hospital_name	last_updated_on	version	hospital_location	hospital_address	license_number|MD	"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."																			
BROOK LANE HEALTH SERVICES	4/23/2025	2.0.0	BROOK LANE HEALTH SERVICES	"13215 Brook Lane Drive Hagerstown, MD 21742"	21-002	TRUE																			
description	code|1	code|1|type	code|2	code|2|type	code|3	code|3|type	code|4	code|4|type	setting	drug_unit_of_measurement	drug_type_of_measurement	standard_charge|gross	standard_charge|discounted_cash	standard_charge|min	standard_charge|max	modifiers	payer_name	plan_name	contract_internal	standard_charge|negotiated_dollar	standard_charge|negotiated_percentage	standard_charge|negotiated_algorithm	estimated_amount	standard_charge|methodology	additional_generic_notes
HC Semi-Private Room & Board Psych Adult	PX-1240000001	CDM	1240000001	LOCAL	124	RC			inpatient			1466	1436.68	1466	1466		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Administration Day - Psych Room & Board	PX-1690000002	CDM	1690000002	LOCAL	169	RC			inpatient			626.74	614.21	626.74	626.74		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Semi-Private Room & Board Psych C&A	PX-1240000002	CDM	1240000002	LOCAL	124	RC			inpatient			1438	1409.24	1438	1438		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
"HC Mental Health Partial Hospitalization Treatment, Half Day"	PX-9120003501	CDM	H0035	HCPCS	912	RC			outpatient			277	271.46	277	277		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
"HC Mental Health Partial Hospitalization Treatment, Whole Day"	PX-9130003701	CDM	H0037	HCPCS	913	RC			outpatient			554	542.92	554	554		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Admission Charge Blhs	PX-2210000002	CDM	2210000002	LOCAL	221	RC			inpatient			283	277.34	283	283		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Electroconvulsive Therapy	PX-9019087001	CDM	90870	CPT	901	RC			inpatient			831	814.38	831	831		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Electroconvulsive Therapy	PX-9019087001	CDM	90870	CPT	901	RC			outpatient			831	814.38	831	831		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Therapy Repetitive Tms Treatment Initial Delivery & Mgmt	PX-9009086701	CDM	90867	CPT	900	RC			outpatient			381	373.38	381	381		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Therapy Repetitive Tms Treatment Subsequent Delivery & Mgmt per Session	PX-9009086801	CDM	90868	CPT	900	RC			outpatient			381	373.38	381	381		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"
HC Therapy Repetitive Tms Treatment Subsequent Motr Threshold Redeterm With Delviery & Mgmt	PX-9009086901	CDM	90869	CPT	900	RC			outpatient			381	373.38	381	381		All Payers / All Plans							other	"The file posted here reflects charges for items and services provided by Brook Lane Health Services as of December 31, 2024. This type of file is commonly referred to as the hospitals “charge master.” In Maryland, the Maryland Health Services Cost Review Commission (HSCRC) regulates the average rate for hospital services. Though the HSCRC sets rates as of a certain date, hospital charges are allowed to fluctuate during the course of the year, and detailed charges for certain items may be different than the average approved rate that covers a larger group of services. This is both permissible and normal as hospitals adjust charges frequently to comply with other HSCRC regulations"