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
29
Insurances with rates
3
CPT / HCPCS codes
26
Most expensive procedures (gross)
124
$2,402
All Inclusive Room and Board
Gross
$2,402
240
$810
Behavioral Management Add On
Gross
$810
90792
$275
Psychiatric Diagnostic Evaluation with Medical Services
Gross
$275
90791
$250
Psychiatric Diagnostic Evaluation
Gross
$250
99223
$250
Initial Hospital Care/Intake Level 3
Gross
$250
90837
$240
Psychotherapy, 60 minutes with Patient
Gross
$240
90847
$240
Family Psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes
Gross
$240
99236
$200
Hospital Same Day Discharge Services Level 3
Gross
$200
96132
$195
Neuropsychological testing evaluation services by physician or other qualified health care professio
Gross
$195
90834
$180
Psychotherapy, 45 minutes with Patient
Gross
$180
99233
$175
Subsequent Hospital Care Level 3
Gross
$175
96130
$174
Psychological testing evluation services by physician or other qualified health care professional, F
Gross
$174
99222
$170
Initial Hospital Care/Intake Level 2
Gross
$170
90832
$160
Psychotherapy, 30 minutes with Patient
Gross
$160
99239
$160
Hospital Discharge Services >30 minutes
Gross
$160
99234
$150
Hospital Same Day Discharge Services Level 1
Gross
$150
99235
$150
Hospital Same Day Discharge Services Level 2
Gross
$150
96133
$149
Neuropsychological testing evaluation services by physician or other qualified health care professio
Gross
$149
96116
$142
Neurobehavioral Status Exam; First Hour
Gross
$142
96131
$133
Psychological testing evluation services by physician or other qualified health care professional, A
Gross
$133
99221
$125
Initial Hospital Care/Intake Level 1
Gross
$125
99232
$125
Subsequent Hospital Care Level 2
Gross
$125
99238
$125
Hospital Discharge Services <\=30 minutes
Gross
$125
96121
$122
Neurobehavioral Status Exam; Add Hour
Gross
$122
A0120
$103
Transportation
Gross
$103
99231
$75
Subsequent Hospital Care Level 1
Gross
$75
96136
$70
Psychological or neuropsychological test administration and scoring by physician or other qualified
Gross
$70
90853
$60
Group Psychology
Gross
$60
914
$40
Clothing
Gross
$40
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 124 | All Inclusive Room and Board | $2,402 | $2,402 | — | — | 2 |
| 240 | Behavioral Management Add On | $810 | $810 | — | — | 0 |
| 90792 | Psychiatric Diagnostic Evaluation with Medical Services | $275 | $275 | — | — | 6 |
| 90791 | Psychiatric Diagnostic Evaluation | $250 | $250 | — | — | 6 |
| 99223 | Initial Hospital Care/Intake Level 3 | $250 | $250 | — | — | 6 |
| 90837 | Psychotherapy, 60 minutes with Patient | $240 | $240 | — | — | 6 |
| 90847 | Family Psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes | $240 | $240 | — | — | 6 |
| 99236 | Hospital Same Day Discharge Services Level 3 | $200 | $200 | — | — | 6 |
| 96132 | Neuropsychological testing evaluation services by physician or other qualified health care professio | $195 | $195 | — | — | 6 |
| 90834 | Psychotherapy, 45 minutes with Patient | $180 | $180 | — | — | 6 |
| 99233 | Subsequent Hospital Care Level 3 | $175 | $175 | — | — | 6 |
| 96130 | Psychological testing evluation services by physician or other qualified health care professional, F | $174 | $174 | — | — | 6 |
| 99222 | Initial Hospital Care/Intake Level 2 | $170 | $170 | — | — | 4 |
| 90832 | Psychotherapy, 30 minutes with Patient | $160 | $160 | — | — | 6 |
| 99239 | Hospital Discharge Services >30 minutes | $160 | $160 | — | — | 6 |
| 99234 | Hospital Same Day Discharge Services Level 1 | $150 | $150 | — | — | 6 |
| 99235 | Hospital Same Day Discharge Services Level 2 | $150 | $150 | — | — | 6 |
| 96133 | Neuropsychological testing evaluation services by physician or other qualified health care professio | $149 | $149 | — | — | 6 |
| 96116 | Neurobehavioral Status Exam; First Hour | $142 | $142 | — | — | 6 |
| 96131 | Psychological testing evluation services by physician or other qualified health care professional, A | $133 | $133 | — | — | 6 |
| 99221 | Initial Hospital Care/Intake Level 1 | $125 | $125 | — | — | 6 |
| 99232 | Subsequent Hospital Care Level 2 | $125 | $125 | — | — | 6 |
| 99238 | Hospital Discharge Services <\=30 minutes | $125 | $125 | — | — | 6 |
| 96121 | Neurobehavioral Status Exam; Add Hour | $122 | $122 | — | — | 6 |
| A0120 | Transportation | $103 | $103 | — | — | 0 |
| 99231 | Subsequent Hospital Care Level 1 | $75 | $75 | — | — | 6 |
| 96136 | Psychological or neuropsychological test administration and scoring by physician or other qualified | $70 | $70 | — | — | 6 |
| 90853 | Group Psychology | $60 | $60 | — | — | 6 |
| 914 | Clothing | $40 | $40 | — | — | 0 |
Showing top 29 of 29 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.