hospital_name last_updated_on version hospital_location hospital_address license_number|NV "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." "Seven Hills Hospital, LLC" 5/31/2024 2.0.0 "Henderson, Nevada " 3021 W. Horizon Ridge Parkway license_ 5235-HOS-23 I NV TRUE description code |1 code|1|type billing_class setting drug_unit_of_measurement drug_type_of_measurement modifiers standard_charge | gross standard_charge|discounted_cash standard_charge|min standard_charge | max standard_charge |[payer_AETNA]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_AETNA]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_AETNA]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_AETNA]|[plan_HMO/PPO] standard_charge |[payer_AETNA]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_AETNA]|[plan_HMO/PPO] standard_charge |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare]| negotiated_dollar standard_charge |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare]|negotiated_percentage standard_charge |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare]|negotiated_algorithm estimated_amount |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare] standard_charge |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare]|methodology additional_payer_notes |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare] standard_charge |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE]| negotiated_dollar standard_charge |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE] standard_charge |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE] standard_charge |[payer_ALTEA RESEARCH]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_ALTEA RESEARCH]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_ALTEA RESEARCH]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_ALTEA RESEARCH]|[plan_HMO/PPO] standard_charge |[payer_ALTEA RESEARCH]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_ALTEA RESEARCH]|[plan_HMO/PPO] standard_charge |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO] standard_charge |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO] standard_charge |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS]| negotiated_dollar standard_charge |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS]|negotiated_percentage standard_charge |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS]|negotiated_algorithm estimated_amount |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS] standard_charge |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS]|methodology additional_payer_notes |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS] standard_charge |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO] standard_charge |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO] standard_charge |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS]| negotiated_dollar standard_charge |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS]|negotiated_percentage standard_charge |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS]|negotiated_algorithm estimated_amount |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS] standard_charge |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS]|methodology additional_payer_notes |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS] standard_charge |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS]| negotiated_dollar standard_charge |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS]|negotiated_percentage standard_charge |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS]|negotiated_algorithm estimated_amount |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS] standard_charge |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS]|methodology additional_payer_notes |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS] standard_charge |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE]| negotiated_dollar standard_charge |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE]|negotiated_percentage standard_charge |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE]|negotiated_algorithm estimated_amount |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE]|methodology additional_payer_notes |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_CAREMORE]|[plan_MANAGED MEDICARE]| negotiated_dollar standard_charge |[payer_CAREMORE]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge |[payer_CAREMORE]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount |[payer_CAREMORE]|[plan_MANAGED MEDICARE] standard_charge |[payer_CAREMORE]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes |[payer_CAREMORE]|[plan_MANAGED MEDICARE] standard_charge |[payer_CHAMPVA]|[plan_VETERANS ADMIN]| negotiated_dollar standard_charge |[payer_CHAMPVA]|[plan_VETERANS ADMIN]|negotiated_percentage standard_charge |[payer_CHAMPVA]|[plan_VETERANS ADMIN]|negotiated_algorithm estimated_amount |[payer_CHAMPVA]|[plan_VETERANS ADMIN] standard_charge |[payer_CHAMPVA]|[plan_VETERANS ADMIN]|methodology additional_payer_notes |[payer_CHAMPVA]|[plan_VETERANS ADMIN] standard_charge |[payer_CIGNA]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_CIGNA]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_CIGNA]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_CIGNA]|[plan_HMO/PPO] standard_charge |[payer_CIGNA]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_CIGNA]|[plan_HMO/PPO] standard_charge |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL]| negotiated_dollar standard_charge |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL]|negotiated_percentage standard_charge |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL]|negotiated_algorithm estimated_amount |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL] standard_charge |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL]|methodology additional_payer_notes |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL] standard_charge |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID] standard_charge |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID] standard_charge |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO] standard_charge |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO] standard_charge |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_DCFS]|[plan_MEDICAID]| negotiated_dollar standard_charge |[payer_DCFS]|[plan_MEDICAID]|negotiated_percentage standard_charge |[payer_DCFS]|[plan_MEDICAID]|negotiated_algorithm estimated_amount |[payer_DCFS]|[plan_MEDICAID] standard_charge |[payer_DCFS]|[plan_MEDICAID]|methodology additional_payer_notes |[payer_DCFS]|[plan_MEDICAID] standard_charge |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO] standard_charge |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO] standard_charge |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_GEHA ASA]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_GEHA ASA]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_GEHA ASA]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_GEHA ASA]|[plan_HMO/PPO] standard_charge |[payer_GEHA ASA]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_GEHA ASA]|[plan_HMO/PPO] standard_charge |[payer_GOLDEN RULE]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_GOLDEN RULE]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_GOLDEN RULE]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_GOLDEN RULE]|[plan_HMO/PPO] standard_charge |[payer_GOLDEN RULE]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_GOLDEN RULE]|[plan_HMO/PPO] standard_charge |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO] standard_charge |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO] standard_charge |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_HPN CHAP]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_HPN CHAP]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_HPN CHAP]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_HPN CHAP]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN CHAP]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_HPN CHAP]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN COMMERCIAL]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_HPN COMMERCIAL]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_HPN COMMERCIAL]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_HPN COMMERCIAL]|[plan_HMO/PPO] standard_charge |[payer_HPN COMMERCIAL]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_HPN COMMERCIAL]|[plan_HMO/PPO] standard_charge |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID] standard_charge |[payer_HR NEVADA UMR]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_HR NEVADA UMR]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_HR NEVADA UMR]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_HR NEVADA UMR]|[plan_HMO/PPO] standard_charge |[payer_HR NEVADA UMR]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_HR NEVADA UMR]|[plan_HMO/PPO] standard_charge |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE]| negotiated_dollar standard_charge |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE] standard_charge |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE] standard_charge |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE]| negotiated_dollar standard_charge |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO] standard_charge |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 14]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_LOCAL 14]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_LOCAL 14]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_LOCAL 14]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 14]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_LOCAL 14]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 357]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_LOCAL 357]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_LOCAL 357]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_LOCAL 357]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 357]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_LOCAL 357]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 631]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_LOCAL 631]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_LOCAL 631]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_LOCAL 631]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 631]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_LOCAL 631]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 986]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_LOCAL 986]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_LOCAL 986]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_LOCAL 986]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 986]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_LOCAL 986]|[plan_HMO/PPO] standard_charge |[payer_MAGELLAN]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_MAGELLAN]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_MAGELLAN]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_MAGELLAN]|[plan_HMO/PPO] standard_charge |[payer_MAGELLAN]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_MAGELLAN]|[plan_HMO/PPO] standard_charge |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO] standard_charge |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO] standard_charge |[payer_MEDICAID]|[plan_MEDICAID]| negotiated_dollar standard_charge |[payer_MEDICAID]|[plan_MEDICAID]|negotiated_percentage standard_charge |[payer_MEDICAID]|[plan_MEDICAID]|negotiated_algorithm estimated_amount |[payer_MEDICAID]|[plan_MEDICAID] standard_charge |[payer_MEDICAID]|[plan_MEDICAID]|methodology additional_payer_notes |[payer_MEDICAID]|[plan_MEDICAID] standard_charge |[payer_MEDICARE]|[plan_MEDICARE]| negotiated_dollar standard_charge |[payer_MEDICARE]|[plan_MEDICARE]|negotiated_percentage standard_charge |[payer_MEDICARE]|[plan_MEDICARE]|negotiated_algorithm estimated_amount |[payer_MEDICARE]|[plan_MEDICARE] standard_charge |[payer_MEDICARE]|[plan_MEDICARE]|methodology additional_payer_notes |[payer_MEDICARE]|[plan_MEDICARE] standard_charge |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE]| negotiated_dollar standard_charge |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE]|negotiated_percentage standard_charge |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE]|negotiated_algorithm estimated_amount |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE]|methodology additional_payer_notes |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_MERITAIN HEALTH]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_MERITAIN HEALTH]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_MERITAIN HEALTH]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_MERITAIN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_MERITAIN HEALTH]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_MERITAIN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_MGM MIRAGE]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_MGM MIRAGE]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_MGM MIRAGE]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_MGM MIRAGE]|[plan_HMO/PPO] standard_charge |[payer_MGM MIRAGE]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_MGM MIRAGE]|[plan_HMO/PPO] standard_charge |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO] standard_charge |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO] standard_charge |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID] standard_charge |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID] standard_charge |[payer_ONECARE]|[plan_MANAGED MEDICARE]| negotiated_dollar standard_charge |[payer_ONECARE]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge |[payer_ONECARE]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount |[payer_ONECARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_ONECARE]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes |[payer_ONECARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO] standard_charge |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO] standard_charge |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO] standard_charge |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO] standard_charge |[payer_PENDING NV MEDICAID]|[plan_MEDICAID]| negotiated_dollar standard_charge |[payer_PENDING NV MEDICAID]|[plan_MEDICAID]|negotiated_percentage standard_charge |[payer_PENDING NV MEDICAID]|[plan_MEDICAID]|negotiated_algorithm estimated_amount |[payer_PENDING NV MEDICAID]|[plan_MEDICAID] standard_charge |[payer_PENDING NV MEDICAID]|[plan_MEDICAID]|methodology additional_payer_notes |[payer_PENDING NV MEDICAID]|[plan_MEDICAID] standard_charge |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO] standard_charge |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO] standard_charge |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_SELECT HEALTH]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_SELECT HEALTH]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_SELECT HEALTH]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_SELECT HEALTH]|[plan_HMO/PPO] standard_charge |[payer_SELECT HEALTH]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_SELECT HEALTH]|[plan_HMO/PPO] standard_charge |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO] standard_charge |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO] standard_charge |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID] standard_charge |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID] standard_charge |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID]| negotiated_dollar standard_charge |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID]|negotiated_percentage standard_charge |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID]|negotiated_algorithm estimated_amount |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID] standard_charge |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID]|methodology additional_payer_notes |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID] standard_charge |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE]| negotiated_dollar standard_charge |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE]|negotiated_percentage standard_charge |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE]|negotiated_algorithm estimated_amount |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE]|methodology additional_payer_notes |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE]| negotiated_dollar standard_charge |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE]|negotiated_percentage standard_charge |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE]|negotiated_algorithm estimated_amount |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE]|methodology additional_payer_notes |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO] standard_charge |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO] standard_charge |[payer_TRICARE]|[plan_TRICARE]| negotiated_dollar standard_charge |[payer_TRICARE]|[plan_TRICARE]|negotiated_percentage standard_charge |[payer_TRICARE]|[plan_TRICARE]|negotiated_algorithm estimated_amount |[payer_TRICARE]|[plan_TRICARE] standard_charge |[payer_TRICARE]|[plan_TRICARE]|methodology additional_payer_notes |[payer_TRICARE]|[plan_TRICARE] standard_charge |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE]| negotiated_dollar standard_charge |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE]| negotiated_dollar standard_charge |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE] standard_charge |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE] standard_charge |[payer_UMR BHO]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_UMR BHO]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_UMR BHO]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_UMR BHO]|[plan_HMO/PPO] standard_charge |[payer_UMR BHO]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_UMR BHO]|[plan_HMO/PPO] standard_charge |[payer_UMR PPO]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_UMR PPO]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_UMR PPO]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_UMR PPO]|[plan_HMO/PPO] standard_charge |[payer_UMR PPO]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_UMR PPO]|[plan_HMO/PPO] standard_charge |[payer_UMR VENETIAN]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_UMR VENETIAN]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_UMR VENETIAN]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_UMR VENETIAN]|[plan_HMO/PPO] standard_charge |[payer_UMR VENETIAN]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_UMR VENETIAN]|[plan_HMO/PPO] standard_charge |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO]| negotiated_dollar standard_charge |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO]|negotiated_percentage standard_charge |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO] standard_charge |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO]|methodology additional_payer_notes |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO] additional_generic_notes| negotiated_dollar additional_generic_notes R&B ADOL PSYCH 124 RC facility inpatient 2200 800 551 1342 1192 per diem 1192 per diem 775 per diem 800 per diem 1100 per diem 765 per diem 874 per diem 765 per diem 750 per diem 816 per diem 850 per diem 1226 per diem 993 per diem 750 per diem 660 per diem 875 per diem 735 per diem 800 per diem 858 per diem 875 per diem 1192 per diem 830 per diem 858 per diem 875 per diem 610 per diem 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 610 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 858 per diem 765 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 827 per diem 735 per diem 600 per diem 1050 per diem 858 per diem 800 per diem 858 per diem 921 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 728 per diem 625 per diem 610 per diem 750 per diem 750 per diem 858 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 858 per diem 930 per diem 735 per diem 930 per diem R&B ADULT PSYCH 124 RC facility inpatient 2200 800 551 1342 1192 per diem 1192 per diem 775 per diem 800 per diem 1100 per diem 765 per diem 874 per diem 765 per diem 750 per diem 816 per diem 850 per diem 1226 per diem 993 per diem 750 per diem 675 per diem 875 per diem 735 per diem 800 per diem 858 per diem 875 per diem 1192 per diem 830 per diem 858 per diem 875 per diem 610 per diem 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 610 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 858 per diem 765 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 827 per diem 735 per diem 600 per diem 1050 per diem 858 per diem 800 per diem 858 per diem 921 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 728 per diem 625 per diem 610 per diem 750 per diem 750 per diem 858 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 858 per diem 930 per diem 735 per diem 930 per diem R&B GERI PSYCH 124 RC facility inpatient 2200 800 551 1342 1192 per diem 1192 per diem 775 per diem 800 per diem 1100 per diem 765 per diem 874 per diem 765 per diem 750 per diem 816 per diem 850 per diem 1226 per diem 993 per diem 750 per diem 675 per diem 875 per diem 735 per diem 800 per diem 858 per diem 875 per diem 1192 per diem 830 per diem 858 per diem 875 per diem 610 per diem 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 610 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 858 per diem 765 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 827 per diem 735 per diem 600 per diem 1050 per diem 858 per diem 800 per diem 858 per diem 921 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 832 per diem 625 per diem 610 per diem 750 per diem 750 per diem 858 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 858 per diem 930 per diem 735 per diem 930 per diem R&B ADOL DETOX 126 RC facility inpatient 2200 700 551 1342 1114 per diem 1114 per diem 775 per diem 800 per diem 1100 per diem 765 per diem 874 per diem 765 per diem 750 per diem 740 per diem 850 per diem 1226 per diem 993 per diem 750 per diem 660 per diem 875 per diem 735 per diem 800 per diem 700 per diem 850 per diem 1192 per diem 830 per diem 700 per diem 850 per diem 610 per diem 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 610 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 700 per diem 765 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 797 per diem 735 per diem 600 per diem 775 per diem 700 per diem 700 per diem 700 per diem 921 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 700 per diem 625 per diem 610 per diem 750 per diem 750 per diem 700 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 700 per diem 851 per diem 735 per diem 851 per diem R&B ADULT DETOX 126 RC facility inpatient 2200 700 551 1342 1114 per diem 1114 per diem 775 per diem 800 per diem 1100 per diem 765 per diem 874 per diem 765 per diem 750 per diem 740 per diem 850 per diem 1226 per diem 993 per diem 750 per diem 675 per diem 875 per diem 735 per diem 800 per diem 700 per diem 850 per diem 1192 per diem 830 per diem 700 per diem 850 per diem 610 per diem 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 610 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 700 per diem 765 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 797 per diem 735 per diem 600 per diem 775 per diem 700 per diem 700 per diem 700 per diem 921 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 700 per diem 625 per diem 610 per diem 750 per diem 750 per diem 700 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 700 per diem 851 per diem 735 per diem 851 per diem R&B GERI DETOX 126 RC facility inpatient 2200 700 551 1342 1114 per diem 1114 per diem 775 per diem 800 per diem 1100 per diem 765 per diem 874 per diem 765 per diem 750 per diem 740 per diem 850 per diem 1226 per diem 993 per diem 750 per diem 675 per diem 875 per diem 735 per diem 800 per diem 700 per diem 850 per diem 1192 per diem 830 per diem 700 per diem 850 per diem 610 per diem 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 900 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 610 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 700 per diem 765 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 797 per diem 735 per diem 600 per diem 775 per diem 700 per diem 700 per diem 700 per diem 921 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 700 per diem 625 per diem 610 per diem 750 per diem 750 per diem 700 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 700 per diem 851 per diem 735 per diem 851 per diem R&B ADOL CD REHAB 128 RC facility inpatient 2200 550 460 1342 1114 per diem 1114 per diem 621 per diem 650 per diem 612 per diem 711 per diem 612 per diem 600 per diem 1226 per diem 767 per diem 460 per diem 650 per diem 535 per diem 600 per diem 750 per diem 1114 per diem 700 per diem 600 per diem 750 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 600 per diem 612 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 649 per diem 735 per diem 612 per diem 600 per diem 700 per diem 600 per diem 776 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 600 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 725 per diem 735 per diem 725 per diem R&B ADULT CD REHAB 128 RC facility inpatient 2200 550 460 1342 1114 per diem 1114 per diem 621 per diem 650 per diem 612 per diem 711 per diem 612 per diem 600 per diem 1226 per diem 767 per diem 460 per diem 650 per diem 535 per diem 600 per diem 750 per diem 1114 per diem 700 per diem 600 per diem 750 per diem 735 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 735 per diem 600 per diem 612 per diem 735 per diem 803 per diem 792 per diem 551 per diem 551 per diem 649 per diem 735 per diem 612 per diem 600 per diem 700 per diem 600 per diem 776 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 600 per diem 1342 per diem 1050 case rate "Days 1-3 $1,050.00/day, day 4 $650.00, days 5-7 $0.00, days 8+ $650.00 per day" 600 per diem 725 per diem 735 per diem 725 per diem SNF ADOL R&B 160 RC facility inpatient 2200 237 237 237 per diem SNF ADULT R&B 160 RC facility inpatient 2200 237 237 237 per diem IOP MH ADOLESCENT 905 RC facility outpatient 650 125 110 328 250 per diem 171 per diem 194 per diem 155 per diem 194 per diem 190 per diem 165 per diem 167 per diem 210 per diem 165 per diem 110 per diem 114 per diem 190 per diem 179 per diem 190 per diem 150 per diem 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 150 per diem 110 per diem 110 per diem 110 per diem 114 per diem 194 per diem 110 per diem 221 per diem 328 per diem 110 per diem 275 per diem 194 per diem 114 per diem 114 per diem 165 per diem 114 per diem 179 per diem 114 per diem 110 per diem IOP MH ADULT PROGRAM 905 RC facility outpatient 650 125 110 328 250 per diem 171 per diem 194 per diem 155 per diem 194 per diem 190 per diem 165 per diem 167 per diem 210 per diem 165 per diem 110 per diem 114 per diem 190 per diem 179 per diem 190 per diem 150 per diem 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 150 per diem 110 per diem 110 per diem 110 per diem 114 per diem 194 per diem 110 per diem 221 per diem 328 per diem 110 per diem 275 per diem 194 per diem 114 per diem 114 per diem 165 per diem 114 per diem 179 per diem 114 per diem 190 per diem 110 per diem 190 per diem IOP CD ADOLESCENT 906 RC facility outpatient 650 125 110 400 250 per diem 194 per diem 155 per diem 194 per diem 190 per diem 140 per diem 167 per diem 210 per diem 165 per diem 110 per diem 114 per diem 175 per diem 151 per diem 175 per diem 150 per diem 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 150 per diem 110 per diem 110 per diem 110 per diem 114 per diem 194 per diem 110 per diem 221 per diem 328 per diem 110 per diem 275 per diem 194 per diem 114 per diem 400 per diem 114 per diem 165 per diem 114 per diem 179 per diem 114 per diem 110 per diem IOP CD ADULT PROGRAM 906 RC facility outpatient 650 125 110 400 250 per diem 194 per diem 155 per diem 194 per diem 190 per diem 140 per diem 167 per diem 210 per diem 165 per diem 110 per diem 114 per diem 175 per diem 151 per diem 175 per diem 150 per diem 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 140 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 150 per diem 110 per diem 110 per diem 110 per diem 114 per diem 194 per diem 110 per diem 221 per diem 328 per diem 110 per diem 275 per diem 194 per diem 114 per diem 400 per diem 114 per diem 165 per diem 114 per diem 179 per diem 114 per diem 190 per diem 110 per diem 190 per diem PHP CD ADOLESCENT 912 RC facility outpatient 875 250 240 681 436 per diem 681 per diem 431 per diem 316 per diem 448 per diem 316 per diem 310 per diem 342 per diem 243 per diem 430 per diem 300 per diem 350 per diem 290 per diem 312 per diem 350 per diem 436 per diem 364 per diem 312 per diem 350 per diem 240 per diem 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 240 per diem 290 per diem 275 per diem 290 per diem 312 per diem 316 per diem 290 per diem 371 per diem 328 per diem 290 per diem 484 per diem 316 per diem 312 per diem 415 per diem 312 per diem 300 per diem 312 per diem 375 per diem 312 per diem 379 per diem 290 per diem 379 per diem PHP CD ADULT PROGRAM 912 RC facility outpatient 875 250 240 681 436 per diem 681 per diem 431 per diem 316 per diem 448 per diem 316 per diem 310 per diem 342 per diem 243 per diem 430 per diem 300 per diem 350 per diem 290 per diem 312 per diem 350 per diem 436 per diem 364 per diem 312 per diem 350 per diem 240 per diem 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 240 per diem 290 per diem 275 per diem 290 per diem 312 per diem 316 per diem 290 per diem 371 per diem 328 per diem 290 per diem 484 per diem 316 per diem 312 per diem 415 per diem 312 per diem 300 per diem 312 per diem 375 per diem 312 per diem 379 per diem 290 per diem 379 per diem PHP MH ADOLESCENT 912 RC facility outpatient 875 250 240 681 436 per diem 681 per diem 431 per diem 316 per diem 448 per diem 316 per diem 310 per diem 342 per diem 243 per diem 430 per diem 300 per diem 350 per diem 290 per diem 312 per diem 350 per diem 436 per diem 364 per diem 312 per diem 350 per diem 240 per diem 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 240 per diem 290 per diem 275 per diem 290 per diem 312 per diem 316 per diem 290 per diem 371 per diem 328 per diem 290 per diem 484 per diem 316 per diem 312 per diem 415 per diem 312 per diem 300 per diem 312 per diem 375 per diem 312 per diem 379 per diem 290 per diem 379 per diem PHP MH ADULT PROGRAM 912 RC facility outpatient 875 250 240 681 436 per diem 681 per diem 431 per diem 316 per diem 448 per diem 316 per diem 310 per diem 342 per diem 243 per diem 430 per diem 300 per diem 350 per diem 290 per diem 312 per diem 350 per diem 436 per diem 364 per diem 312 per diem 350 per diem 240 per diem 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 270 case rate "Day 1-2 $900/day, Day 3 $1,200, Days 4-7 $0.00, Days 8+ $550 day" 240 per diem 290 per diem 275 per diem 290 per diem 312 per diem 316 per diem 290 per diem 371 per diem 328 per diem 290 per diem 484 per diem 316 per diem 312 per diem 415 per diem 312 per diem 300 per diem 312 per diem 375 per diem 312 per diem 379 per diem 290 per diem 379 per diem CD CHECK OUT/PROCESS 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem CD GROUP THERAPY 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PHP CD PROCESS GRP 1 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PHP CD PROCESS GRP 4 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PHP GROUP THERAPY 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PHP MH ADOL PROCESS 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PHP MH ADOLESCENT 915 RC facility outpatient 875 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PHP MH PROCESS GRP 4 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PHP MH PROCESS GRP 5 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem PSY CHECK IN/PROCESS 915 RC facility outpatient 175 250 239 681 681 per diem 285 per diem 243 per diem 292 per diem 288 per diem 484 per diem 288 per diem 239 per diem 292 per diem