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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

SYCAMORE SPRINGS

Lafayette, IN · CCN 154059 · Rates published

137 distinct procedures filed
101 distinct payers
1,891 rate rows
2026-08-17 last MRF observed
Data quality

1,496 of 1,891 rate rows are consumer-grade (79.1%)

395 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 295
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 100
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sycamorespringshealth.com/docs/bhsycamorespringslibraries/dec2025/275458146_sycamore-springs_standardcharges.csv
Found on page https://sycamorespringshealth.com/resources/accepted-insurance/#price-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint e06f4599e29dfb4c… · 435,610 bytes · first seen 2026-05-15

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
7594
APR_DRG 		Eating Disorders 5 $4,021.82 $4,142.48 $4,021.82 nat. median
$28,483
outlier · 0.1×
7584
APR_DRG 		Disorders Of Impulse Control & Development 5 $3,811.13 $3,925.47 $3,811.13 nat. median
$22,778
outlier · 0.2×
876
MS_DRG 		O.r. Procedures With Principal Diagnosis Of Mental Illness 11 $3,533.57 $7,031.81 $3,533.57 nat. median
$2,958
1.2× median
7574
APR_DRG 		Organic Mental Health Conditions And Disturbances 5 $3,441.87 $3,545.13 $3,441.87 nat. median
$19,457
outlier · 0.2×
7524
APR_DRG 		Personality Disorders 5 $3,216.09 $3,312.57 $3,216.09 nat. median
$18,402
outlier · 0.2×
876
OTHER 		O.r. Procedures With Principal Diagnosis Of Mental Illness 1 $3,034.51 $3,034.51 $3,034.51 nat. median
$1,312
outlier · 2.3×
7754
APR_DRG 		Alcohol Abuse And Dependence 5 $2,984.41 $3,073.94 $2,984.41 nat. median
$19,303
outlier · 0.2×
7504
APR_DRG 		Schizophrenia And Other Severe Psychotic Disorders 5 $2,837.64 $2,922.76 $2,837.64 nat. median
$17,777
outlier · 0.2×
7724
APR_DRG 		Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 $2,605.54 $2,683.71 $2,605.54 nat. median
$14,176
outlier · 0.2×
7604
APR_DRG 		Other Mental Health Conditions And Disorders 5 $2,499.79 $2,574.78 $2,499.79 nat. median
$11,936
outlier · 0.2×
7744
APR_DRG 		Cocaine Abuse And Dependence 5 $2,420.36 $2,492.98 $2,420.36 nat. median
$15,092
outlier · 0.2×
7593
APR_DRG 		Eating Disorders 5 $2,399.10 $2,471.08 $2,399.10 nat. median
$13,047
outlier · 0.2×
7734
APR_DRG 		Opioid Abuse And Dependence 5 $2,308.85 $2,378.11 $2,308.85 nat. median
$14,792
outlier · 0.2×
7514
APR_DRG 		Depressive Disorders 5 $2,295.95 $2,364.83 $2,295.95 nat. median
$14,895
outlier · 0.2×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 11 $2,251.74 $4,480.96 $2,251.74 nat. median
$14,194
outlier · 0.2×
H0009
HCPCS 		H4h Ip Cd 8 $1,869.36 $2,482.75 $2,190.66 nat. median
$572
outlier · 3.8×
11800016
CDM 		Semi-private Room - Detox 8 $1,869.36 $2,482.75 $2,190.66 —
11800018
CDM 		Semi-private Room Bh 8 $1,869.36 $2,482.75 $2,190.66 —
11800036
CDM 		H4h Ip Psych 8 $1,869.36 $2,482.75 $2,190.66 —
11800022
CDM 		R&b Rehab 8 $1,869.36 $2,482.75 $2,190.66 —
11800038
CDM 		H4h Ip Rehab 8 $1,869.36 $2,482.75 $2,190.66 —
7534
APR_DRG 		Bipolar Disorders 5 $2,148.08 $2,212.52 $2,148.08 nat. median
$13,656
outlier · 0.2×
7764
APR_DRG 		Other Drug Abuse And Dependence 5 $2,145.48 $2,209.84 $2,145.48 nat. median
$12,514
outlier · 0.2×
7564
APR_DRG 		Acute Anxiety And Stress Syndromes 5 $2,067.15 $2,129.17 $2,067.15 nat. median
$10,975
outlier · 0.2×
7704
APR_DRG 		Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 5 $1,908.03 $1,965.28 $1,908.03 nat. median
$10,999
outlier · 0.2×
15851
CPT 		Remove Sutures Diff Surgeon 35 $1,827.69 $2,010.46 $1,827.69 nat. median
$1,965
0.9× median
7592
APR_DRG 		Eating Disorders 5 $1,696.52 $1,747.41 $1,696.52 nat. median
$8,407
outlier · 0.2×
883
MS_DRG 		Disorders Of Personality And Impulse Control 11 $1,667.06 $3,317.46 $1,667.06 nat. median
$2,596
0.6× median
886
MS_DRG 		Behavioral And Developmental Disorders 11 $1,615.45 $3,214.74 $1,615.45 nat. median
$2,736
0.6× median
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 11 $1,601.33 $3,186.65 $1,601.33 nat. median
$9,938
outlier · 0.2×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 11 $1,501.88 $2,988.74 $1,501.88 nat. median
$7,732
outlier · 0.2×
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 11 $1,474.45 $2,934.16 $1,474.45 nat. median
$10,747
outlier · 0.1×
7503
APR_DRG 		Schizophrenia And Other Severe Psychotic Disorders 5 $1,468.40 $1,512.46 $1,468.40 nat. median
$8,444
outlier · 0.2×
7573
APR_DRG 		Organic Mental Health Conditions And Disturbances 5 $1,399.27 $1,441.25 $1,399.27 nat. median
$8,101
outlier · 0.2×
7523
APR_DRG 		Personality Disorders 5 $1,350.99 $1,391.52 $1,350.99 nat. median
$7,619
outlier · 0.2×
7753
APR_DRG 		Alcohol Abuse And Dependence 5 $1,321.77 $1,361.42 $1,321.77 nat. median
$8,306
outlier · 0.2×
895
MS_DRG 		Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 11 $1,301.98 $2,590.94 $1,301.98 nat. median
$2,596
0.5× median
7591
APR_DRG 		Eating Disorders 5 $1,270.74 $1,308.87 $1,270.74 nat. median
$6,174
outlier · 0.2×
885
MS_DRG 		Psychoses 11 $1,267.54 $2,522.41 $1,267.54 nat. median
$8,240
outlier · 0.2×
7723
APR_DRG 		Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 $1,266.22 $1,304.20 $1,266.22 nat. median
$6,614
outlier · 0.2×
7554
APR_DRG 		Adjustment Disorders 5 $1,244.54 $1,281.88 $1,244.54 nat. median
$8,639
outlier · 0.1×
7533
APR_DRG 		Bipolar Disorders 5 $1,239.06 $1,276.23 $1,239.06 nat. median
$7,317
outlier · 0.2×
7603
APR_DRG 		Other Mental Health Conditions And Disorders 5 $1,221.64 $1,258.29 $1,221.64 nat. median
$6,616
outlier · 0.2×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 11 $1,199.92 $2,387.84 $1,199.92 nat. median
$8,924
outlier · 0.1×
7513
APR_DRG 		Depressive Disorders 5 $1,199.14 $1,235.11 $1,199.14 nat. median
$7,077
outlier · 0.2×
917
OTHER 		Poisoning And Toxic Effects Of Drugs Age >17 With Mcc 1 $1,194.79 $1,194.79 $1,194.79 nat. median
$6
outlier · 201.5×
884
OTHER 		Organic Disturbances And Intellectual Disability 1 $1,168.90 $1,168.90 $1,168.90 nat. median
$2,413
outlier · 0.5×
7563
APR_DRG 		Acute Anxiety And Stress Syndromes 5 $1,164.44 $1,199.37 $1,164.44 nat. median
$6,471
outlier · 0.2×
947
MS_DRG 		Signs And Symptoms With Mcc 11 $1,156.58 $2,301.59 $1,156.58 nat. median
$8,698
outlier · 0.1×
947
OTHER 		Signs And Symptoms With Mcc 1 $1,131.31 $1,131.31 $1,131.31 nat. median
$59
outlier · 19.2×

Other procedures at this hospital

Browse this hospital's 137 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
             
7594 APR_DRG Eating Disorders 5 5 $2,920.88 $800.00 73% off $4,021.82 $4,142.48 $4,021.82 2025-09-22
7584 APR_DRG Disorders Of Impulse Control & Development 5 5 $2,920.88 $800.00 73% off $3,811.13 $3,925.47 $3,811.13 2025-09-22
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 11 $2,920.88 $800.00 73% off $3,533.57 $7,031.81 $3,533.57 2025-09-22
7574 APR_DRG Organic Mental Health Conditions And Disturbances 5 5 $2,920.88 $800.00 73% off $3,441.87 $3,545.13 $3,441.87 2025-09-22
7524 APR_DRG Personality Disorders 5 5 $2,920.88 $800.00 73% off $3,216.09 $3,312.57 $3,216.09 2025-09-22
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 $2,920.88 $800.00 73% off $3,034.51 $3,034.51 $3,034.51 2025-09-22
7754 APR_DRG Alcohol Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $2,984.41 $3,073.94 $2,984.41 2025-09-22
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 5 5 $2,920.88 $800.00 73% off $2,837.64 $2,922.76 $2,837.64 2025-09-22
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 5 $2,920.88 $800.00 73% off $2,605.54 $2,683.71 $2,605.54 2025-09-22
7604 APR_DRG Other Mental Health Conditions And Disorders 5 5 $2,920.88 $800.00 73% off $2,499.79 $2,574.78 $2,499.79 2025-09-22
7744 APR_DRG Cocaine Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $2,420.36 $2,492.98 $2,420.36 2025-09-22
7593 APR_DRG Eating Disorders 5 5 $2,920.88 $800.00 73% off $2,399.10 $2,471.08 $2,399.10 2025-09-22
7734 APR_DRG Opioid Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $2,308.85 $2,378.11 $2,308.85 2025-09-22
7514 APR_DRG Depressive Disorders 5 5 $2,920.88 $800.00 73% off $2,295.95 $2,364.83 $2,295.95 2025-09-22
56 MS_DRG Degenerative Nervous System Disorders With Mcc 17 11 $2,920.88 $800.00 73% off $2,251.74 $4,480.96 $2,251.74 2025-09-22
11800016 CDM Semi-private Room - Detox 8 8 $2,920.88 $800.00 73% off $1,869.36 $2,482.75 $2,190.66 2025-09-22
11800036 CDM H4h Ip Psych 8 8 $2,920.88 $800.00 73% off $1,869.36 $2,482.75 $2,190.66 2025-09-22
11800038 CDM H4h Ip Rehab 8 8 $2,920.88 $800.00 73% off $1,869.36 $2,482.75 $2,190.66 2025-09-22
11800022 CDM R&b Rehab 8 8 $2,920.88 $800.00 73% off $1,869.36 $2,482.75 $2,190.66 2025-09-22
H0009 HCPCS H4h Ip Cd 8 8 $2,920.88 $800.00 73% off $1,869.36 $2,482.75 $2,190.66 2025-09-22
11800018 CDM Semi-private Room Bh 8 8 $2,920.88 $800.00 73% off $1,869.36 $2,482.75 $2,190.66 2025-09-22
7534 APR_DRG Bipolar Disorders 5 5 $2,920.88 $800.00 73% off $2,148.08 $2,212.52 $2,148.08 2025-09-22
7764 APR_DRG Other Drug Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $2,145.48 $2,209.84 $2,145.48 2025-09-22
7564 APR_DRG Acute Anxiety And Stress Syndromes 5 5 $2,920.88 $800.00 73% off $2,067.15 $2,129.17 $2,067.15 2025-09-22
7704 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 5 5 $2,920.88 $800.00 73% off $1,908.03 $1,965.28 $1,908.03 2025-09-22
15851 CPT Remove Sutures Diff Surgeon 40 35 $24,341.40 — $1,827.69 $2,010.46 $1,827.69 2026-08-17
7592 APR_DRG Eating Disorders 5 5 $2,920.88 $800.00 73% off $1,696.52 $1,747.41 $1,696.52 2025-09-22
883 MS_DRG Disorders Of Personality And Impulse Control 17 11 $2,920.88 $800.00 73% off $1,667.06 $3,317.46 $1,667.06 2025-09-22
886 MS_DRG Behavioral And Developmental Disorders 17 11 $2,920.88 $800.00 73% off $1,615.45 $3,214.74 $1,615.45 2025-09-22
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 17 11 $2,920.88 $800.00 73% off $1,601.33 $3,186.65 $1,601.33 2025-09-22
884 MS_DRG Organic Disturbances And Intellectual Disability 17 11 $2,920.88 $800.00 73% off $1,501.88 $2,988.74 $1,501.88 2025-09-22
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 17 11 $2,920.88 $800.00 73% off $1,474.45 $2,934.16 $1,474.45 2025-09-22
7503 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 5 5 $2,920.88 $800.00 73% off $1,468.40 $1,512.46 $1,468.40 2025-09-22
7573 APR_DRG Organic Mental Health Conditions And Disturbances 5 5 $2,920.88 $800.00 73% off $1,399.27 $1,441.25 $1,399.27 2025-09-22
7523 APR_DRG Personality Disorders 5 5 $2,920.88 $800.00 73% off $1,350.99 $1,391.52 $1,350.99 2025-09-22
7753 APR_DRG Alcohol Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $1,321.77 $1,361.42 $1,321.77 2025-09-22
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 17 11 $2,920.88 $800.00 73% off $1,301.98 $2,590.94 $1,301.98 2025-09-22
7591 APR_DRG Eating Disorders 5 5 $2,920.88 $800.00 73% off $1,270.74 $1,308.87 $1,270.74 2025-09-22
885 MS_DRG Psychoses 17 11 $2,920.88 $800.00 73% off $1,267.54 $2,522.41 $1,267.54 2025-09-22
7723 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 5 $2,920.88 $800.00 73% off $1,266.22 $1,304.20 $1,266.22 2025-09-22
7554 APR_DRG Adjustment Disorders 5 5 $2,920.88 $800.00 73% off $1,244.54 $1,281.88 $1,244.54 2025-09-22
7533 APR_DRG Bipolar Disorders 5 5 $2,920.88 $800.00 73% off $1,239.06 $1,276.23 $1,239.06 2025-09-22
7603 APR_DRG Other Mental Health Conditions And Disorders 5 5 $2,920.88 $800.00 73% off $1,221.64 $1,258.29 $1,221.64 2025-09-22
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 17 11 $2,920.88 $800.00 73% off $1,199.92 $2,387.84 $1,199.92 2025-09-22
7513 APR_DRG Depressive Disorders 5 5 $2,920.88 $800.00 73% off $1,199.14 $1,235.11 $1,199.14 2025-09-22
917 OTHER Poisoning And Toxic Effects Of Drugs Age >17 With Mcc 1 1 $2,920.88 $800.00 73% off $1,194.79 $1,194.79 $1,194.79 2025-09-22
884 OTHER Organic Disturbances And Intellectual Disability 1 1 $2,920.88 $800.00 73% off $1,168.90 $1,168.90 $1,168.90 2025-09-22
7563 APR_DRG Acute Anxiety And Stress Syndromes 5 5 $2,920.88 $800.00 73% off $1,164.44 $1,199.37 $1,164.44 2025-09-22
947 MS_DRG Signs And Symptoms With Mcc 17 11 $2,920.88 $800.00 73% off $1,156.58 $2,301.59 $1,156.58 2025-09-22
947 OTHER Signs And Symptoms With Mcc 1 1 $2,920.88 $800.00 73% off $1,131.31 $1,131.31 $1,131.31 2025-09-22
7583 APR_DRG Disorders Of Impulse Control & Development 5 5 $2,920.88 $800.00 73% off $1,130.83 $1,164.75 $1,130.83 2025-09-22
7763 APR_DRG Other Drug Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $1,130.14 $1,164.05 $1,130.14 2025-09-22
887 OTHER Other Mental Disorder Diagnoses 1 1 $2,920.88 $800.00 73% off $1,111.71 $1,111.71 $1,111.71 2025-09-22
886 OTHER Behavioral And Developmental Disorders 1 1 $2,920.88 $800.00 73% off $1,103.97 $1,103.97 $1,103.97 2025-09-22
883 OTHER Disorders Of Personality And Impulse Control 1 1 $2,920.88 $800.00 73% off $1,102.35 $1,102.35 $1,102.35 2025-09-22
7733 APR_DRG Opioid Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $1,077.88 $1,110.22 $1,077.88 2025-09-22
887 MS_DRG Other Mental Disorder Diagnoses 17 11 $2,920.88 $800.00 73% off $1,069.53 $2,128.37 $1,069.53 2025-09-22
896 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 1 1 $2,920.88 $800.00 73% off $1,054.16 $1,054.16 $1,054.16 2025-09-22
7502 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 5 5 $2,920.88 $800.00 73% off $979.67 $1,009.06 $979.67 2025-09-22
7572 APR_DRG Organic Mental Health Conditions And Disturbances 5 5 $2,920.88 $800.00 73% off $979.26 $1,008.63 $979.26 2025-09-22
7743 APR_DRG Cocaine Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $973.50 $1,002.70 $973.50 2025-09-22
7553 APR_DRG Adjustment Disorders 5 5 $2,920.88 $800.00 73% off $902.85 $929.94 $902.85 2025-09-22
7703 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 5 5 $2,920.88 $800.00 73% off $890.92 $917.65 $890.92 2025-09-22
882 MS_DRG Neuroses Except Depressive 17 11 $2,920.88 $800.00 73% off $865.05 $1,721.45 $865.05 2025-09-22
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 17 11 $2,920.88 $800.00 73% off $861.99 $1,715.36 $861.99 2025-09-22
7562 APR_DRG Acute Anxiety And Stress Syndromes 5 5 $2,920.88 $800.00 73% off $831.94 $856.89 $831.94 2025-09-22
881 MS_DRG Depressive Neuroses 17 11 $2,920.88 $800.00 73% off $821.98 $1,635.73 $821.98 2025-09-22
7722 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 5 $2,920.88 $800.00 73% off $817.94 $842.48 $817.94 2025-09-22
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 17 11 $2,920.88 $800.00 73% off $795.45 $1,582.95 $795.45 2025-09-22
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 17 11 $2,920.88 $800.00 73% off $793.29 $1,578.65 $793.29 2025-09-22
899 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age <=21 Withou 1 1 $2,920.88 $800.00 73% off $788.17 $788.17 $788.17 2025-09-22
7602 APR_DRG Other Mental Health Conditions And Disorders 5 5 $2,920.88 $800.00 73% off $777.89 $801.23 $777.89 2025-09-22
898 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without 1 1 $2,920.88 $800.00 73% off $772.97 $772.97 $772.97 2025-09-22
7752 APR_DRG Alcohol Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $728.78 $750.65 $728.78 2025-09-22
948 MS_DRG Signs And Symptoms Without Mcc 17 11 $2,920.88 $800.00 73% off $714.43 $1,421.72 $714.43 2025-09-22
7501 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 5 5 $2,920.88 $800.00 73% off $708.35 $729.60 $708.35 2025-09-22
7582 APR_DRG Disorders Of Impulse Control & Development 5 5 $2,920.88 $800.00 73% off $691.20 $711.94 $691.20 2025-09-22
7532 APR_DRG Bipolar Disorders 5 5 $2,920.88 $800.00 73% off $674.60 $694.84 $674.60 2025-09-22
895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 1 1 $2,920.88 $800.00 73% off $661.83 $661.83 $661.83 2025-09-22
7571 APR_DRG Organic Mental Health Conditions And Disturbances 5 5 $2,920.88 $800.00 73% off $652.11 $671.67 $652.11 2025-09-22
948 OTHER Signs And Symptoms Without Mcc 1 1 $2,920.88 $800.00 73% off $648.61 $648.61 $648.61 2025-09-22
7601 APR_DRG Other Mental Health Conditions And Disorders 5 5 $2,920.88 $800.00 73% off $647.72 $667.15 $647.72 2025-09-22
7721 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 5 5 $2,920.88 $800.00 73% off $621.52 $640.16 $621.52 2025-09-22
7522 APR_DRG Personality Disorders 5 5 $2,920.88 $800.00 73% off $606.43 $624.62 $606.43 2025-09-22
7762 APR_DRG Other Drug Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $597.51 $615.44 $597.51 2025-09-22
880 OTHER Acute Adjustment Reaction And Psychosocial Dysfunction 1 1 $2,920.88 $800.00 73% off $590.70 $590.70 $590.70 2025-09-22
7512 APR_DRG Depressive Disorders 5 5 $2,920.88 $800.00 73% off $590.52 $608.23 $590.52 2025-09-22
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 17 11 $2,920.88 $800.00 73% off $561.20 $1,116.79 $561.20 2025-09-22
7742 APR_DRG Cocaine Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $556.22 $572.91 $556.22 2025-09-22
7732 APR_DRG Opioid Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $555.54 $572.20 $555.54 2025-09-22
7561 APR_DRG Acute Anxiety And Stress Syndromes 5 5 $2,920.88 $800.00 73% off $542.51 $558.78 $542.51 2025-09-22
7581 APR_DRG Disorders Of Impulse Control & Development 5 5 $2,920.88 $800.00 73% off $540.31 $556.52 $540.31 2025-09-22
0912 RC — 45 40 $1,526.17 — $314.00 $940.00 $524.58 2026-08-17
0913 RC — 45 40 $915.01 — $314.00 $940.00 $524.58 2026-08-17
0914 RC — 45 40 $915.01 — $314.00 $940.00 $524.58 2026-08-17
0915 RC — 45 40 $381.54 — $314.00 $940.00 $524.58 2026-08-17
7702 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 5 5 $2,920.88 $800.00 73% off $516.58 $532.08 $516.58 2025-09-22
7531 APR_DRG Bipolar Disorders 5 5 $2,920.88 $800.00 73% off $506.71 $521.91 $506.71 2025-09-22
918 OTHER Poisoning And Toxic Effects Of Drugs Age >17 Without Mcc 1 1 $2,920.88 $800.00 73% off $498.35 $498.35 $498.35 2025-09-22
7751 APR_DRG Alcohol Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $479.41 $493.79 $479.41 2025-09-22
885 OTHER Psychoses 1 1 $2,920.88 $800.00 73% off $478.39 $478.39 $478.39 2025-09-22
7521 APR_DRG Personality Disorders 5 5 $2,920.88 $800.00 73% off $460.48 $474.29 $460.48 2025-09-22
7552 APR_DRG Adjustment Disorders 5 5 $2,920.88 $800.00 73% off $454.86 $468.50 $454.86 2025-09-22
7511 APR_DRG Depressive Disorders 5 5 $2,920.88 $800.00 73% off $439.63 $452.82 $439.63 2025-09-22
7761 APR_DRG Other Drug Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $434.14 $447.17 $434.14 2025-09-22
18300004 CDM Php Psy Adult Group Therapy-vi 30 18 $365.11 $250.00 32% off $79.56 $851.70 $427.99 2025-09-22
18300006 CDM Php Psy Adol Group Therapy-vir 30 18 $365.11 $250.00 32% off $79.56 $851.70 $427.99 2025-09-22
18300003 CDM Php Psy Adult Group Therapy 30 18 $365.11 $250.00 32% off $79.56 $851.70 $427.99 2025-09-22
18300005 CDM Php Psy Adol Group Therapy 30 18 $365.11 $250.00 32% off $79.56 $851.70 $427.99 2025-09-22
18300008 CDM Php Psy Group Therapy Child-vi 30 18 $365.11 $250.00 32% off $79.56 $851.70 $427.99 2025-09-22
882 OTHER Neuroses Except Depressive 1 1 $2,920.88 $800.00 73% off $419.40 $419.40 $419.40 2025-09-22
7741 APR_DRG Cocaine Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $416.17 $428.66 $416.17 2025-09-22
881 OTHER Depressive Neuroses 1 1 $2,920.88 $800.00 73% off $412.56 $412.56 $412.56 2025-09-22
90832 CPT Php Indiv Therapy 16-30 Min 40 35 $381.54 — $408.21 $449.03 $408.21 2026-08-17
90853 CPT Iop Cd Adol Group Therap-virt 70 53 $381.54 $125.00 67% off $186.80 $561.18 $408.21 2026-08-17
90847 CPT Family Psytx W/pt 50 Min 40 35 $381.54 — $408.21 $449.03 $408.21 2026-08-17
90846 CPT Family Psytx Without Pt 50 Min 40 35 $381.54 — $408.21 $449.03 $408.21 2026-08-17
90834 CPT Php Indiv Therapy 31-45 Min 40 35 $381.54 — $408.21 $449.03 $408.21 2026-08-17
7731 APR_DRG Opioid Abuse And Dependence 5 5 $2,920.88 $800.00 73% off $374.47 $385.71 $374.47 2025-09-22
894 OTHER Alcohol, Drug Abuse Or Dependence, Left Ama 1 1 $2,920.88 $800.00 73% off $346.92 $346.92 $346.92 2025-09-22
7701 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 5 5 $2,920.88 $800.00 73% off $329.48 $339.37 $329.48 2025-09-22
7551 APR_DRG Adjustment Disorders 5 5 $2,920.88 $800.00 73% off $326.46 $336.26 $326.46 2025-09-22
0906 RC — 44 39 $305.00 — $182.00 $746.00 $316.00 2026-08-17
0905 RC — 44 39 $305.00 — $182.00 $746.00 $316.00 2026-08-17
G0410 HCPCS Php Cd Adol Group Therapy 39 18 $347.72 $250.00 28% off $79.56 $851.70 $310.34 2025-09-22
17700010 CDM Iop Psy Group Therapy Child Vi 30 18 $291.87 $125.00 57% off $186.80 $561.18 $282.00 2025-09-22
17600009 CDM Iop Cd Group Therapy Child Vir 30 18 $291.87 $125.00 57% off $186.80 $561.18 $282.00 2025-09-22
4148F CPT Hep A Vac Injxn Admin/recvd 0 0 $23,248.39 — — — — 2026-08-17
4001F CPT Tobacco Use Txmnt Pharmacol 0 0 $21,468.48 — — — — 2026-08-17
4149F CPT Hep B Vac Injxn Admin/recvd 0 0 $23,248.39 — — — — 2026-08-17
4037F CPT Influenza Imm Order/admin 0 0 $23,248.39 — — — — 2026-08-17
S9480 HCPCS H4h Iop Psych 0 0 $305.00 — — — — 2026-08-17
4274F CPT Flu Immuno Admind Rcvd 0 0 $23,248.39 — — — — 2026-08-17
4004F CPT Pt Tobacco Screen Rcvd Tlk 0 0 $21,468.48 — — — — 2026-08-17
90785 CPT Php - Interactive Complexity 0 0 $381.54 — — — — 2026-08-17
H0015 HCPCS Alcohol And/or Drug Services 0 0 $305.00 — — — — 2026-08-17
H0035 HCPCS H4h Php Cd 0 0 $381.54 — — — — 2026-08-17
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