | INITIAL OBSERV CARE MODERATE COMPLEX | $180 | $180 | — | — | 1 |
| 99305 | INITIAL NURSING FACILITY CARE, MODERATE | $175 | $175 | — | — | 1 |
| 90839 | PSYCHOTHERAPY FOR CRISIS | $174 | $174 | — | — | 1 |
| 99358 | PROLONGED SERVICE W/O CONTACT, 60 MIN | $151 | $151 | — | — | 1 |
| 90838 | E/M PLUS PSYCHOTHERAPY VISIT 60 {53 + MI | $145 | $145 | — | — | 1 |
| 99233 | SUBSEQUENT HOSPITAL CARE HIGH 35 | $140 | $140 | — | — | 1 |
| 90847 | FAMILY PSYCHOTHERAPY/CONJOINT | $139 | $139 | — | — | 1 |
| 90846 | FAMILY PSYCHOTHERAPY W/O THE PT | $134 | $134 | — | — | 1 |
| 90845 | PSYCHOANALYSIS | $133 | $133 | — | — | 1 |
| 99218 | INITIAL OBSERV CARE LOW COMPLEX | $133 | $133 | — | — | 1 |
| 99318 | E&M ANNUAL NURSING FACILITY ASSESSMENT | $130 | $130 | — | — | 1 |
| 90834 | PSYCHOTHERAPY 45{38-52 MIN} | $124 | $124 | — | — | 1 |
| 99309 | SUBQ NURSING FACILITY CARE, MODERATE | $124 | $124 | — | — | 1 |
| 99357 | PROLONGED SERVICE INPT: EA ADD 30 MIN | $124 | $124 | — | — | 1 |
| 99356 | PROLONGED SERVICE INPT: 30 MIN TO 1 HR | $123 | $123 | — | — | 1 |
| 99304 | INITIAL NURSING FACILITY CARE, LOW | $121 | $121 | — | — | 1 |
| 90836 | E/M PLUS PSYCHOTHERAPY VISIT 45 {38-52 M | $110 | $110 | — | — | 1 |
| 99217 | OBSERVATION CARE DISCHARGE | $98 | $98 | — | — | 1 |
| 90832 | PSYCHOTHERAPY 30 {16-37 MIN} | $94 | $94 | — | — | 1 |
| 99308 | SUBQ NURSING FACILITY CARE, LOW | $94 | $94 | — | — | 1 |
| 90840 | PSYCHOTHERAPY FOR CRISIS | $88 | $88 | — | — | 1 |
| 90833 | E/M PLUS PSYCHOTHERAPY VISIT 30 {16-37 M | $87 | $87 | — | — | 1 |
| 99307 | SUBQ NURSING FACILITY CARE, SIMPLE | $60 | $60 | — | — | 1 |
| 1 | ANCILLARY DAILY RATE | $1 | $1 | — | — | 1 |
Showing top 36 of 36 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.