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DUBLIN SPRINGS Hospital

DUBLIN, OH 430169649 (614) 717-1800 283Q00000X

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.