hospital_name	last_updated_on	version	hospital_location	hospital_address	license_number|IN	"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."																																																																																																																																																																																																																																																																																																																																										
Options Treatment Center Acquistion Corp. 	5/31/2024	2.0.0	"Indianapolis, Indiana"	5602 Caito Drive 	license_ 1629-1PIP4514 | IN	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_AARP]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_AARP]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_AARP]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_AARP]|[plan_COMMERCIAL] 	standard_charge|[payer_AARP]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_AARP]|[Plan_COMMERCIAL]	standard_charge|[payer_AARP MGD MEDICARE]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_AARP MGD MEDICARE]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_AARP MGD MEDICARE]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_AARP MGD MEDICARE]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_AARP MGD MEDICARE]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_AARP MGD MEDICARE]|[Plan_MANAGED MEDICARE]	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 MCR]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_AETNA MCR]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_AETNA MCR]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_AETNA MCR]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_AETNA MCR]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_AETNA MCR]|[Plan_MANAGED MEDICARE]	standard_charge|[payer_ALLWELL]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_ALLWELL]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_ALLWELL]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_ALLWELL]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_ALLWELL]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_ALLWELL]|[Plan_MANAGED MEDICARE]	standard_charge|[payer_ANTHEM]|[plan_BLUE CROSS]|negotiated_dollar	standard_charge|[payer_ANTHEM]|[plan_BLUE CROSS] |negotiated_percentage	standard_charge|[payer_ANTHEM]|[plan_BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_ANTHEM]|[plan_BLUE CROSS] 	standard_charge|[payer_ANTHEM]|[plan_BLUE CROSS] |methodology	additional_payer_notes |[payer_ANTHEM]|[Plan_BLUE CROSS]	standard_charge|[payer_ANTHEM HIP]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_ANTHEM HIP]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_ANTHEM HIP]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_ANTHEM HIP]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_ANTHEM HIP]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_ANTHEM HIP]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_ANTHEM MEDICAID]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_ANTHEM MEDICAID]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_ANTHEM MEDICAID]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_ANTHEM MEDICAID]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_ANTHEM MEDICAID]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_ANTHEM MEDICAID]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_ANTHEM MEDICAID 20&UNDER]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_ANTHEM MEDICAID 20&UNDER]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_ANTHEM MEDICAID 20&UNDER]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_ANTHEM MEDICAID 20&UNDER]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_ANTHEM MEDICAID 20&UNDER]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_ANTHEM MEDICAID 20&UNDER]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_ANTHEM SENIOR ADVANTAGE]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_ANTHEM SENIOR ADVANTAGE]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_ANTHEM SENIOR ADVANTAGE]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_ANTHEM SENIOR ADVANTAGE]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_ANTHEM SENIOR ADVANTAGE]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_ANTHEM SENIOR ADVANTAGE]|[Plan_MANAGED MEDICARE]	standard_charge|[payer_BCBS FEDERAL]|[plan_BLUE CROSS]|negotiated_dollar	standard_charge|[payer_BCBS FEDERAL]|[plan_BLUE CROSS] |negotiated_percentage	standard_charge|[payer_BCBS FEDERAL]|[plan_BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_BCBS FEDERAL]|[plan_BLUE CROSS] 	standard_charge|[payer_BCBS FEDERAL]|[plan_BLUE CROSS] |methodology	additional_payer_notes |[payer_BCBS FEDERAL]|[Plan_BLUE CROSS]	standard_charge|[payer_BCBS OUT OF STATE]|[plan_BLUE CROSS]|negotiated_dollar	standard_charge|[payer_BCBS OUT OF STATE]|[plan_BLUE CROSS] |negotiated_percentage	standard_charge|[payer_BCBS OUT OF STATE]|[plan_BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_BCBS OUT OF STATE]|[plan_BLUE CROSS] 	standard_charge|[payer_BCBS OUT OF STATE]|[plan_BLUE CROSS] |methodology	additional_payer_notes |[payer_BCBS OUT OF STATE]|[Plan_BLUE CROSS]	standard_charge|[payer_CARELON BEACON HEALTH]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_CARELON BEACON HEALTH]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_CARELON BEACON HEALTH]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_CARELON BEACON HEALTH]|[plan_COMMERCIAL] 	standard_charge|[payer_CARELON BEACON HEALTH]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_CARELON BEACON HEALTH]|[Plan_COMMERCIAL]	standard_charge|[payer_CARESOURCE]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_CARESOURCE]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_CARESOURCE]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_CARESOURCE]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_CARESOURCE]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_CARESOURCE]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_CARESOURCE MARKPLC]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_CARESOURCE MARKPLC]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_CARESOURCE MARKPLC]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_CARESOURCE MARKPLC]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_CARESOURCE MARKPLC]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_CARESOURCE MARKPLC]|[Plan_MANAGED MEDICARE]	standard_charge|[payer_CHAMPS VA]|[plan_VETERANS ADMIN]|negotiated_dollar	standard_charge|[payer_CHAMPS VA]|[plan_VETERANS ADMIN] |negotiated_percentage	standard_charge|[payer_CHAMPS VA]|[plan_VETERANS ADMIN] |negotiated_algorithm	estimated_amount|[payer_CHAMPS VA]|[plan_VETERANS ADMIN] 	standard_charge|[payer_CHAMPS VA]|[plan_VETERANS ADMIN] |methodology	additional_payer_notes |[payer_CHAMPS VA]|[Plan_VETERANS ADMIN]	standard_charge|[payer_CIGNA EVERNORTH]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_CIGNA EVERNORTH]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_CIGNA EVERNORTH]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_CIGNA EVERNORTH]|[plan_HMO/PPO] 	standard_charge|[payer_CIGNA EVERNORTH]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_CIGNA EVERNORTH]|[Plan_HMO/PPO]	standard_charge|[payer_COMMUNITY HEALTH DIRECT]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_COMMUNITY HEALTH DIRECT]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_COMMUNITY HEALTH DIRECT]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_COMMUNITY HEALTH DIRECT]|[plan_COMMERCIAL] 	standard_charge|[payer_COMMUNITY HEALTH DIRECT]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_COMMUNITY HEALTH DIRECT]|[Plan_COMMERCIAL]	standard_charge|[payer_COMP PSYCH]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_COMP PSYCH]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_COMP PSYCH]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_COMP PSYCH]|[plan_COMMERCIAL] 	standard_charge|[payer_COMP PSYCH]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_COMP PSYCH]|[Plan_COMMERCIAL]	standard_charge|[payer_DCS KIDTRAKS]|[plan_LOCAL GOVT]|negotiated_dollar	standard_charge|[payer_DCS KIDTRAKS]|[plan_LOCAL GOVT] |negotiated_percentage	standard_charge|[payer_DCS KIDTRAKS]|[plan_LOCAL GOVT] |negotiated_algorithm	estimated_amount|[payer_DCS KIDTRAKS]|[plan_LOCAL GOVT] 	standard_charge|[payer_DCS KIDTRAKS]|[plan_LOCAL GOVT] |methodology	additional_payer_notes |[payer_DCS KIDTRAKS]|[Plan_LOCAL GOVT]	standard_charge|[payer_DEPT OF VETERANS AFFAIRS]|[plan_VETERANS ADMIN]|negotiated_dollar	standard_charge|[payer_DEPT OF VETERANS AFFAIRS]|[plan_VETERANS ADMIN] |negotiated_percentage	standard_charge|[payer_DEPT OF VETERANS AFFAIRS]|[plan_VETERANS ADMIN] |negotiated_algorithm	estimated_amount|[payer_DEPT OF VETERANS AFFAIRS]|[plan_VETERANS ADMIN] 	standard_charge|[payer_DEPT OF VETERANS AFFAIRS]|[plan_VETERANS ADMIN] |methodology	additional_payer_notes |[payer_DEPT OF VETERANS AFFAIRS]|[Plan_VETERANS ADMIN]	standard_charge|[payer_ENCORE]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_ENCORE]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_ENCORE]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_ENCORE]|[plan_HMO/PPO] 	standard_charge|[payer_ENCORE]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_ENCORE]|[Plan_HMO/PPO]	standard_charge|[payer_GEHA UNITED HEALTHCARE]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_GEHA UNITED HEALTHCARE]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_GEHA UNITED HEALTHCARE]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_GEHA UNITED HEALTHCARE]|[plan_HMO/PPO] 	standard_charge|[payer_GEHA UNITED HEALTHCARE]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_GEHA UNITED HEALTHCARE]|[Plan_HMO/PPO]	standard_charge|[payer_HUMANA GOLD CHOICE]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_HUMANA GOLD CHOICE]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_HUMANA GOLD CHOICE]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_HUMANA GOLD CHOICE]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_HUMANA GOLD CHOICE]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_HUMANA GOLD CHOICE]|[Plan_MANAGED MEDICARE]	standard_charge|[payer_HUMANA INSURANCE]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_HUMANA INSURANCE]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_HUMANA INSURANCE]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_HUMANA INSURANCE]|[plan_COMMERCIAL] 	standard_charge|[payer_HUMANA INSURANCE]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_HUMANA INSURANCE]|[Plan_COMMERCIAL]	standard_charge|[payer_HUMANA INSURANCE]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_HUMANA INSURANCE]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_HUMANA INSURANCE]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_HUMANA INSURANCE]|[plan_HMO/PPO] 	standard_charge|[payer_HUMANA INSURANCE]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_HUMANA INSURANCE]|[Plan_HMO/PPO]	standard_charge|[payer_IMAGINE 360]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_IMAGINE 360]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_IMAGINE 360]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_IMAGINE 360]|[plan_COMMERCIAL] 	standard_charge|[payer_IMAGINE 360]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_IMAGINE 360]|[Plan_COMMERCIAL]	standard_charge|[payer_IU HEALTH]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_IU HEALTH]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_IU HEALTH]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_IU HEALTH]|[plan_COMMERCIAL] 	standard_charge|[payer_IU HEALTH]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_IU HEALTH]|[Plan_COMMERCIAL]	standard_charge|[payer_KEY BENEFIT ADMIN]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_KEY BENEFIT ADMIN]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_KEY BENEFIT ADMIN]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_KEY BENEFIT ADMIN]|[plan_COMMERCIAL] 	standard_charge|[payer_KEY BENEFIT ADMIN]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_KEY BENEFIT ADMIN]|[Plan_COMMERCIAL]	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_MDWISE HIP]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_MDWISE HIP]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_MDWISE HIP]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_MDWISE HIP]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_MDWISE HIP]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_MDWISE HIP]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_MDWISE HOOSIER HEALTHWISE]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_MDWISE HOOSIER HEALTHWISE]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_MDWISE HOOSIER HEALTHWISE]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_MDWISE HOOSIER HEALTHWISE]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_MDWISE HOOSIER HEALTHWISE]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_MDWISE HOOSIER HEALTHWISE]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_MEDICAID IN]|[plan_MEDICAID ]|negotiated_dollar	standard_charge|[payer_MEDICAID IN]|[plan_MEDICAID ] |negotiated_percentage	standard_charge|[payer_MEDICAID IN]|[plan_MEDICAID ] |negotiated_algorithm	estimated_amount|[payer_MEDICAID IN]|[plan_MEDICAID ] 	standard_charge|[payer_MEDICAID IN]|[plan_MEDICAID ] |methodology	additional_payer_notes |[payer_MEDICAID IN]|[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_MERITAIN HEALTH]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_MERITAIN HEALTH]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_MERITAIN HEALTH]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_MERITAIN HEALTH]|[plan_COMMERCIAL] 	standard_charge|[payer_MERITAIN HEALTH]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_MERITAIN HEALTH]|[Plan_COMMERCIAL]	standard_charge|[payer_MHS CENPATICO HIP]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_MHS CENPATICO HIP]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_MHS CENPATICO HIP]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_MHS CENPATICO HIP]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_MHS CENPATICO HIP]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_MHS CENPATICO HIP]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_MHS CENPATICO MEDICAID]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_MHS CENPATICO MEDICAID]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_MHS CENPATICO MEDICAID]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_MHS CENPATICO MEDICAID]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_MHS CENPATICO MEDICAID]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_MHS CENPATICO MEDICAID]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_MISC COMMERICAL]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_MISC COMMERICAL]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_MISC COMMERICAL]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_MISC COMMERICAL]|[plan_COMMERCIAL] 	standard_charge|[payer_MISC COMMERICAL]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_MISC COMMERICAL]|[Plan_COMMERCIAL]	standard_charge|[payer_MISC MGD MCDAID]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_MISC MGD MCDAID]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_MISC MGD MCDAID]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_MISC MGD MCDAID]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_MISC MGD MCDAID]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_MISC MGD MCDAID]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_MISC MGD MCDCAID]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_MISC MGD MCDCAID]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_MISC MGD MCDCAID]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_MISC MGD MCDCAID]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_MISC MGD MCDCAID]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_MISC MGD MCDCAID]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_MISC MGD MEDICARE]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_MISC MGD MEDICARE]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_MISC MGD MEDICARE]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_MISC MGD MEDICARE]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_MISC MGD MEDICARE]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_MISC MGD MEDICARE]|[Plan_MANAGED MEDICARE]	standard_charge|[payer_OPTUM HEALTH]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_OPTUM HEALTH]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_OPTUM HEALTH]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_OPTUM HEALTH]|[plan_HMO/PPO] 	standard_charge|[payer_OPTUM HEALTH]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_OPTUM HEALTH]|[Plan_HMO/PPO]	standard_charge|[payer_PHP]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_PHP]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_PHP]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_PHP]|[plan_COMMERCIAL] 	standard_charge|[payer_PHP]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_PHP]|[Plan_COMMERCIAL]	standard_charge|[payer_SAGAMORE]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_SAGAMORE]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_SAGAMORE]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_SAGAMORE]|[plan_HMO/PPO] 	standard_charge|[payer_SAGAMORE]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_SAGAMORE]|[Plan_HMO/PPO]	standard_charge|[payer_SIHO]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_SIHO]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_SIHO]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_SIHO]|[plan_COMMERCIAL] 	standard_charge|[payer_SIHO]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_SIHO]|[Plan_COMMERCIAL]	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_UBH MEDICARE HMO]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_UBH MEDICARE HMO]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_UBH MEDICARE HMO]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_UBH MEDICARE HMO]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_UBH MEDICARE HMO]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_UBH MEDICARE HMO]|[Plan_MANAGED MEDICARE]	standard_charge|[payer_UHC MEDICAID]|[plan_MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_UHC MEDICAID]|[plan_MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_UHC MEDICAID]|[plan_MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_UHC MEDICAID]|[plan_MANAGED MEDICAID] 	standard_charge|[payer_UHC MEDICAID]|[plan_MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_UHC MEDICAID]|[Plan_MANAGED MEDICAID]	standard_charge|[payer_UHC STUDENT RESOURCES]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_UHC STUDENT RESOURCES]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_UHC STUDENT RESOURCES]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_UHC STUDENT RESOURCES]|[plan_HMO/PPO] 	standard_charge|[payer_UHC STUDENT RESOURCES]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_UHC STUDENT RESOURCES]|[Plan_HMO/PPO]	standard_charge|[payer_UMR]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_UMR]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_UMR]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_UMR]|[plan_COMMERCIAL] 	standard_charge|[payer_UMR]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_UMR]|[Plan_COMMERCIAL]	standard_charge|[payer_UNIFIED GROUP SERVICES]|[plan_COMMERCIAL]|negotiated_dollar	standard_charge|[payer_UNIFIED GROUP SERVICES]|[plan_COMMERCIAL] |negotiated_percentage	standard_charge|[payer_UNIFIED GROUP SERVICES]|[plan_COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_UNIFIED GROUP SERVICES]|[plan_COMMERCIAL] 	standard_charge|[payer_UNIFIED GROUP SERVICES]|[plan_COMMERCIAL] |methodology	additional_payer_notes |[payer_UNIFIED GROUP SERVICES]|[Plan_COMMERCIAL]	standard_charge|[payer_UNITED HEALTHCARE]|[plan_HMO/PPO]|negotiated_dollar	standard_charge|[payer_UNITED HEALTHCARE]|[plan_HMO/PPO] |negotiated_percentage	standard_charge|[payer_UNITED HEALTHCARE]|[plan_HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_UNITED HEALTHCARE]|[plan_HMO/PPO] 	standard_charge|[payer_UNITED HEALTHCARE]|[plan_HMO/PPO] |methodology	additional_payer_notes |[payer_UNITED HEALTHCARE]|[Plan_HMO/PPO]	standard_charge|[payer_VA FEE BASIS]|[plan_VETERANS ADMIN]|negotiated_dollar	standard_charge|[payer_VA FEE BASIS]|[plan_VETERANS ADMIN] |negotiated_percentage	standard_charge|[payer_VA FEE BASIS]|[plan_VETERANS ADMIN] |negotiated_algorithm	estimated_amount|[payer_VA FEE BASIS]|[plan_VETERANS ADMIN] 	standard_charge|[payer_VA FEE BASIS]|[plan_VETERANS ADMIN] |methodology	additional_payer_notes |[payer_VA FEE BASIS]|[Plan_VETERANS ADMIN]	standard_charge|[payer_WELLCARE MEDICARE REPLACM]|[plan_MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_WELLCARE MEDICARE REPLACM]|[plan_MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_WELLCARE MEDICARE REPLACM]|[plan_MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_WELLCARE MEDICARE REPLACM]|[plan_MANAGED MEDICARE] 	standard_charge|[payer_WELLCARE MEDICARE REPLACM]|[plan_MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_WELLCARE MEDICARE REPLACM]|[Plan_MANAGED MEDICARE]	additional_generic_notes
ACUTE	124	RC	facility	inpatient				2500	800	390.78	2500	2500				per diem		795				per diem		832				per diem						Other	Monthly Average					other	Monthly Average	1184				per diem		1371.7				per diem		1371.7				per diem												other	Mounthly Average	1184				per diem		1184				per diem		858				per diem		1371.7				per diem						other	"DRG 3 Mth Average $3,250.99"	804.95				per diem		1037				per diem		975				per diem		840				per diem		550				per diem						other	DRG -$6391.15 monthly Avg	975				per diem		795				per diem						other	"DRG - 3 mth avg $4,008.87 Monthly Average "							756				per diem		800				per diem						other	"DRG - 3 mth avg $5,050.43 Monthly Avg"	780				per diem		750				per diem		1371.7				per diem		1371.7				per diem		1371.7				per diem						other	"DRG 3 Mth Avg $6,415.39"	800				per diem		1371.7				per diem		1371.7				per diem		390.78				per diem		2500				per diem														795				per diem		975				per diem		638				per diem		775				per diem		838.1				per diem		795				per diem		1371.7				per diem		795				per diem		795				per diem		975				per diem		795				per diem						other	"DRG 3 mth avg $5,459.02"	810				per diem		
ADULT DUAL DX UNIT 5	124	RC	facility	inpatient				2500	800	638	2500	2500				per diem		795				per diem		832				per diem														1184				per diem		1371.7				per diem		1371.7				per diem														1184				per diem		1184				per diem		858				per diem		1371.7				per diem								804.95				per diem		1037				per diem		975				per diem		840				per diem														975				per diem		795				per diem														756				per diem		800				per diem								780				per diem		750				per diem		1371.7				per diem		1371.7				per diem		1371.7				per diem								800				per diem		1371.7				per diem		1371.7				per diem								2500				per diem														795				per diem		975				per diem		638				per diem		775				per diem		838.1				per diem		795				per diem		1371.7				per diem		795				per diem		795				per diem		975				per diem		795				per diem								810				per diem		
ADOLESCENT INTENSIVE OUTPATIENT PROGRAM	905	RC	facility	outpatient				1250	300	139.74	1250													139.74				per diem														193				per diem		1166.96				per diem		1166.96				per diem		1166.96				per diem								193				per diem								208				per diem		1166.96				per diem														202				per diem								240				per diem																																243				per diem														420				per diem														1166.96				per diem		1166.96				per diem		1166.96				per diem														1166.96				per diem		1166.96				per diem														1250				per diem		1250				per diem																				205				per diem														1166.96				per diem																																						
ADULT INTENSIVE OUTPATIENT PROGRAM-MORNING	905	RC	facility	outpatient				1250	300	139.74	1250													139.74				per diem														193				per diem		509.3				per diem		509.3				per diem		1166.96				per diem								193				per diem								208				per diem		509.3				per diem														202				per diem								240				per diem																																243				per diem														420				per diem														509.3				per diem		509.3				per diem		1166.96				per diem														503.9				per diem		503.9				per diem														1250				per diem		1250				per diem																				205				per diem														1166.96				per diem