"hospital_Seven Hills Hospital, LLC" last_updated_ 2023-12-31 version_1 "hospital_Henderson, Nevada " hospital_3021 W. Horizon Ridge Parkway license_ 29D1082973 I NV "financial_aid_policy_""Payment plans are available and/or a patent can be put on a sliding scale, which would allow a percentage of assistance depending on the eligibility.""" "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 in this machine-readable file is true, accurate, and complete as of the date indicated in this file" 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] standard_charge |[payer_AETNA]|[plan_HMO/PPO]|percent standard_charge |[payer_AETNA]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_AETNA]|[plan_HMO/PPO] standard_charge |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare] standard_charge |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare]|percent standard_charge |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare]|contracting_method additional_payer_notes |[payer_Aetna Medicare Advantage]|[plan_Managed Medicare] standard_charge |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE] standard_charge |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE]|percent standard_charge |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE]|contracting_method additional_payer_notes |[payer_ALLWELL SILVERSUMMIT]|[plan_MANAGED MEDICARE] standard_charge |[payer_ALTEA RESEARCH]|[plan_HMO/PPO] standard_charge |[payer_ALTEA RESEARCH]|[plan_HMO/PPO]|percent standard_charge |[payer_ALTEA RESEARCH]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_ALTEA RESEARCH]|[plan_HMO/PPO] standard_charge |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO] standard_charge |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO]|percent standard_charge |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_AMBETTER SILVERSUMMIT]|[plan_HMO/PPO] standard_charge |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS] standard_charge |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS]|percent standard_charge |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS]|contracting_method additional_payer_notes |[payer_BCBS FEDERAL EMPLOYEE]|[plan_BLUE CROSS] standard_charge |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO] standard_charge |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO]|percent standard_charge |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_BEACON HEALTH OPTIONS]|[plan_HMO/PPO] standard_charge |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS] standard_charge |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS]|percent standard_charge |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS]|contracting_method additional_payer_notes |[payer_BLUE CROSS OF NV]|[plan_BLUE CROSS] standard_charge |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS] standard_charge |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS]|percent standard_charge |[payer_BLUE CROSS OF NV HMO]|[plan_BLUE CROSS]|contracting_method 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] standard_charge |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE]|percent standard_charge |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE]|contracting_method additional_payer_notes |[payer_CARE 1ST HEALTH PLAN AZ]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_CAREMORE]|[plan_MANAGED MEDICARE] standard_charge |[payer_CAREMORE]|[plan_MANAGED MEDICARE]|percent standard_charge |[payer_CAREMORE]|[plan_MANAGED MEDICARE]|contracting_method additional_payer_notes |[payer_CAREMORE]|[plan_MANAGED MEDICARE] standard_charge |[payer_CHAMPVA]|[plan_VETERANS ADMIN] standard_charge |[payer_CHAMPVA]|[plan_VETERANS ADMIN]|percent standard_charge |[payer_CHAMPVA]|[plan_VETERANS ADMIN]|contracting_method additional_payer_notes |[payer_CHAMPVA]|[plan_VETERANS ADMIN] standard_charge |[payer_CIGNA]|[plan_HMO/PPO] standard_charge |[payer_CIGNA]|[plan_HMO/PPO]|percent standard_charge |[payer_CIGNA]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_CIGNA]|[plan_HMO/PPO] standard_charge |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL] standard_charge |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL]|percent standard_charge |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL]|contracting_method additional_payer_notes |[payer_COMMERCIAL GENERIC]|[plan_COMMERCIAL] standard_charge |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID] standard_charge |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_COMMUNITY CARE HEALTH PLA]|[plan_MANAGED MEDICAID] standard_charge |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO] standard_charge |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO]|percent standard_charge |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_CONSTRUCTION/LABORERS 872]|[plan_HMO/PPO] standard_charge |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO]|percent standard_charge |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_CULINARY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_DCFS]|[plan_MEDICAID] standard_charge |[payer_DCFS]|[plan_MEDICAID]|percent standard_charge |[payer_DCFS]|[plan_MEDICAID]|contracting_method additional_payer_notes |[payer_DCFS]|[plan_MEDICAID] standard_charge |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO] standard_charge |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO]|percent standard_charge |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_EBMS LOCAL 1908]|[plan_HMO/PPO] standard_charge |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO]|percent standard_charge |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_FRIDAY HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_GEHA ASA]|[plan_HMO/PPO] standard_charge |[payer_GEHA ASA]|[plan_HMO/PPO]|percent standard_charge |[payer_GEHA ASA]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_GEHA ASA]|[plan_HMO/PPO] standard_charge |[payer_GOLDEN RULE]|[plan_HMO/PPO] standard_charge |[payer_GOLDEN RULE]|[plan_HMO/PPO]|percent standard_charge |[payer_GOLDEN RULE]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_GOLDEN RULE]|[plan_HMO/PPO] standard_charge |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO] standard_charge |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO]|percent standard_charge |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_HEALTHSCOPE-CLARK COUNTY]|[plan_HMO/PPO] standard_charge |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO]|percent standard_charge |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_HOMETOWN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_HPN CHAP]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN CHAP]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_HPN CHAP]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_HPN CHAP]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN COMMERCIAL]|[plan_HMO/PPO] standard_charge |[payer_HPN COMMERCIAL]|[plan_HMO/PPO]|percent standard_charge |[payer_HPN COMMERCIAL]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_HPN COMMERCIAL]|[plan_HMO/PPO] standard_charge |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_HPN TANF EXPANSION MCD]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_HPN TANF N NBH]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID] standard_charge |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_HPN TANF S HBI]|[plan_MANAGED MEDICAID] standard_charge |[payer_HR NEVADA UMR]|[plan_HMO/PPO] standard_charge |[payer_HR NEVADA UMR]|[plan_HMO/PPO]|percent standard_charge |[payer_HR NEVADA UMR]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_HR NEVADA UMR]|[plan_HMO/PPO] standard_charge |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE] standard_charge |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE]|percent standard_charge |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE]|contracting_method additional_payer_notes |[payer_HUMANA GOLD]|[plan_MANAGED MEDICARE] standard_charge |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE]|percent standard_charge |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE]|contracting_method additional_payer_notes |[payer_HUMANA MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO] standard_charge |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO]|percent standard_charge |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_LAS VEGAS JUSTICE COURT]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 14]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 14]|[plan_HMO/PPO]|percent standard_charge |[payer_LOCAL 14]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_LOCAL 14]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 357]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 357]|[plan_HMO/PPO]|percent standard_charge |[payer_LOCAL 357]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_LOCAL 357]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 631]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 631]|[plan_HMO/PPO]|percent standard_charge |[payer_LOCAL 631]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_LOCAL 631]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 986]|[plan_HMO/PPO] standard_charge |[payer_LOCAL 986]|[plan_HMO/PPO]|percent standard_charge |[payer_LOCAL 986]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_LOCAL 986]|[plan_HMO/PPO] standard_charge |[payer_MAGELLAN]|[plan_HMO/PPO] standard_charge |[payer_MAGELLAN]|[plan_HMO/PPO]|percent standard_charge |[payer_MAGELLAN]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_MAGELLAN]|[plan_HMO/PPO] standard_charge |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO] standard_charge |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO]|percent standard_charge |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_MANAGED HEALTH NETWORK]|[plan_HMO/PPO] standard_charge |[payer_MEDICAID]|[plan_MEDICAID] standard_charge |[payer_MEDICAID]|[plan_MEDICAID]|percent standard_charge |[payer_MEDICAID]|[plan_MEDICAID]|contracting_method additional_payer_notes |[payer_MEDICAID]|[plan_MEDICAID] standard_charge |[payer_MEDICARE]|[plan_MEDICARE] standard_charge |[payer_MEDICARE]|[plan_MEDICARE]|percent standard_charge |[payer_MEDICARE]|[plan_MEDICARE]|contracting_method additional_payer_notes |[payer_MEDICARE]|[plan_MEDICARE] standard_charge |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE]|percent standard_charge |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE]|contracting_method additional_payer_notes |[payer_MEDICIAD OUT OF STATE]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_MERITAIN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_MERITAIN HEALTH]|[plan_HMO/PPO]|percent standard_charge |[payer_MERITAIN HEALTH]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_MERITAIN HEALTH]|[plan_HMO/PPO] standard_charge |[payer_MGM MIRAGE]|[plan_HMO/PPO] standard_charge |[payer_MGM MIRAGE]|[plan_HMO/PPO]|percent standard_charge |[payer_MGM MIRAGE]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_MGM MIRAGE]|[plan_HMO/PPO] standard_charge |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO] standard_charge |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO]|percent standard_charge |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_MINES & ASSOCIATES]|[plan_HMO/PPO] standard_charge |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID] standard_charge |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_MOLINA MEDICAID NV]|[plan_MANAGED MEDICAID] standard_charge |[payer_ONECARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_ONECARE]|[plan_MANAGED MEDICARE]|percent standard_charge |[payer_ONECARE]|[plan_MANAGED MEDICARE]|contracting_method additional_payer_notes |[payer_ONECARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO] standard_charge |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO]|percent standard_charge |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_P3 HEALTH PARTNERS]|[plan_HMO/PPO] standard_charge |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO] standard_charge |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO]|percent standard_charge |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_PEBP HEALTHSCOPE]|[plan_HMO/PPO] standard_charge |[payer_PENDING NV MEDICAID]|[plan_MEDICAID] standard_charge |[payer_PENDING NV MEDICAID]|[plan_MEDICAID]|percent standard_charge |[payer_PENDING NV MEDICAID]|[plan_MEDICAID]|contracting_method additional_payer_notes |[payer_PENDING NV MEDICAID]|[plan_MEDICAID] standard_charge |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO] standard_charge |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO]|percent standard_charge |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_PLUMBERS/PIPEFITTERS 525]|[plan_HMO/PPO] standard_charge |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO]|percent standard_charge |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_PROMINENCE HEALTH PLAN]|[plan_HMO/PPO] standard_charge |[payer_SELECT HEALTH]|[plan_HMO/PPO] standard_charge |[payer_SELECT HEALTH]|[plan_HMO/PPO]|percent standard_charge |[payer_SELECT HEALTH]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_SELECT HEALTH]|[plan_HMO/PPO] standard_charge |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO] standard_charge |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO]|percent standard_charge |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_SIERRA HEALTH & LIFE]|[plan_HMO/PPO] standard_charge |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID] standard_charge |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_SILVERSUMMIT HEALTHPLAN]|[plan_MANAGED MEDICAID] standard_charge |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID] standard_charge |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID]|percent standard_charge |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID]|contracting_method additional_payer_notes |[payer_SMART CHOICE]|[plan_MANAGED MEDICAID] standard_charge |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE]|percent standard_charge |[payer_STEWARD HEALTH CHOICE AZ]|[plan_MCAID: OUT-OF-STATE]|contracting_method 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] standard_charge |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE]|percent standard_charge |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE]|contracting_method additional_payer_notes |[payer_STEWARD HEALTH CHOICE GEN]|[plan_MCAID: OUT-OF-STATE] standard_charge |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO] standard_charge |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO]|percent standard_charge |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_TEACHERS HEALTH TRUST]|[plan_HMO/PPO] standard_charge |[payer_TRICARE]|[plan_TRICARE] standard_charge |[payer_TRICARE]|[plan_TRICARE]|percent standard_charge |[payer_TRICARE]|[plan_TRICARE]|contracting_method additional_payer_notes |[payer_TRICARE]|[plan_TRICARE] standard_charge |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE]|percent standard_charge |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE]|contracting_method additional_payer_notes |[payer_UHC MEDICARE]|[plan_MANAGED MEDICARE] standard_charge |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE] standard_charge |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE]|percent standard_charge |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE]|contracting_method additional_payer_notes |[payer_UHC MEDICARE SOLUTIONS]|[plan_MANAGED MEDICARE] standard_charge |[payer_UMR BHO]|[plan_HMO/PPO] standard_charge |[payer_UMR BHO]|[plan_HMO/PPO]|percent standard_charge |[payer_UMR BHO]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_UMR BHO]|[plan_HMO/PPO] standard_charge |[payer_UMR PPO]|[plan_HMO/PPO] standard_charge |[payer_UMR PPO]|[plan_HMO/PPO]|percent standard_charge |[payer_UMR PPO]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_UMR PPO]|[plan_HMO/PPO] standard_charge |[payer_UMR VENETIAN]|[plan_HMO/PPO] standard_charge |[payer_UMR VENETIAN]|[plan_HMO/PPO]|percent standard_charge |[payer_UMR VENETIAN]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_UMR VENETIAN]|[plan_HMO/PPO] standard_charge |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO] standard_charge |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO]|percent standard_charge |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO]|contracting_method additional_payer_notes |[payer_UNITED BEHAVIORAL HEALTH]|[plan_HMO/PPO] additional_generic_notes R&B ADOL PSYCH 124 RC facility inpatient "2,200.00" 800 551 "1,342.00" "1,192.00" per diem "1,192.00" per diem 775 per diem 800 per diem "1,100.00" per diem 765 per diem 874 per diem 765 per diem 750 per diem 816.39 per diem 850 per diem "1,226.00" 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 "1,192.00" 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 "1,050.00" 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 "1,050.00" per diem 858 per diem 800 per diem 858 per diem 921 per diem "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 800 551 "1,342.00" "1,192.00" per diem "1,192.00" per diem 775 per diem 800 per diem "1,100.00" per diem 765 per diem 874 per diem 765 per diem 750 per diem 816.39 per diem 850 per diem "1,226.00" 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 "1,192.00" 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 "1,050.00" 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 "1,050.00" per diem 858 per diem 800 per diem 858 per diem 921 per diem "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 800 551 "1,342.00" "1,192.00" per diem "1,192.00" per diem 775 per diem 800 per diem "1,100.00" per diem 765 per diem 874 per diem 765 per diem 750 per diem 816.39 per diem 850 per diem "1,226.00" 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 "1,192.00" 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 "1,050.00" 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 "1,050.00" per diem 858 per diem 800 per diem 858 per diem 921 per diem "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 700 551 "1,342.00" "1,114.00" per diem "1,114.00" per diem 775 per diem 800 per diem "1,100.00" per diem 765 per diem 874 per diem 765 per diem 750 per diem 739.87 per diem 850 per diem "1,226.00" 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 "1,192.00" 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 "1,050.00" 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 "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 700 551 "1,342.00" "1,114.00" per diem "1,114.00" per diem 775 per diem 800 per diem "1,100.00" per diem 765 per diem 874 per diem 765 per diem 750 per diem 739.87 per diem 850 per diem "1,226.00" 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 "1,192.00" 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 "1,050.00" 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 "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 700 551 "1,342.00" "1,114.00" per diem "1,114.00" per diem 775 per diem 800 per diem "1,100.00" per diem 765 per diem 874 per diem 765 per diem 750 per diem 739.87 per diem 850 per diem "1,226.00" 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 "1,192.00" 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 "1,050.00" 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 "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 550 460 "1,342.00" "1,114.00" per diem "1,114.00" per diem 621 per diem 650 per diem 612 per diem 711 per diem 612 per diem 600 per diem "1,226.00" per diem 767 per diem 460 per diem 650 per diem 535 per diem 600 per diem 750 per diem "1,114.00" per diem 700 per diem 600 per diem 750 per diem 735 per diem "1,050.00" 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 "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 550 460 "1,342.00" "1,114.00" per diem "1,114.00" per diem 621 per diem 650 per diem 612 per diem 711 per diem 612 per diem 600 per diem "1,226.00" per diem 767 per diem 460 per diem 650 per diem 535 per diem 600 per diem 750 per diem "1,114.00" per diem 700 per diem 600 per diem 750 per diem 735 per diem "1,050.00" 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 "1,050.00" 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 "1,342.00" per diem "1,050.00" 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 "2,200.00" 0 237 237 237 per diem SNF ADULT R&B 160 RC facility inpatient "2,200.00" 0 237 237 237 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 114.4 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 114.4 per diem 194 110 221 328 per diem 110 per diem 275 per diem 194 per diem 114.4 per diem 114.4 per diem 165 per diem 114.4 per diem 179 per diem 114.4 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 114.4 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 114.4 per diem 194 per diem 110 per diem 221 per diem 328 per diem 110 per diem 275 per diem 194 per diem 114.4 per diem 114.4 per diem 165 per diem 114.4 per diem 179 per diem 114.4 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 114.4 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 114.4 per diem 194 per diem 110 per diem 221 per diem 328 per diem 110 per diem 275 per diem 194 per diem 114.4 per diem 400 114.4 per diem 165 per diem 114.4 per diem 179 per diem 114.4 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 114.4 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 114.4 per diem 194 per diem 110 per diem 221 per diem 328 per diem 110 per diem 275 per diem 194 per diem 114.4 per diem 400 per diem 114.4 per diem 165 per diem 114.4 per diem 179 per diem 114.4 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 243.26 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 243.26 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 243.26 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 243.26 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 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem CD GROUP THERAPY 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PHP CD PROCESS GRP 1 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PHP CD PROCESS GRP 4 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PHP GROUP THERAPY 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PHP MH ADOL PROCESS 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PHP MH ADOLESCENT 915 RC facility outpatient 875 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PHP MH PROCESS GRP 4 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PHP MH PROCESS GRP 5 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem PSY CHECK IN/PROCESS 915 RC facility outpatient 175 250 239.37 681 681 per diem 285 per diem 243.26 per diem 292.33 per diem 287.65 per diem 484 per diem 287.65 per diem 239.37 per diem 292.33 per diem