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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

CARROLLTON SPRINGS

Carrollton, TX · CCN 454119 · Rates published

167 distinct procedures filed
116 distinct payers
2,291 rate rows
2026-08-17 last MRF observed
Data quality

1,600 of 2,291 rate rows are consumer-grade (69.8%)

691 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 519
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 110
exceeds 10× this hospital's gross charge — excluded from medians 50
percent-of-charges filed in the dollar field — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://carrolltonsprings.com/docs/bhcarrolltonspringslibraries/dec2025/452711976_carrollton-springs_standardcharges.csv
Found on page https://carrolltonsprings.com/resources/accepted-insurance/#price-list
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 587a19d6fd672d45… · 19,421 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 19 $3,374.49 $6,817.15 $3,408.57 nat. median
$33,095
outlier · 0.1×
876
OTHER 		O.r. Procedures With Principal Diagnosis Of Mental Illness 3 $2,678.35 $2,927.16 $2,927.16 nat. median
$1,722
1.7× median
1072
CDM 		R&b Rehab 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$1,986
1.1× median
1062
CDM 		R&b Geriatric Psych 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$1,986
1.1× median
113
CDM 		H4h Ip Psych 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$1
1042
CDM 		R&b Adol Psych 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$54
outlier · 41.6×
1052
CDM 		R&b Child Psych 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$94
outlier · 24.2×
H0009
HCPCS 		H4h Ip Cd 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$350
outlier · 6.5×
1022
CDM 		R&b Adult Psych 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$840
outlier · 2.7×
114
CDM 		H4h Ip Rehab 6 $1,869.36 $2,482.75 $2,263.68 nat. median
$133
outlier · 17.0×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 19 $2,150.36 $4,344.16 $2,172.08 nat. median
$21,152
outlier · 0.1×
15851
CPT 		Remove Sutures Diff Surgeon 34 $1,647.84 $2,428.39 $2,038.12 nat. median
$1,886
1.1× median
7594
APR_DRG 		Eating Disorders 2 $1,552.76 $1,708.03 $1,630.39 nat. median
$27,181
outlier · 0.1×
90870
CPT 		Op Ect 3 $1,212.77 $1,610.72 $1,610.72 nat. median
$703
outlier · 2.3×
883
MS_DRG 		Disorders Of Personality And Impulse Control 19 $1,592.01 $3,216.18 $1,608.09 nat. median
$16,492
outlier · 0.1×
886
MS_DRG 		Behavioral And Developmental Disorders 19 $1,542.72 $3,116.60 $1,558.30 nat. median
$16,734
outlier · 0.1×
7584
APR_DRG 		Disorders Of Impulse Control & Development 2 $1,471.41 $1,618.55 $1,544.98 nat. median
$14,512
outlier · 0.1×
896
MS_DRG 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 19 $1,529.24 $3,089.37 $1,544.68 nat. median
$15,491
outlier · 0.1×
190
CDM 		Ip Ect 6 $1,212.77 $1,610.72 $1,468.60 nat. median
$6,100
outlier · 0.2×
884
MS_DRG 		Organic Disturbances And Intellectual Disability 19 $1,434.26 $2,897.50 $1,448.75 nat. median
$14,262
outlier · 0.1×
917
MS_DRG 		Poisoning And Toxic Effects Of Drugs With Mcc 19 $1,408.07 $2,844.58 $1,422.29 nat. median
$14,584
outlier · 0.1×
7574
APR_DRG 		Organic Mental Health Conditions And Disturbances 2 $1,328.85 $1,461.73 $1,395.29 nat. median
$16,531
outlier · 0.1×
7524
APR_DRG 		Personality Disorders 2 $1,241.68 $1,365.84 $1,303.76 nat. median
$15,489
outlier · 0.1×
895
MS_DRG 		Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 19 $1,243.36 $2,511.85 $1,255.92 nat. median
$13,091
outlier · 0.1×
885
MS_DRG 		Psychoses 19 $1,210.47 $2,445.40 $1,222.70 nat. median
$12,315
outlier · 0.1×
7754
APR_DRG 		Alcohol Abuse And Dependence 2 $1,152.23 $1,267.45 $1,209.84 nat. median
$19,303
outlier · 0.1×
57
MS_DRG 		Degenerative Nervous System Disorders Without Mcc 19 $1,145.90 $2,314.94 $1,157.47 nat. median
$12,550
outlier · 0.1×
917
OTHER 		Poisoning And Toxic Effects Of Drugs Age >17 With Mcc 3 $1,054.56 $1,152.53 $1,152.53 nat. median
$2,726
outlier · 0.4×
7504
APR_DRG 		Schizophrenia And Other Severe Psychotic Disorders 2 $1,095.56 $1,205.12 $1,150.34 nat. median
$20,361
outlier · 0.1×
884
OTHER 		Organic Disturbances And Intellectual Disability 3 $1,031.70 $1,127.55 $1,127.55 nat. median
$1,039
1.1× median
947
MS_DRG 		Signs And Symptoms With Mcc 19 $1,104.51 $2,231.33 $1,115.66 nat. median
$12,113
outlier · 0.1×
947
OTHER 		Signs And Symptoms With Mcc 3 $998.53 $1,091.29 $1,091.29 nat. median
$8,121
outlier · 0.1×
887
OTHER 		Other Mental Disorder Diagnoses 3 $981.23 $1,072.38 $1,072.38 nat. median
$269
outlier · 4.0×
886
OTHER 		Behavioral And Developmental Disorders 3 $974.40 $1,064.92 $1,064.92 nat. median
$201,669
outlier · 0.0×
883
OTHER 		Disorders Of Personality And Impulse Control 3 $972.97 $1,063.36 $1,063.36 nat. median
$22
outlier · 47.6×
7724
APR_DRG 		Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 2 $1,005.96 $1,106.55 $1,056.26 nat. median
$14,111
outlier · 0.1×
887
MS_DRG 		Other Mental Disorder Diagnoses 19 $1,021.38 $2,063.39 $1,031.70 nat. median
$10,462
outlier · 0.1×
896
OTHER 		Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 3 $930.43 $1,016.86 $1,016.86 nat. median
$1,920
0.5× median
7604
APR_DRG 		Other Mental Health Conditions And Disorders 2 $965.12 $1,061.64 $1,013.38 nat. median
$11,936
outlier · 0.1×
7744
APR_DRG 		Cocaine Abuse And Dependence 2 $934.46 $1,027.91 $981.19 nat. median
$13,246
outlier · 0.1×
7593
APR_DRG 		Eating Disorders 2 $926.25 $1,018.88 $972.57 nat. median
$14,866
outlier · 0.1×
7734
APR_DRG 		Opioid Abuse And Dependence 2 $891.41 $980.55 $935.98 nat. median
$14,217
outlier · 0.1×
7514
APR_DRG 		Depressive Disorders 2 $886.43 $975.07 $930.75 nat. median
$14,895
outlier · 0.1×
7534
APR_DRG 		Bipolar Disorders 2 $829.34 $912.27 $870.81 nat. median
$14,302
outlier · 0.1×
7764
APR_DRG 		Other Drug Abuse And Dependence 2 $828.33 $911.16 $869.75 nat. median
$10,578
outlier · 0.1×
7564
APR_DRG 		Acute Anxiety And Stress Syndromes 2 $798.09 $877.90 $838.00 nat. median
$10,001
outlier · 0.1×
882
MS_DRG 		Neuroses Except Depressive 19 $826.10 $1,668.90 $834.45 nat. median
$9,336
outlier · 0.1×
880
MS_DRG 		Acute Adjustment Reaction And Psychosocial Dysfunction 19 $823.18 $1,663.00 $831.50 nat. median
$8,962
outlier · 0.1×
881
MS_DRG 		Depressive Neuroses 19 $784.97 $1,585.80 $792.90 nat. median
$8,589
outlier · 0.1×
7704
APR_DRG 		Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 2 $736.66 $810.33 $773.50 nat. median
$10,607
outlier · 0.1×

Other procedures at this hospital

Browse this hospital's 167 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
             
0905 RC — 76 64 $305.00 — $145.00 $746.00 $275.50 2026-08-17
0906 RC — 76 64 $305.00 — $145.00 $746.00 $275.50 2026-08-17
0915 RC — 76 64 $381.54 — $225.00 $940.00 $440.00 2026-08-17
1022 CDM R&b Adult Psych 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
1042 CDM R&b Adol Psych 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
1052 CDM R&b Child Psych 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
1062 CDM R&b Geriatric Psych 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
1072 CDM R&b Rehab 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
113 CDM H4h Ip Psych 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
114 CDM H4h Ip Rehab 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
15851 CPT Remove Sutures Diff Surgeon 45 34 $20,446.16 — $1,647.84 $2,428.39 $2,038.12 2026-08-17
190 CDM Ip Ect 6 6 $1,894.96 $975.00 49% off $1,212.77 $1,610.72 $1,468.60 2025-09-23
4037F CPT Influenza Imm Order/admin 0 0 $27,748.37 — — — — 2026-08-17
4148F CPT Hep A Vac Injxn Admin/recvd 0 0 $27,748.37 — — — — 2026-08-17
4149F CPT Hep B Vac Injxn Admin/recvd 0 0 $27,748.37 — — — — 2026-08-17
4274F CPT Flu Immuno Admind Rcvd 0 0 $27,748.37 — — — — 2026-08-17
513 CDM Bridge Discharge Appointment 6 6 $275.42 $975.00 $176.27 $234.11 $213.45 2025-09-23
56 MS_DRG Degenerative Nervous System Disorders With Mcc 20 19 $2,920.88 $975.00 67% off $2,150.36 $4,344.16 $2,172.08 2025-09-23
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 20 19 $2,920.88 $975.00 67% off $1,145.90 $2,314.94 $1,157.47 2025-09-23
7501 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 2 2 $2,920.88 $975.00 67% off $273.48 $300.83 $287.15 2025-09-23
7502 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 2 2 $2,920.88 $975.00 67% off $378.23 $416.06 $397.14 2025-09-23
7503 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 2 2 $2,920.88 $975.00 67% off $566.93 $623.62 $595.27 2025-09-23
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 2 2 $2,920.88 $975.00 67% off $1,095.56 $1,205.12 $1,150.34 2025-09-23
7511 APR_DRG Depressive Disorders 2 2 $2,920.88 $975.00 67% off $169.73 $186.71 $178.22 2025-09-23
7512 APR_DRG Depressive Disorders 2 2 $2,920.88 $975.00 67% off $227.99 $250.79 $239.39 2025-09-23
7513 APR_DRG Depressive Disorders 2 2 $2,920.88 $975.00 67% off $462.97 $509.26 $486.12 2025-09-23
7514 APR_DRG Depressive Disorders 2 2 $2,920.88 $975.00 67% off $886.43 $975.07 $930.75 2025-09-23
7521 APR_DRG Personality Disorders 2 2 $2,920.88 $975.00 67% off $177.78 $195.56 $186.67 2025-09-23
7522 APR_DRG Personality Disorders 2 2 $2,920.88 $975.00 67% off $234.13 $257.54 $245.84 2025-09-23
7523 APR_DRG Personality Disorders 2 2 $2,920.88 $975.00 67% off $521.59 $573.75 $547.67 2025-09-23
7524 APR_DRG Personality Disorders 2 2 $2,920.88 $975.00 67% off $1,241.68 $1,365.84 $1,303.76 2025-09-23
7531 APR_DRG Bipolar Disorders 2 2 $2,920.88 $975.00 67% off $195.63 $215.19 $205.41 2025-09-23
7532 APR_DRG Bipolar Disorders 2 2 $2,920.88 $975.00 67% off $260.45 $286.50 $273.48 2025-09-23
7533 APR_DRG Bipolar Disorders 2 2 $2,920.88 $975.00 67% off $478.38 $526.22 $502.30 2025-09-23
7534 APR_DRG Bipolar Disorders 2 2 $2,920.88 $975.00 67% off $829.34 $912.27 $870.81 2025-09-23
7551 APR_DRG Adjustment Disorders 2 2 $2,920.88 $975.00 67% off $126.04 $138.65 $132.34 2025-09-23
7552 APR_DRG Adjustment Disorders 2 2 $2,920.88 $975.00 67% off $175.61 $193.17 $184.39 2025-09-23
7553 APR_DRG Adjustment Disorders 2 2 $2,920.88 $975.00 67% off $348.58 $383.43 $366.00 2025-09-23
7554 APR_DRG Adjustment Disorders 2 2 $2,920.88 $975.00 67% off $480.50 $528.55 $504.52 2025-09-23
7561 APR_DRG Acute Anxiety And Stress Syndromes 2 2 $2,920.88 $975.00 67% off $209.45 $230.40 $219.93 2025-09-23
7562 APR_DRG Acute Anxiety And Stress Syndromes 2 2 $2,920.88 $975.00 67% off $321.20 $353.32 $337.26 2025-09-23
7563 APR_DRG Acute Anxiety And Stress Syndromes 2 2 $2,920.88 $975.00 67% off $449.57 $494.53 $472.05 2025-09-23
7564 APR_DRG Acute Anxiety And Stress Syndromes 2 2 $2,920.88 $975.00 67% off $798.09 $877.90 $838.00 2025-09-23
7571 APR_DRG Organic Mental Health Conditions And Disturbances 2 2 $2,920.88 $975.00 67% off $251.77 $276.94 $264.36 2025-09-23
7572 APR_DRG Organic Mental Health Conditions And Disturbances 2 2 $2,920.88 $975.00 67% off $378.07 $415.88 $396.98 2025-09-23
7573 APR_DRG Organic Mental Health Conditions And Disturbances 2 2 $2,920.88 $975.00 67% off $540.23 $594.26 $567.25 2025-09-23
7574 APR_DRG Organic Mental Health Conditions And Disturbances 2 2 $2,920.88 $975.00 67% off $1,328.85 $1,461.73 $1,395.29 2025-09-23
7581 APR_DRG Disorders Of Impulse Control & Development 2 2 $2,920.88 $975.00 67% off $208.61 $229.47 $219.04 2025-09-23
7582 APR_DRG Disorders Of Impulse Control & Development 2 2 $2,920.88 $975.00 67% off $266.86 $293.55 $280.21 2025-09-23
7583 APR_DRG Disorders Of Impulse Control & Development 2 2 $2,920.88 $975.00 67% off $436.59 $480.25 $458.42 2025-09-23
7584 APR_DRG Disorders Of Impulse Control & Development 2 2 $2,920.88 $975.00 67% off $1,471.41 $1,618.55 $1,544.98 2025-09-23
7591 APR_DRG Eating Disorders 2 2 $2,920.88 $975.00 67% off $490.61 $539.67 $515.14 2025-09-23
7592 APR_DRG Eating Disorders 2 2 $2,920.88 $975.00 67% off $655.00 $720.50 $687.75 2025-09-23
7593 APR_DRG Eating Disorders 2 2 $2,920.88 $975.00 67% off $926.25 $1,018.88 $972.57 2025-09-23
7594 APR_DRG Eating Disorders 2 2 $2,920.88 $975.00 67% off $1,552.76 $1,708.03 $1,630.39 2025-09-23
7601 APR_DRG Other Mental Health Conditions And Disorders 2 2 $2,920.88 $975.00 67% off $250.07 $275.08 $262.57 2025-09-23
7602 APR_DRG Other Mental Health Conditions And Disorders 2 2 $2,920.88 $975.00 67% off $300.33 $330.36 $315.35 2025-09-23
7603 APR_DRG Other Mental Health Conditions And Disorders 2 2 $2,920.88 $975.00 67% off $471.65 $518.82 $495.24 2025-09-23
7604 APR_DRG Other Mental Health Conditions And Disorders 2 2 $2,920.88 $975.00 67% off $965.12 $1,061.64 $1,013.38 2025-09-23
7701 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 2 2 $2,920.88 $975.00 67% off $127.21 $139.93 $133.57 2025-09-23
7702 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 2 2 $2,920.88 $975.00 67% off $199.44 $219.39 $209.41 2025-09-23
7703 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 2 2 $2,920.88 $975.00 67% off $343.97 $378.37 $361.17 2025-09-23
7704 APR_DRG Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice 2 2 $2,920.88 $975.00 67% off $736.66 $810.33 $773.50 2025-09-23
7721 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 2 2 $2,920.88 $975.00 67% off $239.96 $263.95 $251.95 2025-09-23
7722 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 2 2 $2,920.88 $975.00 67% off $315.79 $347.37 $331.58 2025-09-23
7723 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 2 2 $2,920.88 $975.00 67% off $488.86 $537.75 $513.31 2025-09-23
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 2 2 $2,920.88 $975.00 67% off $1,005.96 $1,106.55 $1,056.26 2025-09-23
7731 APR_DRG Opioid Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $144.58 $159.04 $151.81 2025-09-23
7732 APR_DRG Opioid Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $214.48 $235.93 $225.20 2025-09-23
7733 APR_DRG Opioid Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $416.15 $457.77 $436.96 2025-09-23
7734 APR_DRG Opioid Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $891.41 $980.55 $935.98 2025-09-23
7741 APR_DRG Cocaine Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $160.68 $176.75 $168.72 2025-09-23
7742 APR_DRG Cocaine Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $214.75 $236.22 $225.49 2025-09-23
7743 APR_DRG Cocaine Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $375.85 $413.44 $394.64 2025-09-23
7744 APR_DRG Cocaine Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $934.46 $1,027.91 $981.19 2025-09-23
7751 APR_DRG Alcohol Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $185.09 $203.60 $194.34 2025-09-23
7752 APR_DRG Alcohol Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $281.37 $309.51 $295.44 2025-09-23
7753 APR_DRG Alcohol Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $510.31 $561.34 $535.83 2025-09-23
7754 APR_DRG Alcohol Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $1,152.23 $1,267.45 $1,209.84 2025-09-23
7761 APR_DRG Other Drug Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $167.62 $184.38 $176.00 2025-09-23
7762 APR_DRG Other Drug Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $230.69 $253.76 $242.22 2025-09-23
7763 APR_DRG Other Drug Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $436.33 $479.96 $458.14 2025-09-23
7764 APR_DRG Other Drug Abuse And Dependence 2 2 $2,920.88 $975.00 67% off $828.33 $911.16 $869.75 2025-09-23
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 19 $2,920.88 $975.00 67% off $3,374.49 $6,817.15 $3,408.57 2025-09-23
876 OTHER O.r. Procedures With Principal Diagnosis Of Mental Illness 3 3 $2,920.88 $975.00 67% off $2,678.35 $2,927.16 $2,927.16 2025-09-23
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 20 19 $2,920.88 $975.00 67% off $823.18 $1,663.00 $831.50 2025-09-23
880 OTHER Acute Adjustment Reaction And Psychosocial Dysfunction 3 3 $2,920.88 $975.00 67% off $521.37 $569.80 $569.80 2025-09-23
881 MS_DRG Depressive Neuroses 20 19 $2,920.88 $975.00 67% off $784.97 $1,585.80 $792.90 2025-09-23
881 OTHER Depressive Neuroses 3 3 $2,920.88 $975.00 67% off $364.14 $397.97 $397.97 2025-09-23
882 MS_DRG Neuroses Except Depressive 20 19 $2,920.88 $975.00 67% off $826.10 $1,668.90 $834.45 2025-09-23
882 OTHER Neuroses Except Depressive 3 3 $2,920.88 $975.00 67% off $370.17 $404.56 $404.56 2025-09-23
883 MS_DRG Disorders Of Personality And Impulse Control 20 19 $2,920.88 $975.00 67% off $1,592.01 $3,216.18 $1,608.09 2025-09-23
883 OTHER Disorders Of Personality And Impulse Control 3 3 $2,920.88 $975.00 67% off $972.97 $1,063.36 $1,063.36 2025-09-23
884 MS_DRG Organic Disturbances And Intellectual Disability 20 19 $2,920.88 $975.00 67% off $1,434.26 $2,897.50 $1,448.75 2025-09-23
884 OTHER Organic Disturbances And Intellectual Disability 3 3 $2,920.88 $975.00 67% off $1,031.70 $1,127.55 $1,127.55 2025-09-23
885 MS_DRG Psychoses 20 19 $2,920.88 $975.00 67% off $1,210.47 $2,445.40 $1,222.70 2025-09-23
885 OTHER Psychoses 3 3 $2,920.88 $975.00 67% off $422.24 $461.46 $461.46 2025-09-23
886 MS_DRG Behavioral And Developmental Disorders 20 19 $2,920.88 $975.00 67% off $1,542.72 $3,116.60 $1,558.30 2025-09-23
886 OTHER Behavioral And Developmental Disorders 3 3 $2,920.88 $975.00 67% off $974.40 $1,064.92 $1,064.92 2025-09-23
887 OTHER Other Mental Disorder Diagnoses 3 3 $2,920.88 $975.00 67% off $981.23 $1,072.38 $1,072.38 2025-09-23
887 MS_DRG Other Mental Disorder Diagnoses 20 19 $2,920.88 $975.00 67% off $1,021.38 $2,063.39 $1,031.70 2025-09-23
894 MS_DRG Alcohol, Drug Abuse Or Dependence, Left Ama 20 19 $2,920.88 $975.00 67% off $535.94 $1,082.70 $541.35 2025-09-23
894 OTHER Alcohol, Drug Abuse Or Dependence, Left Ama 3 3 $2,920.88 $975.00 67% off $306.20 $334.65 $334.65 2025-09-23
895 MS_DRG Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 20 19 $2,920.88 $975.00 67% off $1,243.36 $2,511.85 $1,255.92 2025-09-23
895 OTHER Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy 3 3 $2,920.88 $975.00 67% off $584.15 $638.41 $638.41 2025-09-23
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 20 19 $2,920.88 $975.00 67% off $1,529.24 $3,089.37 $1,544.68 2025-09-23
896 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 3 3 $2,920.88 $975.00 67% off $930.43 $1,016.86 $1,016.86 2025-09-23
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 20 19 $2,920.88 $975.00 67% off $757.58 $1,530.46 $765.23 2025-09-23
898 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without 3 3 $2,920.88 $975.00 67% off $682.25 $745.63 $745.63 2025-09-23
899 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age <=21 Withou 3 3 $2,920.88 $975.00 67% off $695.66 $760.28 $760.28 2025-09-23
907 CDM Iop Summer Camp 24 22 $78.00 $275.00 $49.92 $373.63 $266.88 2025-09-23
90785 CPT Php - Interactive Complexity 0 0 $381.54 — — — — 2026-08-17
90791 CPT Initial Eval Or Psych Dx Exam 6 6 $300.00 $975.00 $192.00 $255.00 $232.50 2025-09-23
908 CDM Iop Summer Camp Transportation 9 9 $12.00 $275.00 $7.68 $12.00 $10.20 2025-09-23
90804 CPT Individual Therapy 25-30 Mins 6 6 $125.00 $975.00 $80.00 $106.25 $96.88 2025-09-23
90805 CPT PsyTx 20-30 Minutes 6 6 $150.00 $975.00 $96.00 $127.50 $116.25 2025-09-23
90806 CPT PsyTx 45-50 Minutes 6 6 $225.00 $975.00 $144.00 $191.25 $174.38 2025-09-23
90807 CPT PsyTx With E&m 45-50 Minutes 6 6 $225.00 $975.00 $144.00 $191.25 $174.38 2025-09-23
90809 CPT Indiv Tx With Med Mgmt 75 Mins 6 6 $275.00 $975.00 $176.00 $233.75 $213.12 2025-09-23
90832 CPT Half Day Php Indiv Tx 16-30 Min 100 51 $365.11 $370.00 $96.00 $550.07 $387.41 2026-08-17
90833 CPT Indiv PsyTx Used W/e&m 20-30m 6 6 $150.00 $975.00 $96.00 $127.50 $116.25 2025-09-23
90834 CPT Iop Indiv Therapy 31-45 Min 100 51 $365.11 $370.00 $128.00 $550.07 $387.41 2026-08-17
90836 CPT Indiv PsyTx Used W/e&m 45-50m 6 6 $200.00 $975.00 $128.00 $170.00 $155.00 2025-09-23
90837 CPT Indiv PsyTx 75-80m Face To Fac 6 6 $250.00 $975.00 $160.00 $212.50 $193.75 2025-09-23
90838 CPT Indiv PsyTx Used W/e&m 75-80m 6 6 $250.00 $975.00 $160.00 $212.50 $193.75 2025-09-23
90846 CPT Family Psytx Without Pt 50 Min 57 37 $381.54 $975.00 $128.00 $542.37 $387.41 2026-08-17
90847 CPT Family Psytx W/pt 50 Min 57 37 $381.54 $975.00 $128.00 $542.37 $387.41 2026-08-17
90853 CPT Group Psychotherapy 45 34 $381.54 — $368.04 $542.37 $455.20 2026-08-17
90862 CPT Medical Management 6 6 $150.00 $975.00 $96.00 $127.50 $116.25 2025-09-23
90870 CPT Op Ect 3 3 $1,894.96 $1,894.96 $1,212.77 $1,610.72 $1,610.72 2025-09-23
90899 CPT Disability Records Request 12 6 $21.50 $975.00 $11.52 $21.25 $15.65 2025-09-23
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 20 19 $2,920.88 $975.00 67% off $1,408.07 $2,844.58 $1,422.29 2025-09-23
917 OTHER Poisoning And Toxic Effects Of Drugs Age >17 With Mcc 3 3 $2,920.88 $975.00 67% off $1,054.56 $1,152.53 $1,152.53 2025-09-23
918 MS_DRG Poisoning And Toxic Effects Of Drugs Without Mcc 20 19 $2,920.88 $975.00 67% off $759.64 $1,534.62 $767.31 2025-09-23
918 OTHER Poisoning And Toxic Effects Of Drugs Age >17 Without Mcc 3 3 $2,920.88 $975.00 67% off $439.86 $480.72 $480.72 2025-09-23
947 MS_DRG Signs And Symptoms With Mcc 20 19 $2,920.88 $975.00 67% off $1,104.51 $2,231.33 $1,115.66 2025-09-23
947 OTHER Signs And Symptoms With Mcc 3 3 $2,920.88 $975.00 67% off $998.53 $1,091.29 $1,091.29 2025-09-23
948 MS_DRG Signs And Symptoms Without Mcc 20 19 $2,920.88 $975.00 67% off $682.27 $1,378.31 $689.16 2025-09-23
948 OTHER Signs And Symptoms Without Mcc 3 3 $2,920.88 $975.00 67% off $572.48 $625.66 $625.66 2025-09-23
96372 CPT Injection Administration 6 6 $50.00 $975.00 $32.00 $42.50 $38.75 2025-09-23
99202 CPT H&p 6 6 $75.00 $975.00 $48.00 $63.75 $58.12 2025-09-23
99204 CPT New Patient E&m - 45 Mins 6 6 $225.00 $975.00 $144.00 $191.25 $174.38 2025-09-23
99205 CPT New Patient E&m - 60 Mins 6 6 $300.00 $975.00 $192.00 $255.00 $232.50 2025-09-23
99211 CPT E&m 5 Minutes 6 6 $50.00 $975.00 $32.00 $42.50 $38.75 2025-09-23
99212 CPT E&m 10 Minutes 6 6 $75.00 $975.00 $48.00 $63.75 $58.12 2025-09-23
99214 CPT E&m 25 Minutes 6 6 $125.00 $975.00 $80.00 $106.25 $96.88 2025-09-23
99221 CPT Initial Hosp Eval & Mgmt 30m 6 6 $200.00 $975.00 $128.00 $170.00 $155.00 2025-09-23
99222 CPT Initial Hosp Eval & Mgmt 50m 6 6 $225.00 $975.00 $144.00 $191.25 $174.38 2025-09-23
99223 CPT Initial Hosp Eval & Mgmt 70m 6 6 $300.00 $975.00 $192.00 $255.00 $232.50 2025-09-23
99232 CPT Subsq Ip Day Eval & Mgmt 25min 6 6 $150.00 $975.00 $96.00 $127.50 $116.25 2025-09-23
99233 CPT Subsq Ip Day Eval & Mgmt 35min 6 6 $175.00 $975.00 $112.00 $148.75 $135.62 2025-09-23
99234 CPT Short Stay - Low Complexity 6 6 $225.00 $975.00 $144.00 $191.25 $174.38 2025-09-23
99235 CPT Short Stay - Mod Complexity 6 6 $275.00 $975.00 $176.00 $233.75 $213.12 2025-09-23
99236 CPT Short Stay - High Complexity 6 6 $325.00 $975.00 $208.00 $276.25 $251.88 2025-09-23
99238 CPT D/c Mgmt 30 Mins Or Less 6 6 $150.00 $975.00 $96.00 $127.50 $116.25 2025-09-23
99239 CPT D/c Mgmt More Than 30 Mins 6 6 $200.00 $975.00 $128.00 $170.00 $155.00 2025-09-23
99251 CPT Initial Ip Consult 20 Min 6 6 $200.00 $975.00 $128.00 $170.00 $155.00 2025-09-23
99252 CPT Initial Ip Consult 40 Mins 6 6 $225.00 $975.00 $144.00 $191.25 $174.38 2025-09-23
99253 CPT Initial Ip Consult 55 Mins 6 6 $250.00 $975.00 $160.00 $212.50 $193.75 2025-09-23
99254 CPT Initial Ip Consult 80 Mins 6 6 $275.00 $975.00 $176.00 $233.75 $213.12 2025-09-23
99255 CPT Initial Ip Consult 110 Mins 6 6 $300.00 $975.00 $192.00 $255.00 $232.50 2025-09-23
99450 CPT Court Evaluation 12 6 $300.00 $975.00 $160.00 $297.50 $218.25 2025-09-23
G0177 HCPCS Education 6 6 $176.00 $975.00 $112.64 $149.60 $136.40 2025-09-23
G0410 HCPCS H4h Php Cd 34 23 $365.11 $370.00 $186.80 $550.07 $365.11 2025-09-23
H0009 HCPCS H4h Ip Cd 6 6 $2,920.88 $975.00 67% off $1,869.36 $2,482.75 $2,263.68 2025-09-23
H0015 HCPCS H4h Iop Cd 24 22 $291.87 $275.00 $186.80 $373.63 $266.88 2025-09-23
S9480 HCPCS H4h Iop Psych 24 22 $291.87 $275.00 $186.80 $373.63 $266.88 2025-09-23
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