hospital_name last_updated_on version location_name hospital_address license_number|MD type_2_npi "To the best of its knowledge and belief, this 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 in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula." attester_name BROOK LANE HEALTH SERVICES 6/10/2026 3.0.0 Brook Lane Health Services "13215 Brook Lane Drive Hagerstown, MD 21742" 21-002|MD 1417928151 TRUE Kathy Atha description code|1 code|1|type code|2 code|2|type code|3 code|3|type modifiers setting drug_unit_of_measurement drug_type_of_measurement standard_charge|gross standard_charge|discounted_cash standard_charge|[All Payers|[All Plans]|negotiated_dollar standard_charge|[All Payers|[All Plans]|negotiated_percentage standard_charge|[All Payers|[All Plans]|negotiated_algorithm median_amount|[All Payers|[All Plans] 10th_percentile|[All Payers|[All Plans] 90th_percentile|[All Payers|[All Plans] count|[All Payers|[All Plans] standard_charge|[All Payers|[All Plans]|methodology additional_payer_notes|[All Payers|[All Plans] standard_charge|min standard_charge|max additional_generic_notes HC Semi-Private Room & Board Psych Adult 124 RC inpatient 1560 1528.8 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 1528.8 1560 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." HC Administration Day - Psych Room & Board 169 RC inpatient 626.74 614.21 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 614.21 626.74 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." HC Semi-Private Room & Board Psych C&A 124 RC inpatient 1502 1471.96 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 1471.96 1502 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." HC Admission Charge Blhs 221 RC inpatient 360 352.8 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 352.8 360 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." "HC Mental Health Partial Hospitalization Treatment, Half Day" 912 RC H0035 HCPCS outpatient 290 284.2 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 284.2 290 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." "HC Mental Health Partial Hospitalization Treatment, Whole Day" 913 RC H0037 HCPCS outpatient 580 568.4 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 568.4 580 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." HC Electroconvulsive Therapy 901 RC 90870 CPT inpatient 880 862.4 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 862.4 880 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." HC Therapy Repetitive Tms Treatment Initial Delivery & Mgmt 900 RC 90867 CPT outpatient 340 333.2 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 333.2 340 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." HC Therapy Repetitive Tms Treatment Subsequent Delivery & Mgmt per Session 900 RC 90868 CPT outpatient 340 333.2 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 333.2 340 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments." HC Therapy Repetitive Tms Treatment Subsequent Motr Threshold Redeterm With Delviery & Mgmt 900 RC 90869 CPT outpatient 340 333.2 0 "HSCRC-regulated rate. Per the Maryland waiver, actual 10th/90th percentiles are not applicable as all payers pay the same HSCRC-approved charge. Count of allowed amounts is 0; see Generic Notes for full disclosure." 333.2 340 "The file posted here reflects charges for items and services provided by Brook Lane Health Services as of January 01, 2026. 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 Maryland hospitals adjust charges to comply with other HSCRC regulatory requirments."