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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

Copper Springs

Avondale, AZ · CCN 034032 · Rates published

154 distinct procedures filed
25 distinct payers
1,121 rate rows
2025-09-23 last MRF observed
Data quality

851 of 1,121 rate rows are consumer-grade (75.9%)

270 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 262
percent-of-charges filed in the dollar field — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.coppersprings.com/docs/bhcopperspringslibraries/dec2025/364795061_copper-springs_standardcharges.csv
Found on page https://coppersprings.com/resources/accepted-insurance/#price-list
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint e65120185726f84c… · 12,599 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 8 $3,541.04 $4,426.30 $3,541.04 nat. median
$34,345
outlier · 0.1×
876
OTHER 		O.r. Procedures With Principal Diagnosis Of Mental Illness 1 $2,888.87 $2,888.87 $2,888.87 nat. median
$27,823
outlier · 0.1×
7594
APR_DRG 		4 $2,285.34 $2,405.62 $2,405.62 nat. median
$28,077
outlier · 0.1×
102
CDM 		R&b Adult Psych 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$0
113
CDM 		H4h Ip Psych 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$1
H0009
CPT 		H4h Ip Cd 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$350
outlier · 6.7×
1062
CDM 		R&b Geriatric Psych 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$1,942
1.2× median
1072
CDM 		R&b Rehab 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$1,986
1.2× median
104
CDM 		R&b Adol Psych 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$3
outlier · 800.2×
105
CDM 		R&b Child Psych 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$0
114
CDM 		H4h Ip Rehab 4 $1,869.36 $2,482.75 $2,336.70 nat. median
$135
outlier · 17.3×
7584
APR_DRG 		4 $2,165.61 $2,279.59 $2,279.59 nat. median
$15,253
outlier · 0.1×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 8 $2,256.49 $2,820.62 $2,256.49 nat. median
$22,361
outlier · 0.1×
7574
APR_DRG 		4 $1,955.79 $2,058.72 $2,058.72 nat. median
$16,468
outlier · 0.1×
7524
APR_DRG 		4 $1,827.49 $1,923.67 $1,923.67 nat. median
$15,599
outlier · 0.1×
7754
APR_DRG 		4 $1,695.84 $1,785.10 $1,785.10 nat. median
$19,303
outlier · 0.1×
7504
APR_DRG 		4 $1,612.44 $1,697.31 $1,697.31 nat. median
$20,739
outlier · 0.1×
883
MS_DRG 		Disorders Of Personality And Impulse Control 8 $1,670.59 $2,088.23 $1,670.59 nat. median
$17,090
outlier · 0.1×
886
MS_DRG 		Behavioral And Developmental Disorders 8 $1,618.86 $2,023.58 $1,618.86 nat. median
$17,368
outlier · 0.1×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 8 $1,604.71 $2,005.89 $1,604.71 nat. median
$16,145
outlier · 0.1×
7724
APR_DRG 		4 $1,480.56 $1,558.48 $1,558.48 nat. median
$14,350
outlier · 0.1×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 8 $1,505.05 $1,881.31 $1,505.05 nat. median
$14,858
outlier · 0.1×
7604
APR_DRG 		4 $1,420.46 $1,495.22 $1,495.22 nat. median
$11,936
outlier · 0.1×
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 8 $1,477.57 $1,846.96 $1,477.57 nat. median
$15,271
outlier · 0.1×
7744
APR_DRG 		4 $1,375.33 $1,447.72 $1,447.72 nat. median
$12,875
outlier · 0.1×
7593
APR_DRG 		4 $1,363.25 $1,435.00 $1,435.00 nat. median
$15,387
outlier · 0.1×
7734
APR_DRG 		4 $1,311.96 $1,381.02 $1,381.02 nat. median
$14,155
outlier · 0.1×
7514
APR_DRG 		4 $1,304.64 $1,373.30 $1,373.30 nat. median
$14,898
outlier · 0.1×
895
MS_DRG 		Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 8 $1,304.73 $1,630.91 $1,304.73 nat. median
$13,422
outlier · 0.1×
7534
APR_DRG 		4 $1,220.61 $1,284.86 $1,284.86 nat. median
$14,731
outlier · 0.1×
7764
APR_DRG 		4 $1,219.13 $1,283.30 $1,283.30 nat. median
$10,434
outlier · 0.1×
885
MS_DRG 		Psychoses 8 $1,270.22 $1,587.77 $1,270.22 nat. median
$12,884
outlier · 0.1×
7564
APR_DRG 		4 $1,174.63 $1,236.45 $1,236.45 nat. median
$10,001
outlier · 0.1×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 8 $1,202.45 $1,503.07 $1,202.45 nat. median
$13,201
outlier · 0.1×
947
MS_DRG 		Signs And Symptoms With Mcc 8 $1,159.02 $1,448.78 $1,159.02 nat. median
$12,688
outlier · 0.1×
7704
APR_DRG 		4 $1,084.21 $1,141.27 $1,141.27 nat. median
$10,711
outlier · 0.1×
917
OTHER 		Poisoning And Toxic Effects Of Drugs Age >17 With Mcc 1 $1,137.45 $1,137.45 $1,137.45 nat. median
$12,470
outlier · 0.1×
884
OTHER 		Organic Disturbances And Intellectual Disability 1 $1,112.80 $1,112.80 $1,112.80 nat. median
$12,103
outlier · 0.1×
947
OTHER 		Signs And Symptoms With Mcc 1 $1,077.01 $1,077.01 $1,077.01 nat. median
$10,607
outlier · 0.1×
887
MS_DRG 		Other Mental Disorder Diagnoses 8 $1,071.79 $1,339.74 $1,071.79 nat. median
$10,976
outlier · 0.1×
887
OTHER 		Other Mental Disorder Diagnoses 1 $1,058.35 $1,058.35 $1,058.35 nat. median
$7,553
outlier · 0.1×
886
OTHER 		Behavioral And Developmental Disorders 1 $1,050.99 $1,050.99 $1,050.99 nat. median
$17,985
outlier · 0.1×
883
OTHER 		Disorders Of Personality And Impulse Control 1 $1,049.45 $1,049.45 $1,049.45 nat. median
$13,265
outlier · 0.1×
7592
APR_DRG 		4 $964.02 $1,014.76 $1,014.76 nat. median
$9,198
outlier · 0.1×
896
OTHER 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 $1,003.56 $1,003.56 $1,003.56 nat. median
$13,577
outlier · 0.1×
7503
APR_DRG 		4 $834.40 $878.31 $878.31 nat. median
$9,532
outlier · 0.1×
882
MS_DRG 		Neuroses Except Depressive 8 $866.88 $1,083.60 $866.88 nat. median
$9,789
outlier · 0.1×
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 8 $863.81 $1,079.77 $863.81 nat. median
$9,366
outlier · 0.1×
7573
APR_DRG 		4 $795.11 $836.96 $836.96 nat. median
$8,613
outlier · 0.1×
881
MS_DRG 		Depressive Neuroses 8 $823.71 $1,029.64 $823.71 nat. median
$8,971
outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 154 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 9 8 $2,920.88 $1,186.00 59% off $3,541.04 $4,426.30 $3,541.04 2025-09-23
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 $2,920.88 $1,186.00 59% off $2,888.87 $2,888.87 $2,888.87 2025-09-23
7594 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $2,285.34 $2,405.62 $2,405.62 2025-09-23
114 CDM H4h Ip Rehab 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
H0009 CPT H4h Ip Cd 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
102 CDM R&b Adult Psych 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
104 CDM R&b Adol Psych 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
105 CDM R&b Child Psych 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
1062 CDM R&b Geriatric Psych 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
1072 CDM R&b Rehab 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
113 CDM H4h Ip Psych 4 4 $2,920.88 $1,186.00 59% off $1,869.36 $2,482.75 $2,336.70 2025-09-23
7584 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $2,165.61 $2,279.59 $2,279.59 2025-09-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 9 8 $2,920.88 $1,186.00 59% off $2,256.49 $2,820.62 $2,256.49 2025-09-23
7574 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,955.79 $2,058.72 $2,058.72 2025-09-23
7524 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,827.49 $1,923.67 $1,923.67 2025-09-23
7754 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,695.84 $1,785.10 $1,785.10 2025-09-23
7504 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,612.44 $1,697.31 $1,697.31 2025-09-23
883 MS_DRG Disorders Of Personality And Impulse Control 9 8 $2,920.88 $1,186.00 59% off $1,670.59 $2,088.23 $1,670.59 2025-09-23
886 MS_DRG Behavioral And Developmental Disorders 9 8 $2,920.88 $1,186.00 59% off $1,618.86 $2,023.58 $1,618.86 2025-09-23
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 9 8 $2,920.88 $1,186.00 59% off $1,604.71 $2,005.89 $1,604.71 2025-09-23
7724 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,480.56 $1,558.48 $1,558.48 2025-09-23
884 MS_DRG Organic Disturbances And Intellectual Disability 9 8 $2,920.88 $1,186.00 59% off $1,505.05 $1,881.31 $1,505.05 2025-09-23
7604 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,420.46 $1,495.22 $1,495.22 2025-09-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 9 8 $2,920.88 $1,186.00 59% off $1,477.57 $1,846.96 $1,477.57 2025-09-23
7744 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,375.33 $1,447.72 $1,447.72 2025-09-23
7593 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,363.25 $1,435.00 $1,435.00 2025-09-23
7734 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,311.96 $1,381.02 $1,381.02 2025-09-23
7514 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,304.64 $1,373.30 $1,373.30 2025-09-23
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 9 8 $2,920.88 $1,186.00 59% off $1,304.73 $1,630.91 $1,304.73 2025-09-23
7534 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,220.61 $1,284.86 $1,284.86 2025-09-23
7764 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,219.13 $1,283.30 $1,283.30 2025-09-23
885 MS_DRG Psychoses 9 8 $2,920.88 $1,186.00 59% off $1,270.22 $1,587.77 $1,270.22 2025-09-23
7564 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,174.63 $1,236.45 $1,236.45 2025-09-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 9 8 $2,920.88 $1,186.00 59% off $1,202.45 $1,503.07 $1,202.45 2025-09-23
947 MS_DRG Signs And Symptoms With Mcc 9 8 $2,920.88 $1,186.00 59% off $1,159.02 $1,448.78 $1,159.02 2025-09-23
7704 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $1,084.21 $1,141.27 $1,141.27 2025-09-23
917 OTHER Poisoning And Toxic Effects Of Drugs Age >17 With Mcc 1 1 $2,920.88 $1,186.00 59% off $1,137.45 $1,137.45 $1,137.45 2025-09-23
884 OTHER Organic Disturbances And Intellectual Disability 1 1 $2,920.88 $1,186.00 59% off $1,112.80 $1,112.80 $1,112.80 2025-09-23
947 OTHER Signs And Symptoms With Mcc 1 1 $2,920.88 $1,186.00 59% off $1,077.01 $1,077.01 $1,077.01 2025-09-23
887 MS_DRG Other Mental Disorder Diagnoses 9 8 $2,920.88 $1,186.00 59% off $1,071.79 $1,339.74 $1,071.79 2025-09-23
887 OTHER Other Mental Disorder Diagnoses 1 1 $2,920.88 $1,186.00 59% off $1,058.35 $1,058.35 $1,058.35 2025-09-23
886 OTHER Behavioral And Developmental Disorders 1 1 $2,920.88 $1,186.00 59% off $1,050.99 $1,050.99 $1,050.99 2025-09-23
883 OTHER Disorders Of Personality And Impulse Control 1 1 $2,920.88 $1,186.00 59% off $1,049.45 $1,049.45 $1,049.45 2025-09-23
7592 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $964.02 $1,014.76 $1,014.76 2025-09-23
896 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 $2,920.88 $1,186.00 59% off $1,003.56 $1,003.56 $1,003.56 2025-09-23
7503 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $834.40 $878.31 $878.31 2025-09-23
882 MS_DRG Neuroses Except Depressive 9 8 $2,920.88 $1,186.00 59% off $866.88 $1,083.60 $866.88 2025-09-23
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 9 8 $2,920.88 $1,186.00 59% off $863.81 $1,079.77 $863.81 2025-09-23
7573 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $795.11 $836.96 $836.96 2025-09-23
881 MS_DRG Depressive Neuroses 9 8 $2,920.88 $1,186.00 59% off $823.71 $1,029.64 $823.71 2025-09-23
7523 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $767.68 $808.08 $808.08 2025-09-23
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 9 8 $2,920.88 $1,186.00 59% off $797.13 $996.41 $797.13 2025-09-23
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 9 8 $2,920.88 $1,186.00 59% off $794.97 $993.71 $794.97 2025-09-23
7753 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $751.07 $790.60 $790.60 2025-09-23
7591 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $722.08 $760.08 $760.08 2025-09-23
7723 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $719.51 $757.38 $757.38 2025-09-23
899 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age <=21 Withou 1 1 $2,920.88 $1,186.00 59% off $750.34 $750.34 $750.34 2025-09-23
7554 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $707.19 $744.41 $744.41 2025-09-23
7533 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $704.07 $741.13 $741.13 2025-09-23
898 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without 1 1 $2,920.88 $1,186.00 59% off $735.87 $735.87 $735.87 2025-09-23
7603 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $694.18 $730.71 $730.71 2025-09-23
7513 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $681.39 $717.25 $717.25 2025-09-23
948 MS_DRG Signs And Symptoms Without Mcc 9 8 $2,920.88 $1,186.00 59% off $715.94 $894.92 $715.94 2025-09-23
7563 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $661.67 $696.50 $696.50 2025-09-23
7583 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $642.58 $676.40 $676.40 2025-09-23
7763 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $642.19 $675.99 $675.99 2025-09-23
7733 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $612.49 $644.73 $644.73 2025-09-23
895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 1 1 $2,920.88 $1,186.00 59% off $630.06 $630.06 $630.06 2025-09-23
948 OTHER Signs And Symptoms Without Mcc 1 1 $2,920.88 $1,186.00 59% off $617.48 $617.48 $617.48 2025-09-23
7502 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $556.68 $585.98 $585.98 2025-09-23
7572 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $556.45 $585.73 $585.73 2025-09-23
7743 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $553.17 $582.29 $582.29 2025-09-23
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 9 8 $2,920.88 $1,186.00 59% off $562.39 $702.99 $562.39 2025-09-23
880 OTHER Acute Adjustment Reaction And Psychosocial Dysfunction 1 1 $2,920.88 $1,186.00 59% off $562.35 $562.35 $562.35 2025-09-23
7553 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $513.03 $540.03 $540.03 2025-09-23
7703 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $506.25 $532.90 $532.90 2025-09-23
7562 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $472.73 $497.62 $497.62 2025-09-23
7722 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $464.78 $489.25 $489.25 2025-09-23
918 OTHER Poisoning And Toxic Effects Of Drugs Age >17 Without Mcc 1 1 $2,920.88 $1,186.00 59% off $474.43 $474.43 $474.43 2025-09-23
7602 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $442.02 $465.29 $465.29 2025-09-23
885 OTHER Psychoses 1 1 $2,920.88 $1,186.00 59% off $455.43 $455.43 $455.43 2025-09-23
7752 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $414.12 $435.92 $435.92 2025-09-23
G0410 CPT H4h Php Cd 21 15 $365.11 $423.00 $233.67 $1,102.85 $435.44 2025-09-23
7501 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $402.51 $423.69 $423.69 2025-09-23
7582 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $392.76 $413.43 $413.43 2025-09-23
7532 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $383.33 $403.51 $403.51 2025-09-23
882 OTHER Neuroses Except Depressive 1 1 $2,920.88 $1,186.00 59% off $399.27 $399.27 $399.27 2025-09-23
881 OTHER Depressive Neuroses 1 1 $2,920.88 $1,186.00 59% off $392.76 $392.76 $392.76 2025-09-23
7571 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $370.55 $390.05 $390.05 2025-09-23
7601 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $368.05 $387.43 $387.43 2025-09-23
7721 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $353.17 $371.75 $371.75 2025-09-23
7522 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $344.59 $362.73 $362.73 2025-09-23
7762 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $339.53 $357.40 $357.40 2025-09-23
7512 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $335.55 $353.21 $353.21 2025-09-23
7742 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $316.07 $332.70 $332.70 2025-09-23
7732 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $315.68 $332.29 $332.29 2025-09-23
894 OTHER Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 $2,920.88 $1,186.00 59% off $330.27 $330.27 $330.27 2025-09-23
7561 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $308.27 $324.50 $324.50 2025-09-23
7581 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $307.02 $323.18 $323.18 2025-09-23
7702 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $293.54 $308.99 $308.99 2025-09-23
7531 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $287.93 $303.08 $303.08 2025-09-23
S9480 CPT H4h Iop Psych 18 15 $291.87 $282.00 $186.80 $744.52 $295.77 2025-09-23
H0015 CPT H4h Iop Cd 19 15 $291.87 $282.00 $150.72 $369.71 $295.77 2025-09-23
90834 CPT Iop Indiv Therapy 31-45 Min 38 15 $291.87 $423.00 $128.00 $1,102.85 $295.77 2025-09-23
90832 CPT Iop Indiv Therapy 16-30 Min 38 15 $291.87 $423.00 $96.00 $1,102.85 $295.77 2025-09-23
7751 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $272.42 $286.75 $286.75 2025-09-23
7521 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $261.66 $275.43 $275.43 2025-09-23
7552 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $258.46 $272.07 $272.07 2025-09-23
7511 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $249.81 $262.96 $262.96 2025-09-23
99236 CPT Short Stay - High Complexity 4 4 $325.00 $1,186.00 $208.00 $276.25 $260.00 2025-09-23
7761 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $246.69 $259.68 $259.68 2025-09-23
7741 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $236.48 $248.93 $248.93 2025-09-23
99205 CPT New Patient E&m - 60 Mins 4 4 $300.00 $1,186.00 $192.00 $255.00 $240.00 2025-09-23
90791 CPT Initial Eval Or Psych Dx Exam 4 4 $300.00 $1,186.00 $192.00 $255.00 $240.00 2025-09-23
99255 CPT Initial Ip Consult 110 Mins 4 4 $300.00 $1,186.00 $192.00 $255.00 $240.00 2025-09-23
99223 CPT Initial Hosp Eval & Mgmt 70m 4 4 $300.00 $1,186.00 $192.00 $255.00 $240.00 2025-09-23
7731 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $212.79 $223.99 $223.99 2025-09-23
G0177 CPT Education 4 4 $277.97 $1,186.00 $177.90 $236.27 $222.38 2025-09-23
513 CDM Bridge Discharge Appointment 4 4 $275.42 $1,186.00 $176.27 $234.11 $220.34 2025-09-23
90809 CPT Indiv Tx With Med Mgmt 75 Mins 4 4 $275.00 $1,186.00 $176.00 $233.75 $220.00 2025-09-23
99254 CPT Initial Ip Consult 80 Mins 4 4 $275.00 $1,186.00 $176.00 $233.75 $220.00 2025-09-23
99235 CPT Short Stay - Mod Complexity 4 4 $275.00 $1,186.00 $176.00 $233.75 $220.00 2025-09-23
99450 CPT Court Evaluation 8 4 $300.00 $1,186.00 $160.00 $297.50 $218.25 2025-09-23
90846 CPT Family PsyTx Without Pt. Present 8 4 $282.56 $1,186.00 $128.00 $310.34 $201.83 2025-09-23
90847 CPT Family PsyTx With Pt. Present 8 4 $282.56 $1,186.00 $128.00 $310.34 $201.83 2025-09-23
90838 CPT Indiv PsyTx Used W/e&m 75-80m 4 4 $250.00 $1,186.00 $160.00 $212.50 $200.00 2025-09-23
99253 CPT Initial Ip Consult 55 Mins 4 4 $250.00 $1,186.00 $160.00 $212.50 $200.00 2025-09-23
90837 CPT Indiv PsyTx 75-80m Face To Fac 4 4 $250.00 $1,186.00 $160.00 $212.50 $200.00 2025-09-23
7701 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $187.22 $197.08 $197.08 2025-09-23
7551 APR_DRG — 5 4 $2,920.88 $1,186.00 59% off $185.51 $195.27 $195.27 2025-09-23
90806 CPT PsyTx 45-50 Minutes 4 4 $225.00 $1,186.00 $144.00 $191.25 $180.00 2025-09-23
99252 CPT Initial Ip Consult 40 Mins 4 4 $225.00 $1,186.00 $144.00 $191.25 $180.00 2025-09-23
99204 CPT New Patient E&m - 45 Mins 4 4 $225.00 $1,186.00 $144.00 $191.25 $180.00 2025-09-23
90807 CPT PsyTx With E&m 45-50 Minutes 4 4 $225.00 $1,186.00 $144.00 $191.25 $180.00 2025-09-23
99234 CPT Short Stay - Low Complexity 4 4 $225.00 $1,186.00 $144.00 $191.25 $180.00 2025-09-23
99222 CPT Initial Hosp Eval & Mgmt 50m 4 4 $225.00 $1,186.00 $144.00 $191.25 $180.00 2025-09-23
99239 CPT D/c Mgmt More Than 30 Mins 4 4 $200.00 $1,186.00 $128.00 $170.00 $160.00 2025-09-23
99221 CPT Initial Hosp Eval & Mgmt 30m 4 4 $200.00 $1,186.00 $128.00 $170.00 $160.00 2025-09-23
99251 CPT Initial Ip Consult 20 Min 4 4 $200.00 $1,186.00 $128.00 $170.00 $160.00 2025-09-23
90836 CPT Indiv PsyTx Used W/e&m 45-50m 4 4 $200.00 $1,186.00 $128.00 $170.00 $160.00 2025-09-23
99233 CPT Subsq Ip Day Eval & Mgmt 35min 4 4 $175.00 $1,186.00 $112.00 $148.75 $140.00 2025-09-23
90833 CPT Indiv PsyTx Used W/e&m 20-30m 4 4 $150.00 $1,186.00 $96.00 $127.50 $120.00 2025-09-23
99238 CPT D/c Mgmt 30 Mins Or Less 4 4 $150.00 $1,186.00 $96.00 $127.50 $120.00 2025-09-23
99232 CPT Subsq Ip Day Eval & Mgmt 25min 4 4 $150.00 $1,186.00 $96.00 $127.50 $120.00 2025-09-23
90862 CPT Medical Management 4 4 $150.00 $1,186.00 $96.00 $127.50 $120.00 2025-09-23
90805 CPT PsyTx 20-30 Minutes 4 4 $150.00 $1,186.00 $96.00 $127.50 $120.00 2025-09-23
99214 CPT E&m 25 Minutes 4 4 $125.00 $1,186.00 $80.00 $106.25 $100.00 2025-09-23
90804 CPT Individual Therapy 25-30 Mins 4 4 $125.00 $1,186.00 $80.00 $106.25 $100.00 2025-09-23
99212 CPT E&m 10 Minutes 4 4 $75.00 $1,186.00 $48.00 $63.75 $60.00 2025-09-23
99202 CPT H&p 4 4 $75.00 $1,186.00 $48.00 $63.75 $60.00 2025-09-23
96372 CPT Injection Administration 4 4 $50.00 $1,186.00 $32.00 $42.50 $40.00 2025-09-23
99211 CPT E&m 5 Minutes 4 4 $50.00 $1,186.00 $32.00 $42.50 $40.00 2025-09-23
239 CDM Incremental Nursing Charge 4 4 $50.00 $1,186.00 $32.00 $42.50 $40.00 2025-09-23
90899 CPT Disability Records Request 8 4 $21.50 $1,186.00 $11.52 $21.25 $15.65 2025-09-23
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