Hospital

HIGHLAND SPRINGS

Beachwood, OH · CCN 364053 · Rates published

157 distinct procedures filed

38 distinct payers

1,696 rate rows

2025-10-14 last MRF observed

Data quality

1,245 of 1,696 rate rows are consumer-grade (73.4%)

451 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 — reason	Rows
per-diem day rate — not a per-procedure price	435
percent-of-charges filed in the dollar field — excluded from medians	16

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.highlandspringshealth.com/docs/bhhighlandspringslibraries/dec2025/611746887-highland_springs-standardcharges.csv
Found on page	https://www.highlandspringshealth.com/resources/accepted-insurance/#price-list
Discovered via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint	3136ec38c82813e7… · 18,185 bytes · first seen 2026-05-09

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	10	$3,169.34	$4,120.14	$3,169.34	nat. median $34,345 outlier · 0.1×
7594 APR_DRG		5	$2,776.25	$3,053.88	$2,915.06	nat. median $28,077 outlier · 0.1×
7584 APR_DRG		5	$2,630.81	$2,893.89	$2,762.35	nat. median $15,253 outlier · 0.2×
876 OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	1	$2,721.72	$2,721.72	$2,721.72	nat. median $27,823 outlier · 0.1×
7574 APR_DRG		5	$2,375.91	$2,613.50	$2,494.71	nat. median $16,468 outlier · 0.2×
7524 APR_DRG		5	$2,220.05	$2,442.06	$2,331.06	nat. median $15,599 outlier · 0.1×
7754 APR_DRG		5	$2,060.13	$2,266.14	$2,163.13	nat. median $19,303 outlier · 0.1×
114 CDM	H4h Ip Rehab	8	$1,869.36	$2,482.75	$2,117.64	nat. median $135 outlier · 15.7×
1072 CDM	R&b Rehab	8	$1,869.36	$2,482.75	$2,117.64	nat. median $1,986 1.1× median
105 CDM	R&b Child Psych	8	$1,869.36	$2,482.75	$2,117.64	nat. median $0
113 CDM	H4h Ip Psych	8	$1,869.36	$2,482.75	$2,117.64	nat. median $1
1062 CDM	R&b Geriatric Psych	8	$1,869.36	$2,482.75	$2,117.64	nat. median $1,942 1.1× median
H0009 CPT	R&b Adult Cd	8	$1,869.36	$2,482.75	$2,117.64	nat. median $350 outlier · 6.0×
102 CDM	R&b Adult Psych	8	$1,869.36	$2,482.75	$2,117.64	nat. median $0
90868 CPT	Tms Ip - Subsequent	8	$1,869.36	$2,482.75	$2,117.64	nat. median $326 outlier · 6.5×
90867 CPT	Tms Ip - Initial	8	$1,869.36	$2,482.75	$2,117.64	nat. median $365 outlier · 5.8×
104 CDM	R&b Adol Psych	8	$1,869.36	$2,482.75	$2,117.64	nat. median $3 outlier · 725.2×
90869 CPT	Tms Ip - Redetermination	8	$1,869.36	$2,482.75	$2,117.64	nat. median $349 outlier · 6.1×
7504 APR_DRG		5	$1,958.81	$2,154.69	$2,056.75	nat. median $20,739 outlier · 0.1×
56 MS_DRG	Degenerative Nervous System Disorders With Mcc	10	$2,019.63	$2,625.52	$2,019.63	nat. median $22,361 outlier · 0.1×
7724 APR_DRG		5	$1,798.60	$1,978.46	$1,888.53	nat. median $14,350 outlier · 0.1×
7604 APR_DRG		5	$1,725.59	$1,898.15	$1,811.87	nat. median $11,936 outlier · 0.2×
7744 APR_DRG		5	$1,670.77	$1,837.85	$1,754.31	nat. median $12,875 outlier · 0.1×
7593 APR_DRG		5	$1,656.09	$1,821.70	$1,738.90	nat. median $15,387 outlier · 0.1×
7734 APR_DRG		5	$1,593.79	$1,753.17	$1,673.48	nat. median $14,155 outlier · 0.1×
7514 APR_DRG		5	$1,584.89	$1,743.38	$1,664.13	nat. median $14,898 outlier · 0.1×
7534 APR_DRG		5	$1,482.81	$1,631.10	$1,556.95	nat. median $14,731 outlier · 0.1×
7764 APR_DRG		5	$1,481.02	$1,629.12	$1,555.07	nat. median $10,434 outlier · 0.1×
7564 APR_DRG		5	$1,426.95	$1,569.64	$1,498.30	nat. median $10,001 outlier · 0.1×
883 MS_DRG	Disorders Of Personality And Impulse Control	10	$1,495.23	$1,943.79	$1,495.23	nat. median $17,090 outlier · 0.1×
886 MS_DRG	Behavioral And Developmental Disorders	10	$1,448.93	$1,883.61	$1,448.93	nat. median $17,368 outlier · 0.1×
896 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	10	$1,436.27	$1,867.15	$1,436.27	nat. median $16,145 outlier · 0.1×
7704 APR_DRG		5	$1,317.11	$1,448.82	$1,382.97	nat. median $10,711 outlier · 0.1×
884 MS_DRG	Organic Disturbances And Intellectual Disability	10	$1,347.07	$1,751.19	$1,347.07	nat. median $14,858 outlier · 0.1×
917 MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	10	$1,322.47	$1,719.21	$1,322.47	nat. median $15,271 outlier · 0.1×
7592 APR_DRG		5	$1,171.10	$1,288.21	$1,229.66	nat. median $9,198 outlier · 0.1×
895 MS_DRG	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	10	$1,167.77	$1,518.11	$1,167.77	nat. median $13,422 outlier · 0.1×
885 MS_DRG	Psychoses	10	$1,136.88	$1,477.95	$1,136.88	nat. median $12,884 outlier · 0.1×
57 MS_DRG	Degenerative Nervous System Disorders Without Mcc	10	$1,076.23	$1,399.10	$1,076.23	nat. median $13,201 outlier · 0.1×
917 OTHER	Poisoning And Toxic Effects Of Drugs Age >17 With Mcc	1	$1,071.64	$1,071.64	$1,071.64	nat. median $12,470 outlier · 0.1×
7503 APR_DRG		5	$1,013.64	$1,115.00	$1,064.32	nat. median $9,532 outlier · 0.1×
884 OTHER	Organic Disturbances And Intellectual Disability	1	$1,048.41	$1,048.41	$1,048.41	nat. median $12,103 outlier · 0.1×
947 MS_DRG	Signs And Symptoms With Mcc	10	$1,037.36	$1,348.57	$1,037.36	nat. median $12,688 outlier · 0.1×
947 OTHER	Signs And Symptoms With Mcc	1	$1,014.70	$1,014.70	$1,014.70	nat. median $10,607 outlier · 0.1×
7573 APR_DRG		5	$965.91	$1,062.50	$1,014.21	nat. median $8,613 outlier · 0.1×
887 OTHER	Other Mental Disorder Diagnoses	1	$997.11	$997.11	$997.11	nat. median $7,553 outlier · 0.1×
886 OTHER	Behavioral And Developmental Disorders	1	$990.18	$990.18	$990.18	nat. median $17,985 outlier · 0.1×
883 OTHER	Disorders Of Personality And Impulse Control	1	$988.73	$988.73	$988.73	nat. median $13,265 outlier · 0.1×
7523 APR_DRG		5	$932.58	$1,025.84	$979.21	nat. median $7,699 outlier · 0.1×
887 MS_DRG	Other Mental Disorder Diagnoses	10	$959.29	$1,247.07	$959.29	nat. median $10,976 outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 157 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

102	CDM	R&b Adult Psych	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
104	CDM	R&b Adol Psych	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
105	CDM	R&b Child Psych	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
1062	CDM	R&b Geriatric Psych	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
1072	CDM	R&b Rehab	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
113	CDM	H4h Ip Psych	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
114	CDM	H4h Ip Rehab	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
513	CDM	Bridge Discharge Appointment	8	8	$275.42	$950.00	$176.27	$234.11	$199.68	2025-10-14
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	13	10	$2,920.88	$950.00 67% off	$2,019.63	$2,625.52	$2,019.63	2025-10-14
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	13	10	$2,920.88	$950.00 67% off	$1,076.23	$1,399.10	$1,076.23	2025-10-14
7501	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$488.97	$537.87	$513.42	2025-10-14
7502	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$676.26	$743.89	$710.07	2025-10-14
7503	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,013.64	$1,115.00	$1,064.32	2025-10-14
7504	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,958.81	$2,154.69	$2,056.75	2025-10-14
7511	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$303.48	$333.82	$318.65	2025-10-14
7512	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$407.63	$448.40	$428.01	2025-10-14
7513	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$827.76	$910.54	$869.15	2025-10-14
7514	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,584.89	$1,743.38	$1,664.13	2025-10-14
7521	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$317.87	$349.65	$333.76	2025-10-14
7522	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$418.62	$460.48	$439.55	2025-10-14
7523	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$932.58	$1,025.84	$979.21	2025-10-14
7524	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$2,220.05	$2,442.06	$2,331.06	2025-10-14
7531	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$349.78	$384.76	$367.27	2025-10-14
7532	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$465.68	$512.24	$488.96	2025-10-14
7533	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$855.32	$940.85	$898.08	2025-10-14
7534	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,482.81	$1,631.10	$1,556.95	2025-10-14
7551	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$225.36	$247.89	$236.63	2025-10-14
7552	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$313.99	$345.38	$329.68	2025-10-14
7553	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$623.24	$685.56	$654.40	2025-10-14
7554	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$859.10	$945.01	$902.06	2025-10-14
7561	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$374.49	$411.94	$393.22	2025-10-14
7562	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$574.28	$631.71	$603.00	2025-10-14
7563	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$803.81	$884.19	$844.00	2025-10-14
7564	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,426.95	$1,569.64	$1,498.30	2025-10-14
7571	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$450.15	$495.16	$472.65	2025-10-14
7572	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$675.98	$743.58	$709.78	2025-10-14
7573	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$965.91	$1,062.50	$1,014.21	2025-10-14
7574	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$2,375.91	$2,613.50	$2,494.71	2025-10-14
7581	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$372.98	$410.27	$391.62	2025-10-14
7582	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$477.13	$524.85	$500.99	2025-10-14
7583	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$780.61	$858.67	$819.64	2025-10-14
7584	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$2,630.81	$2,893.89	$2,762.35	2025-10-14
7591	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$877.19	$964.91	$921.05	2025-10-14
7592	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,171.10	$1,288.21	$1,229.66	2025-10-14
7593	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,656.09	$1,821.70	$1,738.90	2025-10-14
7594	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$2,776.25	$3,053.88	$2,915.06	2025-10-14
7601	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$447.12	$491.83	$469.47	2025-10-14
7602	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$536.98	$590.67	$563.82	2025-10-14
7603	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$843.29	$927.62	$885.46	2025-10-14
7604	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,725.59	$1,898.15	$1,811.87	2025-10-14
7701	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$227.44	$250.18	$238.81	2025-10-14
7702	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$356.60	$392.25	$374.42	2025-10-14
7703	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$615.00	$676.50	$645.75	2025-10-14
7704	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,317.11	$1,448.82	$1,382.97	2025-10-14
7721	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$429.03	$471.93	$450.48	2025-10-14
7722	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$564.62	$621.09	$592.86	2025-10-14
7723	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$874.06	$961.47	$917.77	2025-10-14
7724	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,798.60	$1,978.46	$1,888.53	2025-10-14
7731	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$258.50	$284.35	$271.42	2025-10-14
7732	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$383.49	$421.84	$402.66	2025-10-14
7733	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$744.06	$818.46	$781.26	2025-10-14
7734	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,593.79	$1,753.17	$1,673.48	2025-10-14
7741	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$287.28	$316.01	$301.65	2025-10-14
7742	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$383.96	$422.36	$403.16	2025-10-14
7743	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$672.00	$739.20	$705.60	2025-10-14
7744	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,670.77	$1,837.85	$1,754.31	2025-10-14
7751	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$330.93	$364.03	$347.48	2025-10-14
7752	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$503.08	$553.39	$528.23	2025-10-14
7753	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$912.41	$1,003.65	$958.03	2025-10-14
7754	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$2,060.13	$2,266.14	$2,163.13	2025-10-14
7761	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$299.69	$329.66	$314.67	2025-10-14
7762	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$412.46	$453.71	$433.08	2025-10-14
7763	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$780.13	$858.15	$819.14	2025-10-14
7764	APR_DRG	—	5	5	$2,920.88	$950.00 67% off	$1,481.02	$1,629.12	$1,555.07	2025-10-14
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	13	10	$2,920.88	$950.00 67% off	$3,169.34	$4,120.14	$3,169.34	2025-10-14
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	1	1	$2,920.88	$950.00 67% off	$2,721.72	$2,721.72	$2,721.72	2025-10-14
880	MS_DRG	Acute Adjustment Reaction And Psychosocial Dysfunction	13	10	$2,920.88	$950.00 67% off	$773.14	$1,005.08	$773.14	2025-10-14
880	OTHER	Acute Adjustment Reaction And Psychosocial Dysfunction	1	1	$2,920.88	$950.00 67% off	$529.81	$529.81	$529.81	2025-10-14
881	MS_DRG	Depressive Neuroses	13	10	$2,920.88	$950.00 67% off	$737.25	$958.42	$737.25	2025-10-14
881	OTHER	Depressive Neuroses	1	1	$2,920.88	$950.00 67% off	$370.04	$370.04	$370.04	2025-10-14
882	MS_DRG	Neuroses Except Depressive	13	10	$2,920.88	$950.00 67% off	$775.88	$1,008.65	$775.88	2025-10-14
882	OTHER	Neuroses Except Depressive	1	1	$2,920.88	$950.00 67% off	$376.17	$376.17	$376.17	2025-10-14
883	MS_DRG	Disorders Of Personality And Impulse Control	13	10	$2,920.88	$950.00 67% off	$1,495.23	$1,943.79	$1,495.23	2025-10-14
883	OTHER	Disorders Of Personality And Impulse Control	1	1	$2,920.88	$950.00 67% off	$988.73	$988.73	$988.73	2025-10-14
884	MS_DRG	Organic Disturbances And Intellectual Disability	13	10	$2,920.88	$950.00 67% off	$1,347.07	$1,751.19	$1,347.07	2025-10-14
884	OTHER	Organic Disturbances And Intellectual Disability	1	1	$2,920.88	$950.00 67% off	$1,048.41	$1,048.41	$1,048.41	2025-10-14
885	MS_DRG	Psychoses	13	10	$2,920.88	$950.00 67% off	$1,136.88	$1,477.95	$1,136.88	2025-10-14
885	OTHER	Psychoses	1	1	$2,920.88	$950.00 67% off	$429.07	$429.07	$429.07	2025-10-14
886	MS_DRG	Behavioral And Developmental Disorders	13	10	$2,920.88	$950.00 67% off	$1,448.93	$1,883.61	$1,448.93	2025-10-14
886	OTHER	Behavioral And Developmental Disorders	1	1	$2,920.88	$950.00 67% off	$990.18	$990.18	$990.18	2025-10-14
887	OTHER	Other Mental Disorder Diagnoses	1	1	$2,920.88	$950.00 67% off	$997.11	$997.11	$997.11	2025-10-14
887	MS_DRG	Other Mental Disorder Diagnoses	13	10	$2,920.88	$950.00 67% off	$959.29	$1,247.07	$959.29	2025-10-14
894	MS_DRG	Alcohol, Drug Abuse Or Dependence, Left Ama	13	10	$2,920.88	$950.00 67% off	$503.36	$654.36	$503.36	2025-10-14
894	OTHER	Alcohol, Drug Abuse Or Dependence, Left Ama	1	1	$2,920.88	$950.00 67% off	$311.16	$311.16	$311.16	2025-10-14
895	MS_DRG	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	13	10	$2,920.88	$950.00 67% off	$1,167.77	$1,518.11	$1,167.77	2025-10-14
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	1	1	$2,920.88	$950.00 67% off	$593.61	$593.61	$593.61	2025-10-14
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	13	10	$2,920.88	$950.00 67% off	$1,436.27	$1,867.15	$1,436.27	2025-10-14
896	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	1	1	$2,920.88	$950.00 67% off	$945.50	$945.50	$945.50	2025-10-14
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	13	10	$2,920.88	$950.00 67% off	$711.52	$924.98	$711.52	2025-10-14
898	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without	1	1	$2,920.88	$950.00 67% off	$693.29	$693.29	$693.29	2025-10-14
899	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age <=21 Withou	1	1	$2,920.88	$950.00 67% off	$706.92	$706.92	$706.92	2025-10-14
90791	CPT	Initial Eval Or Psych Dx Exam	8	8	$300.00	$950.00	$192.00	$255.00	$217.50	2025-10-14
90804	CPT	Individual Therapy 25-30 Mins	8	8	$125.00	$950.00	$80.00	$106.25	$90.62	2025-10-14
90805	CPT	PsyTx 20-30 Minutes	8	8	$150.00	$950.00	$96.00	$127.50	$108.75	2025-10-14
90806	CPT	PsyTx 45-50 Minutes	8	8	$225.00	$950.00	$144.00	$191.25	$163.12	2025-10-14
90807	CPT	PsyTx With E&m 45-50 Minutes	8	8	$225.00	$950.00	$144.00	$191.25	$163.12	2025-10-14
90809	CPT	Indiv Tx With Med Mgmt 75 Mins	8	8	$275.00	$950.00	$176.00	$233.75	$199.38	2025-10-14
90832	CPT	Php Indiv Therapy 16-30 Min	62	19	$291.87	$360.00	$96.00	$1,277.88	$282.85	2025-10-14
90833	CPT	Indiv PsyTx Used W/e&m 20-30m	8	8	$150.00	$950.00	$96.00	$127.50	$108.75	2025-10-14
90834	CPT	Php Indiv Therapy 31-45 Min	62	19	$291.87	$360.00	$128.00	$1,277.88	$282.85	2025-10-14
90836	CPT	Indiv PsyTx Used W/e&m 45-50m	8	8	$200.00	$950.00	$128.00	$170.00	$145.00	2025-10-14
90837	CPT	Indiv PsyTx 75-80m Face To Fac	8	8	$250.00	$950.00	$160.00	$212.50	$181.25	2025-10-14
90838	CPT	Indiv PsyTx Used W/e&m 75-80m	8	8	$250.00	$950.00	$160.00	$212.50	$181.25	2025-10-14
90846	CPT	Family PsyTx Without Pt. Present	16	8	$282.56	$950.00	$128.00	$310.34	$201.83	2025-10-14
90847	CPT	Family PsyTx With Pt. Present	16	8	$282.56	$950.00	$128.00	$310.34	$201.83	2025-10-14
90862	CPT	Medical Management	8	8	$150.00	$950.00	$96.00	$127.50	$108.75	2025-10-14
90867	CPT	Tms Ip - Initial	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
90868	CPT	Tms Ip - Subsequent	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
90869	CPT	Tms Ip - Redetermination	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
90899	CPT	Disability Records Request	16	8	$21.50	$950.00	$11.52	$21.25	$15.65	2025-10-14
917	MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	13	10	$2,920.88	$950.00 67% off	$1,322.47	$1,719.21	$1,322.47	2025-10-14
917	OTHER	Poisoning And Toxic Effects Of Drugs Age >17 With Mcc	1	1	$2,920.88	$950.00 67% off	$1,071.64	$1,071.64	$1,071.64	2025-10-14
918	MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	13	10	$2,920.88	$950.00 67% off	$713.46	$927.49	$713.46	2025-10-14
918	OTHER	Poisoning And Toxic Effects Of Drugs Age >17 Without Mcc	1	1	$2,920.88	$950.00 67% off	$446.98	$446.98	$446.98	2025-10-14
947	MS_DRG	Signs And Symptoms With Mcc	13	10	$2,920.88	$950.00 67% off	$1,037.36	$1,348.57	$1,037.36	2025-10-14
947	OTHER	Signs And Symptoms With Mcc	1	1	$2,920.88	$950.00 67% off	$1,014.70	$1,014.70	$1,014.70	2025-10-14
948	MS_DRG	Signs And Symptoms Without Mcc	13	10	$2,920.88	$950.00 67% off	$640.79	$833.02	$640.79	2025-10-14
948	OTHER	Signs And Symptoms Without Mcc	1	1	$2,920.88	$950.00 67% off	$581.75	$581.75	$581.75	2025-10-14
96372	CPT	Injection Administration	8	8	$50.00	$950.00	$32.00	$42.50	$36.25	2025-10-14
99202	CPT	H&p	8	8	$75.00	$950.00	$48.00	$63.75	$54.38	2025-10-14
99204	CPT	New Patient E&m - 45 Mins	8	8	$225.00	$950.00	$144.00	$191.25	$163.12	2025-10-14
99205	CPT	New Patient E&m - 60 Mins	8	8	$300.00	$950.00	$192.00	$255.00	$217.50	2025-10-14
99211	CPT	E&m 5 Minutes	8	8	$50.00	$950.00	$32.00	$42.50	$36.25	2025-10-14
99212	CPT	E&m 10 Minutes	8	8	$75.00	$950.00	$48.00	$63.75	$54.38	2025-10-14
99214	CPT	E&m 25 Minutes	8	8	$125.00	$950.00	$80.00	$106.25	$90.62	2025-10-14
99221	CPT	Initial Hosp Eval & Mgmt 30m	8	8	$200.00	$950.00	$128.00	$170.00	$145.00	2025-10-14
99222	CPT	Initial Hosp Eval & Mgmt 50m	8	8	$225.00	$950.00	$144.00	$191.25	$163.12	2025-10-14
99223	CPT	Initial Hosp Eval & Mgmt 70m	8	8	$300.00	$950.00	$192.00	$255.00	$217.50	2025-10-14
99232	CPT	Subsq Ip Day Eval & Mgmt 25min	8	8	$150.00	$950.00	$96.00	$127.50	$108.75	2025-10-14
99233	CPT	Subsq Ip Day Eval & Mgmt 35min	8	8	$175.00	$950.00	$112.00	$148.75	$126.88	2025-10-14
99234	CPT	Short Stay - Low Complexity	8	8	$225.00	$950.00	$144.00	$191.25	$163.12	2025-10-14
99235	CPT	Short Stay - Mod Complexity	8	8	$275.00	$950.00	$176.00	$233.75	$199.38	2025-10-14
99236	CPT	Short Stay - High Complexity	8	8	$325.00	$950.00	$208.00	$276.25	$235.62	2025-10-14
99238	CPT	D/c Mgmt 30 Mins Or Less	8	8	$150.00	$950.00	$96.00	$127.50	$108.75	2025-10-14
99239	CPT	D/c Mgmt More Than 30 Mins	8	8	$200.00	$950.00	$128.00	$170.00	$145.00	2025-10-14
99251	CPT	Initial Ip Consult 20 Min	8	8	$200.00	$950.00	$128.00	$170.00	$145.00	2025-10-14
99252	CPT	Initial Ip Consult 40 Mins	8	8	$225.00	$950.00	$144.00	$191.25	$163.12	2025-10-14
99253	CPT	Initial Ip Consult 55 Mins	8	8	$250.00	$950.00	$160.00	$212.50	$181.25	2025-10-14
99254	CPT	Initial Ip Consult 80 Mins	8	8	$275.00	$950.00	$176.00	$233.75	$199.38	2025-10-14
99255	CPT	Initial Ip Consult 110 Mins	8	8	$300.00	$950.00	$192.00	$255.00	$217.50	2025-10-14
99450	CPT	Court Evaluation	16	8	$300.00	$950.00	$160.00	$297.50	$218.25	2025-10-14
G0177	CPT	Education	8	8	$277.97	$950.00	$177.90	$236.27	$201.53	2025-10-14
G0410	CPT	H4h Php Cd	37	19	$365.11	$360.00	$233.67	$2,597.49	$371.39	2025-10-14
H0009	CPT	R&b Adult Cd	8	8	$2,920.88	$950.00 67% off	$1,869.36	$2,482.75	$2,117.64	2025-10-14
H0015	CPT	H4h Iop Cd	27	19	$291.87	$270.00	$186.80	$724.63	$252.28	2025-10-14
H0048	CPT	Drug Screening	8	8	$66.00	$950.00	$42.24	$56.10	$47.85	2025-10-14
S9480	CPT	Iop Psy Group Therapy	32	19	$291.87	$270.00	$186.80	$816.35	$252.28	2025-10-14

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