MENTAL HEALTH EMERGENCY CENTER, INC (Milwaukee, WI) prices

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
0124	ROOM CHARGE PSYCH	$4,710	$2,355	—	—	15
0126	ROOM CHARGE AODA	$4,710	$2,355	—	—	14
99285	ED LEVEL 5	$2,650	$1,325	—	—	19
99284	ED LEVEL 4	$2,375	$1,188	—	—	19
99283	ED LEVEL 3	$2,250	$1,125	—	—	19
99282	ED LEVEL 2	$2,100	$1,050	—	—	19
90677	PREVNAR 20 0.5 ML IM SUSY	$482	$241	—	—	11
J3230	CHLORPROMAZINE HCL 25 MG-ML IJ SOLN	$420	$210	—	—	4
96372	INJECT SQ OR IM	$417	$209	—	—	11
J3250	TIGAN 100 MG-ML IM SOLN	$363	$182	—	—	2
0250	VRAYLAR 3 MG PO CAPS	$339	$170	—	—	6
0241U	COVID, INFLU A & B, RSV PCR PANEL	$329	$165	—	—	2
87636	COVID, INFLU A & B PCR PANEL	$285	$143	—	—	11
0240U	COVID, INFLU A & B PANEL CEPHEID	$285	$143	—	—	2
G0379	OBSERVATION CARE, DIRECT ADMIT	$275	$138	—	—	11
87502	INFLUENZA VIRUS PCR 1ST 2 TYPES	$263	$132	—	—	11
87536	HIV-1 RNA QUANTITATIVE	$234	$117	—	—	11
80184	PHENOBARBITAL	$226	$113	—	—	11
J0515	BENZTROPINE MESYLATE 1 MG-ML IJ SOLN	$217	$109	—	—	2
87635	COVID-19 PCR	$176	$88	—	—	11
80307	DRUG SCREEN PANEL URINE	$170	$85	—	—	11
86480	TB, INTERFERON AG RESPONSE	$170	$85	—	—	11
80307	OXYCODONE SCREEN	$170	$85	—	—	11
G0378	OBSERVATION, PER HOUR	$165	$82.5	—	—	2
81025	MISC LAB	$154	$77	—	—	22
99281	ED TRIAGE PHYSICIAN ASSISTANT	$138	$69	—	—	19
80074	ACUTE HEPATITIS PANEL	$131	$65.5	—	—	11
87522	HEPATITIS C VIRUS QUANT	$118	$59	—	—	11
83970	PARATHYROID HORMONE	$114	$57	—	—	11
J2060	LORAZEPAM 2 MG-ML IJ SOLN	$111	$55.44	—	—	6
36400	BLOOD DRAW < 3 YRS FEMORAL JUGULAR	$110	$55	—	—	2
36405	BLOOD DRAW <3 YRS SCALP VEIN	$110	$55	—	—	2
36406	BLOOD DRAW <3 YRS OTHER VEIN	$110	$55	—	—	2
36410	BLOOD DRAW > 3 YRS NON ROUTINE	$110	$55	—	—	2
83880	NATRIURETIC PEPTIDE	$108	$54	—	—	11
82652	VITAMIN D, 1, 25-DIHYDROXY	$106	$53	—	—	11
J1631	HALOPERIDOL DECANOATE 100 MG-ML IM SOLN	$105	$52.61	—	—	2
87493	C DIFFICILE TOXIN BY PCR	$102	$51	—	—	11
87491	MISC LAB	$97	$48.5	—	—	11
87661	TRICHOMONAS VAGINALIS, RNA	$97	$48.5	—	—	11
87521	HEPATITIS C VIRUS RNA	$97	$48.5	—	—	11
87591	MISC LAB	$97	$48.5	—	—	11
87806	HIV-AG, HIV1 & 2 AB, RAPID SCREEN	$91	$45.5	—	—	11
J2270	MORPHINE SULFATE (PF) 1 MG-ML IJ SOLN	$89.75	$44.88	—	—	2
82075	POC BREATH ALCOHOL	$83	$41.5	—	—	11
82306	VITAMIN D, 25-OH	$82	$41	—	—	11
84207	VITAMIN B-6	$77	$38.5	—	—	11
84403	TESTOSTERONE, TOTAL	$72	$36	—	—	11
84402	TESTOSTERONE, FREE	$71	$35.5	—	—	11
87389	MISC LAB	$66	$33	—	—	11

Showing top 50 of 847 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.