DUBLIN SPRINGS Hospital
Legal name: DUBLIN SPRINGS, LLC
Published Procedure Prices
| Procedure | CPT | Cash Price | Insurance Range |
|---|---|---|---|
| Initial Eval or Psych Dx Exam | 90791 | $1,186 | N/A |
| Individual Therapy 25-30 mins | 90804 | $1,186 | N/A |
| PsyTx 20-30 minutes | 90805 | $1,186 | N/A |
| PsyTx 45-50 minutes | 90806 | $1,186 | N/A |
| PsyTx w/ E&M 45-50 minutes | 90807 | $1,186 | N/A |
| Indiv Tx w/ Med Mgmt 75 mins | 90809 | $1,186 | N/A |
| Indiv PsyTx 20-30m face to fac | 90832 | $1,186 | N/A |
| Indiv PsyTx used w/E&M 20-30m | 90833 | $1,186 | N/A |
| Indiv PsyTx 45-50m face to fac | 90834 | $1,186 | N/A |
| Indiv PsyTx used w/E&M 45-50m | 90836 | $1,186 | N/A |
| Indiv PsyTx 75-80m face to fac | 90837 | $1,186 | N/A |
| Indiv PsyTx used w/E&M 75-80m | 90838 | $1,186 | N/A |
| Family PsyTx w/o pt. present | 90846 | $1,186 | N/A |
| Family PsyTx w/ pt. present | 90847 | $1,186 | N/A |
| Medical Management | 90862 | $1,186 | N/A |
| Injection Administration | 96372 | $1,186 | N/A |
| H&P | 99202 | $1,186 | N/A |
| New Patient E&M - 45 mins | 99204 | $1,186 | N/A |
| New Patient E&M - 60 mins | 99205 | $1,186 | N/A |
| E&M 5 minutes | 99211 | $1,186 | N/A |
| E&M 10 minutes | 99212 | $1,186 | N/A |
| E&M 15 minutes | 99213 | $1,186 | N/A |
| E&M 25 minutes | 99214 | $1,186 | N/A |
| Initial Hosp Eval & Mgmt 30m | 99221 | $1,186 | N/A |
| Initial Hosp Eval & Mgmt 50m | 99222 | $1,186 | N/A |
| Initial Hosp Eval & Mgmt 70m | 99223 | $1,186 | N/A |
| Subsq IP Day Eval & Mgmt 15min | 99231 | $1,186 | N/A |
| Subsq IP Day Eval & Mgmt 25min | 99232 | $1,186 | N/A |
| Subsq IP Day Eval & Mgmt 35min | 99233 | $1,186 | N/A |
| Short Stay - Low Complexity | 99234 | $1,186 | N/A |
Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.