Hospital

ROCK SPRINGS

Georgetown, TX · CCN 454127 · Rates published

155 distinct procedures filed

40 distinct payers

1,728 rate rows

2025-09-22 last MRF observed · ⚠ 14 mo old

Data quality

1,113 of 1,728 rate rows are consumer-grade (64.4%)

615 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	552
exceeds 10× this hospital's gross charge — excluded from medians	49
percent-of-charges filed in the dollar field — excluded from medians	14

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 14 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://www.rockspringshealth.com/docs/bhrockspringslibraries/sept2025/611703148_rock-springs_standardcharges.csv
Found on page	https://www.rockspringshealth.com/cms-hpt.txt
Discovered via	CMS hospital list
Last fetch	success · 2026-10-21
Content fingerprint	25a481de1ccda217… · 429,849 bytes · first seen 2026-07-31

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	14	$3,414.39	$4,267.99	$3,414.39	nat. median $33,056 outlier · 0.1×
876 OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	3	$2,682.92	$2,932.16	$2,932.16	nat. median $1,406 outlier · 2.1×
104 CDM	R&b Adol Psych	7	$1,869.36	$2,482.75	$2,190.66	nat. median $3 outlier · 766.0×
H0009 HCPCS	R&b Adult Cd	7	$1,869.36	$2,482.75	$2,190.66	nat. median $350 outlier · 6.3×
102 CDM	R&b Adult Psych	7	$1,869.36	$2,482.75	$2,190.66	nat. median $0
105 CDM	R&b Child Psych	7	$1,869.36	$2,482.75	$2,190.66	nat. median $0
106 CDM	R&b Geriatric Psych	7	$1,869.36	$2,482.75	$2,190.66	nat. median $680 outlier · 3.2×
107 CDM	R&b Rehab	7	$1,869.36	$2,482.75	$2,190.66	nat. median $338 outlier · 6.5×
113 CDM	H4h Ip Psych	7	$1,869.36	$2,482.75	$2,190.66	nat. median $1
114 CDM	H4h Ip Rehab	7	$1,869.36	$2,482.75	$2,190.66	nat. median $134 outlier · 16.3×
56 MS_DRG	Degenerative Nervous System Disorders With Mcc	14	$2,175.79	$2,719.73	$2,175.79	nat. median $21,129 outlier · 0.1×
883 MS_DRG	Disorders Of Personality And Impulse Control	14	$1,610.84	$2,013.54	$1,610.84	nat. median $16,492 outlier · 0.1×
886 MS_DRG	Behavioral And Developmental Disorders	14	$1,560.96	$1,951.20	$1,560.96	nat. median $16,734 outlier · 0.1×
7594 APR_DRG	Eating Disorders	3	$1,552.76	$1,708.03	$1,552.76	nat. median $27,181 outlier · 0.1×
896 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	14	$1,547.32	$1,934.15	$1,547.32	nat. median $15,456 outlier · 0.1×
7584 APR_DRG	Disorders Of Impulse Control & Development	3	$1,471.41	$1,618.55	$1,471.41	nat. median $14,512 outlier · 0.1×
884 MS_DRG	Organic Disturbances And Intellectual Disability	14	$1,451.22	$1,814.03	$1,451.22	nat. median $14,210 outlier · 0.1×
917 MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	14	$1,424.72	$1,780.90	$1,424.72	nat. median $14,548 outlier · 0.1×
7574 APR_DRG	Organic Mental Health Conditions And Disturbances	3	$1,328.85	$1,461.73	$1,328.85	nat. median $16,593 outlier · 0.1×
895 MS_DRG	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	14	$1,258.07	$1,572.58	$1,258.07	nat. median $13,091 outlier · 0.1×
7524 APR_DRG	Personality Disorders	3	$1,241.68	$1,365.84	$1,241.68	nat. median $15,595 outlier · 0.1×
885 MS_DRG	Psychoses	14	$1,224.79	$1,530.98	$1,224.79	nat. median $12,283 outlier · 0.1×
57 MS_DRG	Degenerative Nervous System Disorders Without Mcc	14	$1,159.45	$1,449.31	$1,159.45	nat. median $12,540 outlier · 0.1×
917 OTHER	Poisoning And Toxic Effects Of Drugs Age >17 With Mcc	3	$1,056.36	$1,154.49	$1,154.49	nat. median $269 outlier · 4.3×
7754 APR_DRG	Alcohol Abuse And Dependence	3	$1,152.23	$1,267.45	$1,152.23	nat. median $19,303 outlier · 0.1×
884 OTHER	Organic Disturbances And Intellectual Disability	3	$1,033.47	$1,129.47	$1,129.47	nat. median $34 outlier · 33.1×
947 MS_DRG	Signs And Symptoms With Mcc	14	$1,117.57	$1,396.96	$1,117.57	nat. median $12,105 outlier · 0.1×
7504 APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	3	$1,095.56	$1,205.12	$1,095.56	nat. median $20,361 outlier · 0.1×
947 OTHER	Signs And Symptoms With Mcc	3	$1,000.23	$1,093.15	$1,093.15	nat. median $7,285 outlier · 0.2×
887 OTHER	Other Mental Disorder Diagnoses	3	$982.90	$1,074.21	$1,074.21	nat. median $266 outlier · 4.0×
886 OTHER	Behavioral And Developmental Disorders	3	$976.06	$1,066.74	$1,066.74	nat. median $201,669 outlier · 0.0×
883 OTHER	Disorders Of Personality And Impulse Control	3	$974.63	$1,065.17	$1,065.17	nat. median $21 outlier · 50.8×
887 MS_DRG	Other Mental Disorder Diagnoses	14	$1,033.46	$1,291.82	$1,033.46	nat. median $10,425 outlier · 0.1×
896 OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	3	$932.02	$1,018.60	$1,018.60	nat. median $55 outlier · 18.6×
7724 APR_DRG	Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy	3	$1,005.96	$1,106.55	$1,005.96	nat. median $14,184 outlier · 0.1×
7604 APR_DRG	Other Mental Health Conditions And Disorders	3	$965.12	$1,061.64	$965.12	nat. median $11,936 outlier · 0.1×
7744 APR_DRG	Cocaine Abuse And Dependence	3	$934.46	$1,027.91	$934.46	nat. median $13,344 outlier · 0.1×
7593 APR_DRG	Eating Disorders	3	$926.25	$1,018.88	$926.25	nat. median $14,959 outlier · 0.1×
7734 APR_DRG	Opioid Abuse And Dependence	3	$891.41	$980.55	$891.41	nat. median $14,274 outlier · 0.1×
7514 APR_DRG	Depressive Disorders	3	$886.43	$975.07	$886.43	nat. median $14,895 outlier · 0.1×
882 MS_DRG	Neuroses Except Depressive	14	$835.87	$1,044.84	$835.87	nat. median $9,345 outlier · 0.1×
880 MS_DRG	Acute Adjustment Reaction And Psychosocial Dysfunction	14	$832.92	$1,041.15	$832.92	nat. median $8,933 outlier · 0.1×
7534 APR_DRG	Bipolar Disorders	3	$829.34	$912.27	$829.34	nat. median $14,273 outlier · 0.1×
7764 APR_DRG	Other Drug Abuse And Dependence	3	$828.33	$911.16	$828.33	nat. median $10,661 outlier · 0.1×
7564 APR_DRG	Acute Anxiety And Stress Syndromes	3	$798.09	$877.90	$798.09	nat. median $10,092 outlier · 0.1×
881 MS_DRG	Depressive Neuroses	14	$794.25	$992.82	$794.25	nat. median $8,583 outlier · 0.1×
918 MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	14	$768.62	$960.78	$768.62	nat. median $8,365 outlier · 0.1×
897 MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	14	$766.53	$958.17	$766.53	nat. median $8,331 outlier · 0.1×
899 OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age <=21 Withou	3	$696.85	$761.58	$761.58	nat. median $766 1.0× median
898 OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without	3	$683.41	$746.90	$746.90	nat. median $1 outlier · 685.2×

Other procedures at this hospital

Browse this hospital's 155 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	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
104	CDM	R&b Adol Psych	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
105	CDM	R&b Child Psych	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
106	CDM	R&b Geriatric Psych	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
107	CDM	R&b Rehab	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
113	CDM	H4h Ip Psych	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
114	CDM	H4h Ip Rehab	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
513	CDM	Bridge Discharge Appointment	7	7	$275.42	$975.00	$176.27	$234.11	$206.56	2025-09-22
56	MS_DRG	Degenerative Nervous System Disorders With Mcc	15	14	$2,920.88	$975.00 67% off	$2,175.79	$2,719.73	$2,175.79	2025-09-22
57	MS_DRG	Degenerative Nervous System Disorders Without Mcc	15	14	$2,920.88	$975.00 67% off	$1,159.45	$1,449.31	$1,159.45	2025-09-22
7501	APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	3	3	$2,920.88	$975.00 67% off	$273.48	$300.83	$273.48	2025-09-22
7502	APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	3	3	$2,920.88	$975.00 67% off	$378.23	$416.06	$378.23	2025-09-22
7503	APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	3	3	$2,920.88	$975.00 67% off	$566.93	$623.62	$566.93	2025-09-22
7504	APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	3	3	$2,920.88	$975.00 67% off	$1,095.56	$1,205.12	$1,095.56	2025-09-22
7511	APR_DRG	Depressive Disorders	3	3	$2,920.88	$975.00 67% off	$169.73	$186.71	$169.73	2025-09-22
7512	APR_DRG	Depressive Disorders	3	3	$2,920.88	$975.00 67% off	$227.99	$250.79	$227.99	2025-09-22
7513	APR_DRG	Depressive Disorders	3	3	$2,920.88	$975.00 67% off	$462.97	$509.26	$462.97	2025-09-22
7514	APR_DRG	Depressive Disorders	3	3	$2,920.88	$975.00 67% off	$886.43	$975.07	$886.43	2025-09-22
7521	APR_DRG	Personality Disorders	3	3	$2,920.88	$975.00 67% off	$177.78	$195.56	$177.78	2025-09-22
7522	APR_DRG	Personality Disorders	3	3	$2,920.88	$975.00 67% off	$234.13	$257.54	$234.13	2025-09-22
7523	APR_DRG	Personality Disorders	3	3	$2,920.88	$975.00 67% off	$521.59	$573.75	$521.59	2025-09-22
7524	APR_DRG	Personality Disorders	3	3	$2,920.88	$975.00 67% off	$1,241.68	$1,365.84	$1,241.68	2025-09-22
7531	APR_DRG	Bipolar Disorders	3	3	$2,920.88	$975.00 67% off	$195.63	$215.19	$195.63	2025-09-22
7532	APR_DRG	Bipolar Disorders	3	3	$2,920.88	$975.00 67% off	$260.45	$286.50	$260.45	2025-09-22
7533	APR_DRG	Bipolar Disorders	3	3	$2,920.88	$975.00 67% off	$478.38	$526.22	$478.38	2025-09-22
7534	APR_DRG	Bipolar Disorders	3	3	$2,920.88	$975.00 67% off	$829.34	$912.27	$829.34	2025-09-22
7551	APR_DRG	Adjustment Disorders	3	3	$2,920.88	$975.00 67% off	$126.04	$138.65	$126.04	2025-09-22
7552	APR_DRG	Adjustment Disorders	3	3	$2,920.88	$975.00 67% off	$175.61	$193.17	$175.61	2025-09-22
7553	APR_DRG	Adjustment Disorders	3	3	$2,920.88	$975.00 67% off	$348.58	$383.43	$348.58	2025-09-22
7554	APR_DRG	Adjustment Disorders	3	3	$2,920.88	$975.00 67% off	$480.50	$528.55	$480.50	2025-09-22
7561	APR_DRG	Acute Anxiety And Stress Syndromes	3	3	$2,920.88	$975.00 67% off	$209.45	$230.40	$209.45	2025-09-22
7562	APR_DRG	Acute Anxiety And Stress Syndromes	3	3	$2,920.88	$975.00 67% off	$321.20	$353.32	$321.20	2025-09-22
7563	APR_DRG	Acute Anxiety And Stress Syndromes	3	3	$2,920.88	$975.00 67% off	$449.57	$494.53	$449.57	2025-09-22
7564	APR_DRG	Acute Anxiety And Stress Syndromes	3	3	$2,920.88	$975.00 67% off	$798.09	$877.90	$798.09	2025-09-22
7571	APR_DRG	Organic Mental Health Conditions And Disturbances	3	3	$2,920.88	$975.00 67% off	$251.77	$276.94	$251.77	2025-09-22
7572	APR_DRG	Organic Mental Health Conditions And Disturbances	3	3	$2,920.88	$975.00 67% off	$378.07	$415.88	$378.07	2025-09-22
7573	APR_DRG	Organic Mental Health Conditions And Disturbances	3	3	$2,920.88	$975.00 67% off	$540.23	$594.26	$540.23	2025-09-22
7574	APR_DRG	Organic Mental Health Conditions And Disturbances	3	3	$2,920.88	$975.00 67% off	$1,328.85	$1,461.73	$1,328.85	2025-09-22
7581	APR_DRG	Disorders Of Impulse Control & Development	3	3	$2,920.88	$975.00 67% off	$208.61	$229.47	$208.61	2025-09-22
7582	APR_DRG	Disorders Of Impulse Control & Development	3	3	$2,920.88	$975.00 67% off	$266.86	$293.55	$266.86	2025-09-22
7583	APR_DRG	Disorders Of Impulse Control & Development	3	3	$2,920.88	$975.00 67% off	$436.59	$480.25	$436.59	2025-09-22
7584	APR_DRG	Disorders Of Impulse Control & Development	3	3	$2,920.88	$975.00 67% off	$1,471.41	$1,618.55	$1,471.41	2025-09-22
7591	APR_DRG	Eating Disorders	3	3	$2,920.88	$975.00 67% off	$490.61	$539.67	$490.61	2025-09-22
7592	APR_DRG	Eating Disorders	3	3	$2,920.88	$975.00 67% off	$655.00	$720.50	$655.00	2025-09-22
7593	APR_DRG	Eating Disorders	3	3	$2,920.88	$975.00 67% off	$926.25	$1,018.88	$926.25	2025-09-22
7594	APR_DRG	Eating Disorders	3	3	$2,920.88	$975.00 67% off	$1,552.76	$1,708.03	$1,552.76	2025-09-22
7601	APR_DRG	Other Mental Health Conditions And Disorders	3	3	$2,920.88	$975.00 67% off	$250.07	$275.08	$250.07	2025-09-22
7602	APR_DRG	Other Mental Health Conditions And Disorders	3	3	$2,920.88	$975.00 67% off	$300.33	$330.36	$300.33	2025-09-22
7603	APR_DRG	Other Mental Health Conditions And Disorders	3	3	$2,920.88	$975.00 67% off	$471.65	$518.82	$471.65	2025-09-22
7604	APR_DRG	Other Mental Health Conditions And Disorders	3	3	$2,920.88	$975.00 67% off	$965.12	$1,061.64	$965.12	2025-09-22
7701	APR_DRG	Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice	3	3	$2,920.88	$975.00 67% off	$127.21	$139.93	$127.21	2025-09-22
7702	APR_DRG	Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice	3	3	$2,920.88	$975.00 67% off	$199.44	$219.39	$199.44	2025-09-22
7703	APR_DRG	Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice	3	3	$2,920.88	$975.00 67% off	$343.97	$378.37	$343.97	2025-09-22
7704	APR_DRG	Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice	3	3	$2,920.88	$975.00 67% off	$736.66	$810.33	$736.66	2025-09-22
7721	APR_DRG	Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy	3	3	$2,920.88	$975.00 67% off	$239.96	$263.95	$239.96	2025-09-22
7722	APR_DRG	Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy	3	3	$2,920.88	$975.00 67% off	$315.79	$347.37	$315.79	2025-09-22
7723	APR_DRG	Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy	3	3	$2,920.88	$975.00 67% off	$488.86	$537.75	$488.86	2025-09-22
7724	APR_DRG	Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy	3	3	$2,920.88	$975.00 67% off	$1,005.96	$1,106.55	$1,005.96	2025-09-22
7731	APR_DRG	Opioid Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$144.58	$159.04	$144.58	2025-09-22
7732	APR_DRG	Opioid Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$214.48	$235.93	$214.48	2025-09-22
7733	APR_DRG	Opioid Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$416.15	$457.77	$416.15	2025-09-22
7734	APR_DRG	Opioid Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$891.41	$980.55	$891.41	2025-09-22
7741	APR_DRG	Cocaine Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$160.68	$176.75	$160.68	2025-09-22
7742	APR_DRG	Cocaine Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$214.75	$236.22	$214.75	2025-09-22
7743	APR_DRG	Cocaine Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$375.85	$413.44	$375.85	2025-09-22
7744	APR_DRG	Cocaine Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$934.46	$1,027.91	$934.46	2025-09-22
7751	APR_DRG	Alcohol Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$185.09	$203.60	$185.09	2025-09-22
7752	APR_DRG	Alcohol Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$281.37	$309.51	$281.37	2025-09-22
7753	APR_DRG	Alcohol Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$510.31	$561.34	$510.31	2025-09-22
7754	APR_DRG	Alcohol Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$1,152.23	$1,267.45	$1,152.23	2025-09-22
7761	APR_DRG	Other Drug Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$167.62	$184.38	$167.62	2025-09-22
7762	APR_DRG	Other Drug Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$230.69	$253.76	$230.69	2025-09-22
7763	APR_DRG	Other Drug Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$436.33	$479.96	$436.33	2025-09-22
7764	APR_DRG	Other Drug Abuse And Dependence	3	3	$2,920.88	$975.00 67% off	$828.33	$911.16	$828.33	2025-09-22
876	MS_DRG	O.r. Procedures With Principal Diagnosis Of Mental Illness	15	14	$2,920.88	$975.00 67% off	$3,414.39	$4,267.99	$3,414.39	2025-09-22
876	OTHER	O.r. Procedures With Principal Diagnosis Of Mental Illness	3	3	$2,920.88	$975.00 67% off	$2,682.92	$2,932.16	$2,932.16	2025-09-22
880	MS_DRG	Acute Adjustment Reaction And Psychosocial Dysfunction	15	14	$2,920.88	$975.00 67% off	$832.92	$1,041.15	$832.92	2025-09-22
880	OTHER	Acute Adjustment Reaction And Psychosocial Dysfunction	3	3	$2,920.88	$975.00 67% off	$522.26	$570.77	$570.77	2025-09-22
881	MS_DRG	Depressive Neuroses	15	14	$2,920.88	$975.00 67% off	$794.25	$992.82	$794.25	2025-09-22
881	OTHER	Depressive Neuroses	3	3	$2,920.88	$975.00 67% off	$364.76	$398.65	$398.65	2025-09-22
882	MS_DRG	Neuroses Except Depressive	15	14	$2,920.88	$975.00 67% off	$835.87	$1,044.84	$835.87	2025-09-22
882	OTHER	Neuroses Except Depressive	3	3	$2,920.88	$975.00 67% off	$370.80	$405.25	$405.25	2025-09-22
883	MS_DRG	Disorders Of Personality And Impulse Control	15	14	$2,920.88	$975.00 67% off	$1,610.84	$2,013.54	$1,610.84	2025-09-22
883	OTHER	Disorders Of Personality And Impulse Control	3	3	$2,920.88	$975.00 67% off	$974.63	$1,065.17	$1,065.17	2025-09-22
884	MS_DRG	Organic Disturbances And Intellectual Disability	15	14	$2,920.88	$975.00 67% off	$1,451.22	$1,814.03	$1,451.22	2025-09-22
884	OTHER	Organic Disturbances And Intellectual Disability	3	3	$2,920.88	$975.00 67% off	$1,033.47	$1,129.47	$1,129.47	2025-09-22
885	MS_DRG	Psychoses	15	14	$2,920.88	$975.00 67% off	$1,224.79	$1,530.98	$1,224.79	2025-09-22
885	OTHER	Psychoses	3	3	$2,920.88	$975.00 67% off	$422.96	$462.25	$462.25	2025-09-22
886	MS_DRG	Behavioral And Developmental Disorders	15	14	$2,920.88	$975.00 67% off	$1,560.96	$1,951.20	$1,560.96	2025-09-22
886	OTHER	Behavioral And Developmental Disorders	3	3	$2,920.88	$975.00 67% off	$976.06	$1,066.74	$1,066.74	2025-09-22
887	OTHER	Other Mental Disorder Diagnoses	3	3	$2,920.88	$975.00 67% off	$982.90	$1,074.21	$1,074.21	2025-09-22
887	MS_DRG	Other Mental Disorder Diagnoses	15	14	$2,920.88	$975.00 67% off	$1,033.46	$1,291.82	$1,033.46	2025-09-22
894	MS_DRG	Alcohol, Drug Abuse Or Dependence, Left Ama	15	14	$2,920.88	$975.00 67% off	$542.27	$677.84	$542.27	2025-09-22
894	OTHER	Alcohol, Drug Abuse Or Dependence, Left Ama	3	3	$2,920.88	$975.00 67% off	$306.72	$335.22	$335.22	2025-09-22
895	MS_DRG	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	15	14	$2,920.88	$975.00 67% off	$1,258.07	$1,572.58	$1,258.07	2025-09-22
895	OTHER	Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy	3	3	$2,920.88	$975.00 67% off	$585.15	$639.50	$639.50	2025-09-22
896	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	15	14	$2,920.88	$975.00 67% off	$1,547.32	$1,934.15	$1,547.32	2025-09-22
896	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc	3	3	$2,920.88	$975.00 67% off	$932.02	$1,018.60	$1,018.60	2025-09-22
897	MS_DRG	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc	15	14	$2,920.88	$975.00 67% off	$766.53	$958.17	$766.53	2025-09-22
898	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without	3	3	$2,920.88	$975.00 67% off	$683.41	$746.90	$746.90	2025-09-22
899	OTHER	Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age <=21 Withou	3	3	$2,920.88	$975.00 67% off	$696.85	$761.58	$761.58	2025-09-22
907	CDM	Iop Summer Camp	24	21	$78.00	$285.00	$49.92	$336.16	$268.93	2025-09-22
90791	CPT	Initial Eval Or Psych Dx Exam	7	7	$300.00	$975.00	$192.00	$255.00	$225.00	2025-09-22
908	CDM	Iop Summer Camp Transportation	11	11	$12.00	$285.00	$7.68	$12.00	$10.20	2025-09-22
90804	CPT	Individual Therapy 25-30 Mins	7	7	$125.00	$975.00	$80.00	$106.25	$93.75	2025-09-22
90805	CPT	PsyTx 20-30 Minutes	7	7	$150.00	$975.00	$96.00	$127.50	$112.50	2025-09-22
90806	CPT	PsyTx 45-50 Minutes	7	7	$225.00	$975.00	$144.00	$191.25	$168.75	2025-09-22
90807	CPT	PsyTx With E&m 45-50 Minutes	7	7	$225.00	$975.00	$144.00	$191.25	$168.75	2025-09-22
90809	CPT	Indiv Tx With Med Mgmt 75 Mins	7	7	$275.00	$975.00	$176.00	$233.75	$206.25	2025-09-22
90832	CPT	Php Indiv Therapy 16-30 Min	55	21	$291.87	$380.00	$96.00	$494.91	$277.28	2025-09-22
90833	CPT	Indiv PsyTx Used W/e&m 20-30m	7	7	$150.00	$975.00	$96.00	$127.50	$112.50	2025-09-22
90834	CPT	Php Indiv Therapy 31-45 Min	55	21	$291.87	$380.00	$128.00	$494.91	$277.28	2025-09-22
90836	CPT	Indiv PsyTx Used W/e&m 45-50m	7	7	$200.00	$975.00	$128.00	$170.00	$150.00	2025-09-22
90837	CPT	Indiv PsyTx 75-80m Face To Fac	7	7	$250.00	$975.00	$160.00	$212.50	$187.50	2025-09-22
90838	CPT	Indiv PsyTx Used W/e&m 75-80m	7	7	$250.00	$975.00	$160.00	$212.50	$187.50	2025-09-22
90846	CPT	Family PsyTx Without Pt. Present	14	7	$282.56	$975.00	$128.00	$310.34	$201.83	2025-09-22
90847	CPT	Family PsyTx With Pt. Present	14	7	$282.56	$975.00	$128.00	$310.34	$201.83	2025-09-22
90862	CPT	Medical Management	7	7	$150.00	$975.00	$96.00	$127.50	$112.50	2025-09-22
90899	CPT	Disability Records Request	14	7	$21.50	$975.00	$11.52	$21.25	$15.65	2025-09-22
917	MS_DRG	Poisoning And Toxic Effects Of Drugs With Mcc	15	14	$2,920.88	$975.00 67% off	$1,424.72	$1,780.90	$1,424.72	2025-09-22
917	OTHER	Poisoning And Toxic Effects Of Drugs Age >17 With Mcc	3	3	$2,920.88	$975.00 67% off	$1,056.36	$1,154.49	$1,154.49	2025-09-22
918	MS_DRG	Poisoning And Toxic Effects Of Drugs Without Mcc	15	14	$2,920.88	$975.00 67% off	$768.62	$960.78	$768.62	2025-09-22
918	OTHER	Poisoning And Toxic Effects Of Drugs Age >17 Without Mcc	3	3	$2,920.88	$975.00 67% off	$440.61	$481.54	$481.54	2025-09-22
947	MS_DRG	Signs And Symptoms With Mcc	15	14	$2,920.88	$975.00 67% off	$1,117.57	$1,396.96	$1,117.57	2025-09-22
947	OTHER	Signs And Symptoms With Mcc	3	3	$2,920.88	$975.00 67% off	$1,000.23	$1,093.15	$1,093.15	2025-09-22
948	MS_DRG	Signs And Symptoms Without Mcc	15	14	$2,920.88	$975.00 67% off	$690.33	$862.92	$690.33	2025-09-22
948	OTHER	Signs And Symptoms Without Mcc	3	3	$2,920.88	$975.00 67% off	$573.46	$626.73	$626.73	2025-09-22
96372	CPT	Injection Administration	7	7	$50.00	$975.00	$32.00	$42.50	$37.50	2025-09-22
99202	CPT	H&p	7	7	$75.00	$975.00	$48.00	$63.75	$56.25	2025-09-22
99204	CPT	New Patient E&m - 45 Mins	7	7	$225.00	$975.00	$144.00	$191.25	$168.75	2025-09-22
99205	CPT	New Patient E&m - 60 Mins	7	7	$300.00	$975.00	$192.00	$255.00	$225.00	2025-09-22
99211	CPT	E&m 5 Minutes	7	7	$50.00	$975.00	$32.00	$42.50	$37.50	2025-09-22
99212	CPT	E&m 10 Minutes	7	7	$75.00	$975.00	$48.00	$63.75	$56.25	2025-09-22
99214	CPT	E&m 25 Minutes	7	7	$125.00	$975.00	$80.00	$106.25	$93.75	2025-09-22
99221	CPT	Initial Hosp Eval & Mgmt 30m	7	7	$200.00	$975.00	$128.00	$170.00	$150.00	2025-09-22
99222	CPT	Initial Hosp Eval & Mgmt 50m	7	7	$225.00	$975.00	$144.00	$191.25	$168.75	2025-09-22
99223	CPT	Initial Hosp Eval & Mgmt 70m	7	7	$300.00	$975.00	$192.00	$255.00	$225.00	2025-09-22
99232	CPT	Subsq Ip Day Eval & Mgmt 25min	7	7	$150.00	$975.00	$96.00	$127.50	$112.50	2025-09-22
99233	CPT	Subsq Ip Day Eval & Mgmt 35min	7	7	$175.00	$975.00	$112.00	$148.75	$131.25	2025-09-22
99234	CPT	Short Stay - Low Complexity	7	7	$225.00	$975.00	$144.00	$191.25	$168.75	2025-09-22
99235	CPT	Short Stay - Mod Complexity	7	7	$275.00	$975.00	$176.00	$233.75	$206.25	2025-09-22
99236	CPT	Short Stay - High Complexity	7	7	$325.00	$975.00	$208.00	$276.25	$243.75	2025-09-22
99238	CPT	D/c Mgmt 30 Mins Or Less	7	7	$150.00	$975.00	$96.00	$127.50	$112.50	2025-09-22
99239	CPT	D/c Mgmt More Than 30 Mins	7	7	$200.00	$975.00	$128.00	$170.00	$150.00	2025-09-22
99251	CPT	Initial Ip Consult 20 Min	7	7	$200.00	$975.00	$128.00	$170.00	$150.00	2025-09-22
99252	CPT	Initial Ip Consult 40 Mins	7	7	$225.00	$975.00	$144.00	$191.25	$168.75	2025-09-22
99253	CPT	Initial Ip Consult 55 Mins	7	7	$250.00	$975.00	$160.00	$212.50	$187.50	2025-09-22
99254	CPT	Initial Ip Consult 80 Mins	7	7	$275.00	$975.00	$176.00	$233.75	$206.25	2025-09-22
99255	CPT	Initial Ip Consult 110 Mins	7	7	$300.00	$975.00	$192.00	$255.00	$225.00	2025-09-22
99450	CPT	Court Evaluation	14	7	$300.00	$975.00	$160.00	$297.50	$218.25	2025-09-22
G0177	HCPCS	Education	7	7	$176.00	$975.00	$112.64	$149.60	$132.00	2025-09-22
G0410	HCPCS	Php Group Therapy	34	21	$365.11	$380.00	$186.80	$494.91	$328.60	2025-09-22
H0009	HCPCS	R&b Adult Cd	7	7	$2,920.88	$975.00 67% off	$1,869.36	$2,482.75	$2,190.66	2025-09-22
H0015	HCPCS	Iop Cd Group Therapy	23	21	$291.87	$285.00	$186.80	$336.16	$268.93	2025-09-22
S9480	HCPCS	Iop Psy Group Therapy	23	21	$291.87	$285.00	$186.80	$336.16	$268.93	2025-09-22

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