Notice of Daily Standard Charges
Hospital Name: Ascent Behavioral Hospital
Effective Date: May 8, 2026
In accordance with federal Price Transparency requirements (45 CFR Part 180), Ascent Behavioral Hospital provides the following information regarding our standard daily charges for inpatient psychiatric care.
1. Inpatient Per Diem (Daily) Rates
The following reflects our gross charges for room, board, and routine nursing care. These rates do not include physician fees or specialized ancillary services (e.g., lab work, EKGs) unless otherwise specified.
| Service Description | Revenue Code | Standard Daily Gross Charge |
|---|---|---|
| Inpatient Psychiatric Semi-Private Room/Board | 0124 | $5,200.00 |
| Inpatient Psychiatric Private Room/Board | 0114 | $5,500.00 |
2. Professional & Therapeutic Servicess
| Service Description | Revenue Code | Standard Gross Charge |
|---|---|---|
| Discharge Day Management, 30 minutes or less | 99238 | $225.00 |
| Discharge Day Management, more than 30 minutes | 99239 | $325.00 |
| Individual Psychotherapy Add-on 30 minutes | 90833 | $175.00 |
| Individual Psychotherapy Add-on 45 minutes | 90836 | $250.00 |
| Individual Psychotherapy Add-on 60 minutes | 90838 | $350.00 |
| Initial Evaluation - high complexity | 99223 | $750.00 |
| Initial Evaluation - low complexity | 99221 | $325.00 |
| Initial Evaluation - moderate complexity | 99222 | $500.00 |
| Psychiatric Diagnostic Evaluation with Medical Services | 90792 | $650.00 |
| Psychiatric Diagnostic Evaluation | 90791 | $450.00 |
| Subsequent Care - high complexity | 99233 | $495.00 |
| Subsequent Care - low complexity | 99231 | $200.00 |
| Subsequent Care - moderate complexity | 99232 | $325.00 |
3. Payer-Specific Negotiated Rates
The actual amount you or your insurance provider will pay varies based on your specific insurance plan and coverage benefits.
- Insurance Members: Your out-of-pocket cost is determined by your "negotiated rate" with your insurer, as well as your remaining deductible, co-pay, or co-insurance.
- Uninsured/Self-Pay: Patients who do not have insurance may be eligible for a discounted self-pay rate or financial assistance.
4. Accessing Full Pricing Data
A comprehensive Machine-Readable File (MRF) containing all standard charges, including payer-specific negotiated charges and de-identified minimum/maximum rates, is available for download on our website here
Note to Patients: This list represents standard charges and is not a guarantee of your final bill. For a personalized "Good Faith Estimate" of your expected costs, please contact our Financial Counseling Office at (385) 566-1700.