Hospital Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

Inspira Health Center Woodbury

Inspira Health Center Woodbury in Woodbury, NJ publishes cash prices for 43 common procedures listed here, from its own machine-readable price file updated Mar 24, 2026. Click a procedure to compare it with other hospitals nearby.

30 Oak St. Woodbury, NJ 08096 Collected Sep 23, 2026 Source price file

Scans and imaging

Procedure	Cash price	List price	Off list
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W CONT	$1,654.33	$1,654.33	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W CONT	$1,654.33	$1,654.33	—
CT scan of the head or brain, no contrast dye CPT 70450 BRAIN W/O CONT	$536.26	$536.26	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 BRAIN W/O CONT	$536.26	$536.26	—
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST	$1,055.86	$1,055.86	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST	$1,055.86	$1,055.86	—
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG BILAT W COMP AID	$1,908.19	$1,908.19	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG BILAT W COMP AID	$1,908.19	$1,908.19	—
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG UNI W COMP AID	$954.09	$954.09	—
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG UNI W COMP AID	$954.09	$954.09	—
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI LOWER EXT JOINT W/O CONT-BILATERAL	$2,499.93	$2,499.93	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JOINT W/O CONT	$1,249.97	$1,249.97	—
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI LOWER EXT JOINT W/O CONT-BILATERAL	$2,499.93	$2,499.93	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JOINT W/O CONT	$1,249.97	$1,249.97	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JOINT W/WO CONT	$2,090.18	$2,090.18	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JOINT W/WO CONT	$2,090.18	$2,090.18	—
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONT	$1,249.97	$1,249.97	—
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONT	$1,249.97	$1,249.97	—
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONT	$2,090.18	$2,090.18	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONT	$2,090.18	$2,090.18	—
MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT	$1,249.97	$1,249.97	—
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L-SPINE W/O CONT	$1,249.97	$1,249.97	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB =>14 WKS 1ST FETUS 550	$570.61	$570.61	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB =>14 WKS 1ST FETUS	$570.61	$570.61	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB =>14 WKS 1ST FETUS 550	$570.61	$570.61	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB =>14 WKS 1ST FETUS	$570.61	$570.61	—
Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT W COMP AID	$572.45	$572.45	—
Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT W COMP AID	$572.45	$572.45	—
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY (POLYSOM.)	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY POLYSOM	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Polysom BHC	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Polysom - Sicklerville	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) CPT 95810 Sleep Study Polysom - Woolwich Hlt Ctr	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY (POLYSOM.) EH	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY (POLYSOM.)	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY POLYSOM	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY (POLYSOM.) EH	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Polysom BHC	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Polysom - Sicklerville	$10,326.32	$10,326.32	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 Sleep Study Polysom - Woolwich Hlt Ctr	$10,326.32	$10,326.32	—
Transvaginal pelvic ultrasound CPT 76830 US Transvag Non-OB US	$570.61	$570.61	—
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvag Non-OB US	$570.61	$570.61	—
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE	$570.61	$570.61	—
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE	$570.61	$570.61	—
X-ray of the lower back, 4 or more views CPT 72110 LS-SPINE =>4 VIEWS	$385.38	$385.38	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 LS-SPINE =>4 VIEWS	$385.38	$385.38	—

Lab tests

Procedure	Cash price	List price	Off list
Basic metabolic panel (blood test) CPT 80048 BASIC CHEMISTRY PROFILE	$28.63	$28.63	—
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC CHEMISTRY PROFILE	$28.63	$28.63	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$45.35	$45.35	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$45.35	$45.35	—
Complete blood count (CBC) with differential CPT 85025 CBC/AUTO DIFF	$26.34	$26.34	—
Complete blood count (CBC) with differential inpatient CPT 85025 CBC/AUTO DIFF	$26.34	$26.34	—
Complete blood count (CBC), no differential CPT 85027 CBC COMPLETE AUTOMATED	$21.94	$21.94	—
Complete blood count (CBC), no differential inpatient CPT 85027 CBC COMPLETE AUTOMATED	$21.94	$21.94	—
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE CHEM PRO	$32.37	$32.37	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE CHEM PRO	$32.37	$32.37	—
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$29.45	$29.45	—
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$29.45	$29.45	—
Liver function blood test panel CPT 80076 LIVER PROFILE	$27.70	$27.70	—
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$27.70	$27.70	—
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$62.31	$62.31	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$62.31	$62.31	—
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag	$62.31	$62.31	—
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$62.31	$62.31	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag	$62.31	$62.31	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL	$62.31	$62.31	—
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TM	$20.33	$20.33	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TM	$20.33	$20.33	—
Prothrombin time (PT/INR) clotting test CPT 85610 INR - SED	$13.33	$13.33	—
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN	$13.33	$13.33	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR - SED	$13.33	$13.33	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN	$13.33	$13.33	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THY STIM HORM/TSH	$56.92	$56.92	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THY STIM HORM/TSH	$56.92	$56.92	—
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W SCOPE	$10.72	$10.72	—
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W SCOPE	$10.72	$10.72	—
Urinalysis with microscope exam, manual CPT 81000 URINE KETONES	$10.72	$10.72	—
Urinalysis with microscope exam, manual inpatient CPT 81000 URINE KETONES	$10.72	$10.72	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO SCOPE	$7.59	$7.59	—
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO WO SCOPE - ER	$7.59	$7.59	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO SCOPE	$7.59	$7.59	—
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO WO SCOPE - ER	$7.59	$7.59	—

Surgery and procedures

Procedure	Cash price	List price	Off list
Left heart catheterization, diagnostic CPT 93452 Lt Heart Cath Only	$17,050.23	$17,050.23	—
Left heart catheterization, diagnostic inpatient CPT 93452 Lt Heart Cath Only	$17,050.23	$17,050.23	—
Lower-back epidural injection, with imaging guidance CPT 62323 INJ DIAG/THERAPY LUMBAR	$2,403.56	$2,403.56	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ DIAG/THERAPY LUMBAR	$2,403.56	$2,403.56	—
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 INJ ANES/STEROD L-SPINE BILAT	$5,570.05	$5,570.05	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Epidural Lumbar/Sacral, 1st Level w Img Guidance	$2,993.62	$2,993.62	—
Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 INJ ANES/STEROD L-SPINE BILAT	$5,570.05	$5,570.05	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Epidural Lumbar/Sacral, 1st Level w Img Guidance	$2,993.62	$2,993.62	—
Prostate biopsy CPT 55700 PROSTRATE BX	$4,503.33	$4,503.33	—
Prostate biopsy inpatient CPT 55700 PROSTRATE BX	$4,503.33	$4,503.33	—
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,727.68	$2,727.68	—
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD DIAGNOSTIC BRUSH WASH	$2,727.68	$2,727.68	—

Doctor visits and therapy

Procedure	Cash price	List price	Off list
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHOTHERAPY WITH PT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes CPT 90847 OP Voice Only Family therapy (w/pt)(50 min)	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes CPT 90847 OP Virtual Only Family therapy (w/pt)(50 min)	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHTHERAPY W PAT 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT OPW 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHTHERAPY W PAT OPW 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT OPW 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 Virtual FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes CPT 90847 Voice FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT 50 MINS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHOTHERAPY WITH PT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 OP Virtual Only Family therapy (w/pt)(50 min)	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 OP Voice Only Family therapy (w/pt)(50 min)	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHOTHERAPY W/PATIENT PHP 50 MINS	$1,476.90	$1,476.90	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHTHERAPY W PAT 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT OPW 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT OPW 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Virtual FAMILY PSYCHTHERAPY W PAT 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHTHERAPY W PAT OPW 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 Voice FAMILY PSYCHTHERAPY W PAT 50 MINS	$1,750.28	$1,750.28	—
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHPY WITH PT IOP A 50 MINS	$1,750.28	$1,750.28	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS	$1,476.90	$1,476.90	—
Family therapy without the patient, 50 minutes CPT 90846 OP Voice Only Family therapy (w/o pt) (50 min)	$1,476.90	$1,476.90	—
Family therapy without the patient, 50 minutes CPT 90846 OP Virtual Only Family therapy (w/o pt) (50 min)	$1,476.90	$1,476.90	—
Family therapy without the patient, 50 minutes CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS	$1,476.90	$1,476.90	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT Well/Recov50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT BWC 50 MINS	$387.41	$387.41	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHPY W/OUT PT IOP A 50 MINS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT 50 MINS ADOS	$1,396.39	$1,396.39	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 OP Virtual Only Family therapy (w/o pt) (50 min)	$1,476.90	$1,476.90	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 OP Voice Only Family therapy (w/o pt) (50 min)	$1,476.90	$1,476.90	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Voice FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS	$1,476.90	$1,476.90	—
Family therapy without the patient, 50 minutes inpatient CPT 90846 Virtual FAMILY PSYCHOTHERAPY W/OUT PAT PHP 50 MINS	$1,476.90	$1,476.90	—
Group psychotherapy session CPT 90853 OP Virtual Group Therapy/Psychoeducation	$734.92	$734.92	—
Group psychotherapy session CPT 90853 VOICE GROUP THERAPY ADULT-ADOS	$734.92	$734.92	—
Group psychotherapy session CPT 90853 VIRTUAL GROUP THERAPY ADULT-ADOS	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY ADULT-ADOS	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADOLESCENT	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADOLESCENT	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY ADOLESCENT	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT OPW	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT OPW	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY ADULT OPW	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT BWC	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT BWC	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY ADULT BWC	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY CHILD (PARTIAL CARE)	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY ADULT	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Voice Group Therapy Adult LI (Mcaid)	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT IOP MCAID	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Voice GROUP THERAPY ADULT IOP A	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Virtual Group Therapy Adult LI (Mcaid)	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT IOP MCAID	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Virtual GROUP THERAPY ADULT IOP A	$734.92	$734.92	—
Group psychotherapy session CPT 90853 Group Therapy Adult LI (Mcaid)	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY ADULT IOP MCAID	$734.92	$734.92	—
Group psychotherapy session CPT 90853 GROUP THERAPY ADULT IOP A	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT IOP A	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT-ADOS	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 VIRTUAL GROUP THERAPY ADULT-ADOS	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 VOICE GROUP THERAPY ADULT-ADOS	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADOLESCENT	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADOLESCENT	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADOLESCENT	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT OPW	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT OPW	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT OPW	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT BWC	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT BWC	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT BWC	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 OP Virtual Group Therapy/Psychoeducation	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY CHILD (PARTIAL CARE)	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Voice Group Therapy Adult LI (Mcaid)	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT IOP MCAID	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Voice GROUP THERAPY ADULT IOP A	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Virtual Group Therapy Adult LI (Mcaid)	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT IOP MCAID	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Virtual GROUP THERAPY ADULT IOP A	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 Group Therapy Adult LI (Mcaid)	$734.92	$734.92	—
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY ADULT IOP MCAID	$734.92	$734.92	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/15M	$137.45	$137.45	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE/15 M	$137.45	$137.45	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE/15 M	$137.45	$137.45	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE/15M	$137.45	$137.45	—
Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 OPW	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 VOICE PSY THERAPY W/PATIENT 16-37 MIN-ADOS	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 VIRTUAL PSY THERAPY W/PATIENT 16-37 MIN-ADOS	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 PSY THERAPY W/PATIENT 16-37 MIN-ADOS	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 - Adolescent	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 - Adolescent	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 - Adolescent	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 OPW	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 OPW	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 BWC	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 BWC	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 BWC	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 OP Virtual Only Individual Session (30 min)	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 OP Voice Only Individual Session (30 min)	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 - CP	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 - PH	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 - PH	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 - PH	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Voice Psy ther pt 16-37 IOP A	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Virtual Psy ther pt 16-37 IOP A	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes CPT 90832 Psy ther pt 16-37 IOP A	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 - PH	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 - PH	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 IOP A	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 IOP A	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 IOP A	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 VOICE PSY THERAPY W/PATIENT 16-37 MIN-ADOS	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 VIRTUAL PSY THERAPY W/PATIENT 16-37 MIN-ADOS	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 PSY THERAPY W/PATIENT 16-37 MIN-ADOS	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 - Adolescent	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 - Adolescent	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 - Adolescent	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 OPW	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 OPW	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Virtual Psy ther pt 16-37 BWC	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 OPW	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 BWC	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 BWC	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 OP Virtual Only Individual Session (30 min)	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 OP Voice Only Individual Session (30 min)	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Psy ther pt 16-37 - CP	$1,197.22	$1,197.22	—
Psychotherapy session, 30 minutes inpatient CPT 90832 Voice Psy ther pt 16-37 - PH	$1,197.22	$1,197.22	—
Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Virtual Psych Ther Pt 38-52 min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psych Ther Pt 38-52 min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psych Ther Pt 38-52 min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 VOICE PSY THERAPY W/PATIENT 38-52 MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 VIRTUAL PSY THERAPY W/PATIENT 38-52 MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 PSY THERAPY W/PATIENT 38-52 MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 OP Virtual Only Individual Session (38-52 min)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 OP Voice Only Individual Session (38-52 min)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 PHP C	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Virtual Psy ther pt 38-52 PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Psy ther pt 38-52 PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Voice Psy ther pt 38-52 IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Voice Psych Ther Pt 38-52 min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Voice Psych Ther Pt 38-52 min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes CPT 90834 Virtual Psych Ther Pt 38-52 min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 VOICE PSY THERAPY W/PATIENT 38-52 MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 VIRTUAL PSY THERAPY W/PATIENT 38-52 MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 PSY THERAPY W/PATIENT 38-52 MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 OP Virtual Only Individual Session (38-52 min)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 OP Voice Only Individual Session (38-52 min)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 PHP C	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psy ther pt 38-52 IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psych Ther Pt 38-52 min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Voice Psych Ther Pt 38-52 min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psy ther pt 38-52 IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psych Ther Pt 38-52 min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Virtual Psych Ther Pt 38-52 min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psy ther pt 38-52 IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psych Ther Pt 38-52 min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 45 minutes inpatient CPT 90834 Psych Ther Pt 38-52 min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Virtual Psych Ther Pt 53+ min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psych Ther Pt 53+ min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psych Ther Pt 53+ min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Voice Psych Ther Pt 53+ min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Voice Psych Ther Pt 53+ min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 VOICE PSY THERAPY W/PATIENT 53+ MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 VIRTUAL PSY THERAPYW/PATIENT 53+ MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 PSY THERAPY W/PATIENT 53+ MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Virtual Psych Ther Pt 53+ min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 OP Virtual Only Individual Session (53+ min)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 OP Voice Only Individual Session (53+ min)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Psy ther pt 53+ PHP C	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Voice Psy ther pt 53+ PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes CPT 90837 Virtual Psy ther pt 53+ PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 VOICE PSY THERAPY W/PATIENT 53+ MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 PSY THERAPY W/PATIENT 53+ MIN-ADOS	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ PHP ADOLESCENT	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ OPW	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ BWC	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 OP Virtual Only Individual Session (53+ min)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 OP Voice Only Individual Session (53+ min)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ PHP C	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ PHP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psy ther pt 53+ IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psych Ther Pt 53+ min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Voice Psych Ther Pt 53+ min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psy ther pt 53+ IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psych Ther Pt 53+ min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Virtual Psych Ther Pt 53+ min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psy ther pt 53+ IOP A	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psych Ther Pt 53+ min LI (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 Psych Ther Pt 53+ min (Mcaid)	$1,476.90	$1,476.90	—
Psychotherapy session, 60 minutes inpatient CPT 90837 VIRTUAL PSY THERAPYW/PATIENT 53+ MIN-ADOS	$1,476.90	$1,476.90	—

Source file: https://www.inspirahealthnetwork.org/sites/default/files/price_transparency/210634484_inspira-health-center-woodbury_standardcharges.csv