45 CFR § 180 compliance
D · 65
This hospital published part 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: below assessment threshold
○Min / max negotiated charges: below assessment threshold
●Free, public, no login required: assessment threshold met
Procedures listed
36
Insurances with rates
3
CPT / HCPCS codes
35
Most expensive procedures (gross)
124
$1,600
Room and Board
Gross
$1,600
99223
$355
Initial Hospital Care - 70 min
Gross
$355
90792
$244
Psychotherapy with Med Services
Gross
$244
99222
$244
Initial Hospital Care - 50 min
Gross
$244
99395
$244
Annual screening 18-39 yrs. old
Gross
$244
99396
$244
Annual Screening 40-64 yrs. old
Gross
$244
99397
$244
Annual screening 65 & older
Gross
$244
90791
$200
Psychotherapy
Gross
$200
99234
$200
Observation/IP Hosp Care (40)
Gross
$200
99239
$192
Discharge Evaluation > 30 min
Gross
$192
99238
$190
Discharge Evaluation 30 min or Less
Gross
$190
99233
$185
Subsequent Hospital Visit - 35 min
Gross
$185
10120
$175
Incision and removal of foreign body
Gross
$175
99221
$174
Initial Hospital Care - 30 min
Gross
$174
95816
$164
EEG Reading - Awake/Drowsy
Gross
$164
95819
$164
EEG Reading
Gross
$164
90834
$130
Individual Therapy No E/M 38-52 min
Gross
$130
90836
$130
Individual Therapy With E/M 38-52 min
Gross
$130
99232
$130
Subsequent Hospital Visit - 25 min
Gross
$130
90847
$114
Family Therapy
Gross
$114
90832
$114
Individual Therapy No E/M 16-37 min
Gross
$114
90833
$114
Individual Therapy With E/M 16-37 min
Gross
$114
99231
$114
Subsequent Hospital Visit - 15 min
Gross
$114
90846
$110
Family psychotherapy (without patient)
Gross
$110
69210
$75
Cerumen Removal
Gross
$75
99409
$72.19
Alcohol screening greater then 10 min.
Gross
$72.19
93010
$49
EKG Reading
Gross
$49
90662
$43.63
Fluzone High-Dose (IIV3-HD)
Gross
$43.63
99408
$36.09
Alcohol screening 3-10 min
Gross
$36.09
99407
$28.03
Smoking/Tobacco Cess. Counseling >10 min
Gross
$28.03
96372
$27.65
Therapeutic, prophylactic, or diagnostic
Gross
$27.65
90853
$27.26
Group psychotherapy (Several patients to
Gross
$27.26
90471
$24.82
Immunization Administration
Gross
$24.82
90688
$20.95
Fluzone (IIV4)
Gross
$20.95
99406
$13.44
Smoking/Tobacco Cess. Counsel 3-10 min
Gross
$13.44
11719
$9.14
Under Surgical Procedure on Nails
Gross
$9.14
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 124 | Room and Board | $1,600 | $1,600 | — | — | 3 |
| 99223 | Initial Hospital Care - 70 min | $355 | $355 | — | — | 1 |
| 90792 | Psychotherapy with Med Services | $244 | $244 | — | — | 3 |
| 99222 | Initial Hospital Care - 50 min | $244 | $244 | — | — | 3 |
| 99395 | Annual screening 18-39 yrs. old | $244 | $244 | — | — | 0 |
| 99396 | Annual Screening 40-64 yrs. old | $244 | $244 | — | — | 0 |
| 99397 | Annual screening 65 & older | $244 | $244 | — | — | 0 |
| 90791 | Psychotherapy | $200 | $200 | — | — | 0 |
| 99234 | Observation/IP Hosp Care (40) | $200 | $200 | — | — | 0 |
| 99239 | Discharge Evaluation > 30 min | $192 | $192 | — | — | 0 |
| 99238 | Discharge Evaluation 30 min or Less | $190 | $190 | — | — | 3 |
| 99233 | Subsequent Hospital Visit - 35 min | $185 | $185 | — | — | 2 |
| 10120 | Incision and removal of foreign body | $175 | $175 | — | — | 0 |
| 99221 | Initial Hospital Care - 30 min | $174 | $174 | — | — | 3 |
| 95816 | EEG Reading - Awake/Drowsy | $164 | $164 | — | — | 0 |
| 95819 | EEG Reading | $164 | $164 | — | — | 0 |
| 90834 | Individual Therapy No E/M 38-52 min | $130 | $130 | — | — | 0 |
| 90836 | Individual Therapy With E/M 38-52 min | $130 | $130 | — | — | 0 |
| 99232 | Subsequent Hospital Visit - 25 min | $130 | $130 | — | — | 2 |
| 90847 | Family Therapy | $114 | $114 | — | — | 0 |
| 90832 | Individual Therapy No E/M 16-37 min | $114 | $114 | — | — | 0 |
| 90833 | Individual Therapy With E/M 16-37 min | $114 | $114 | — | — | 0 |
| 99231 | Subsequent Hospital Visit - 15 min | $114 | $114 | — | — | 3 |
| 90846 | Family psychotherapy (without patient) | $110 | $110 | — | — | 0 |
| 69210 | Cerumen Removal | $75 | $75 | — | — | 0 |
| 99409 | Alcohol screening greater then 10 min. | $72.19 | $72.19 | — | — | 0 |
| 93010 | EKG Reading | $49 | $49 | — | — | 0 |
| 90662 | Fluzone High-Dose (IIV3-HD) | $43.63 | $43.63 | — | — | 0 |
| 99408 | Alcohol screening 3-10 min | $36.09 | $36.09 | — | — | 0 |
| 99407 | Smoking/Tobacco Cess. Counseling >10 min | $28.03 | $28.03 | — | — | 0 |
| 96372 | Therapeutic, prophylactic, or diagnostic | $27.65 | $27.65 | — | — | 0 |
| 90853 | Group psychotherapy (Several patients to | $27.26 | $27.26 | — | — | 0 |
| 90471 | Immunization Administration | $24.82 | $24.82 | — | — | 0 |
| 90688 | Fluzone (IIV4) | $20.95 | $20.95 | — | — | 0 |
| 99406 | Smoking/Tobacco Cess. Counsel 3-10 min | $13.44 | $13.44 | — | — | 0 |
| 11719 | Under Surgical Procedure on Nails | $9.14 | $9.14 | — | — | 0 |
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.