"hospital_Red River Hospital, LLC"	last_updated_ 2023-12-31	version_1	"hospital_Wichata Fall,Texas "	hospital_address 1505 Eighth Street		license_008749 | TX	"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 HEALTH PLANS   HMO/PPO]	standard_charge|[payer_AETNA HEALTH PLANS   HMO/PPO] |percent	standard_charge|[payer_AETNA HEALTH PLANS   HMO/PPO] |contracting_method	additional_payer_notes |[payer_AETNA HEALTH PLANS   HMO/PPO]	standard_charge|[payer_AETNA MEDICARE   MANAGED MEDICARE]	standard_charge|[payer_AETNA MEDICARE   MANAGED MEDICARE] |percent	standard_charge|[payer_AETNA MEDICARE   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AETNA MEDICARE   MANAGED MEDICARE]	standard_charge|[payer_ALLIED   HMO/PPO]	standard_charge|[payer_ALLIED   HMO/PPO] |percent	standard_charge|[payer_ALLIED   HMO/PPO] |contracting_method	additional_payer_notes |[payer_ALLIED   HMO/PPO]	standard_charge|[payer_ALLWELL BY SUPERIOR   MANAGED MEDICARE]	standard_charge|[payer_ALLWELL BY SUPERIOR   MANAGED MEDICARE] |percent	standard_charge|[payer_ALLWELL BY SUPERIOR   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_ALLWELL BY SUPERIOR   MANAGED MEDICARE]	standard_charge|[payer_AMERICAN HEALTH PLAN   COMMERCIAL]	standard_charge|[payer_AMERICAN HEALTH PLAN   COMMERCIAL] |percent	standard_charge|[payer_AMERICAN HEALTH PLAN   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_AMERICAN HEALTH PLAN   COMMERCIAL]	standard_charge|[payer_AMERIGROUP   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_AMERIGROUP   MANAGED MEDICAID UNDER 21] |percent	standard_charge|[payer_AMERIGROUP   MANAGED MEDICAID UNDER 21] |contracting_method	additional_payer_notes |[payer_AMERIGROUP   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_AMERIGROUP   MANAGED MEDICAID 22-64]	standard_charge|[payer_AMERIGROUP   MANAGED MEDICAID 22-64] |percent	standard_charge|[payer_AMERIGROUP   MANAGED MEDICAID 22-64] |contracting_method	additional_payer_notes |[payer_AMERIGROUP   MANAGED MEDICAID 22-64]	standard_charge|[payer_BCBS FEDERAL   BLUE CROSS]	standard_charge|[payer_BCBS FEDERAL   BLUE CROSS] |percent	standard_charge|[payer_BCBS FEDERAL   BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS FEDERAL   BLUE CROSS]	standard_charge|[payer_BCBS MANAGED MCR   MANAGED MEDICARE]	standard_charge|[payer_BCBS MANAGED MCR   MANAGED MEDICARE] |percent	standard_charge|[payer_BCBS MANAGED MCR   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_BCBS MANAGED MCR   MANAGED MEDICARE]	standard_charge|[payer_BCBS TEXAS   BLUE CROSS]	standard_charge|[payer_BCBS TEXAS   BLUE CROSS] |percent	standard_charge|[payer_BCBS TEXAS   BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS TEXAS   BLUE CROSS]	standard_charge|[payer_BCBS TEXAS HEALTH SELECT   BLUE CROSS]	standard_charge|[payer_BCBS TEXAS HEALTH SELECT   BLUE CROSS] |percent	standard_charge|[payer_BCBS TEXAS HEALTH SELECT   BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS TEXAS HEALTH SELECT   BLUE CROSS]	standard_charge|[payer_BEACON HEALTH OPTIONS   HMO/PPO]	standard_charge|[payer_BEACON HEALTH OPTIONS   HMO/PPO] |percent	standard_charge|[payer_BEACON HEALTH OPTIONS   HMO/PPO] |contracting_method	additional_payer_notes |[payer_BEACON HEALTH OPTIONS   HMO/PPO]	standard_charge|[payer_BETTY HARDWICK MHMR   LOCAL GOVT]	standard_charge|[payer_BETTY HARDWICK MHMR   LOCAL GOVT] |percent	standard_charge|[payer_BETTY HARDWICK MHMR   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_BETTY HARDWICK MHMR   LOCAL GOVT]	standard_charge|[payer_CARE IMPROV PLUS MCR REPL   MANAGED MEDICARE]	standard_charge|[payer_CARE IMPROV PLUS MCR REPL   MANAGED MEDICARE] |percent	standard_charge|[payer_CARE IMPROV PLUS MCR REPL   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_CARE IMPROV PLUS MCR REPL   MANAGED MEDICARE]	standard_charge|[payer_CARE IMPROVEMENT PLUS   MANAGED MEDICARE]	standard_charge|[payer_CARE IMPROVEMENT PLUS   MANAGED MEDICARE] |percent	standard_charge|[payer_CARE IMPROVEMENT PLUS   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_CARE IMPROVEMENT PLUS   MANAGED MEDICARE]	standard_charge|[payer_CENPATICO   MANAGED MEDICAID]	standard_charge|[payer_CENPATICO   MANAGED MEDICAID] |percent	standard_charge|[payer_CENPATICO   MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_CENPATICO   MANAGED MEDICAID]	standard_charge|[payer_CENPATICO *DO NOT USE*   MANAGED MEDICAID]	standard_charge|[payer_CENPATICO *DO NOT USE*   MANAGED MEDICAID] |percent	standard_charge|[payer_CENPATICO *DO NOT USE*   MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_CENPATICO *DO NOT USE*   MANAGED MEDICAID]	standard_charge|[payer_CENTER FOR LIFE RESOURCES   LOCAL GOVT]	standard_charge|[payer_CENTER FOR LIFE RESOURCES   LOCAL GOVT] |percent	standard_charge|[payer_CENTER FOR LIFE RESOURCES   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_CENTER FOR LIFE RESOURCES   LOCAL GOVT]	standard_charge|[payer_CHARITY   SELF PAY CHARITY]	standard_charge|[payer_CHARITY   SELF PAY CHARITY] |percent	standard_charge|[payer_CHARITY   SELF PAY CHARITY] |contracting_method	additional_payer_notes |[payer_CHARITY   SELF PAY CHARITY]	standard_charge|[payer_CIGNA   HMO/PPO]	standard_charge|[payer_CIGNA   HMO/PPO] |percent	standard_charge|[payer_CIGNA   HMO/PPO] |contracting_method	additional_payer_notes |[payer_CIGNA   HMO/PPO]	standard_charge|[payer_CIGNA HEALTH SPRINGS   MANAGED MEDICAID]	standard_charge|[payer_CIGNA HEALTH SPRINGS   MANAGED MEDICAID] |percent	standard_charge|[payer_CIGNA HEALTH SPRINGS   MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_CIGNA HEALTH SPRINGS   MANAGED MEDICAID]	standard_charge|[payer_COMPSYCH   HMO/PPO]	standard_charge|[payer_COMPSYCH   HMO/PPO] |percent	standard_charge|[payer_COMPSYCH   HMO/PPO] |contracting_method	additional_payer_notes |[payer_COMPSYCH   HMO/PPO]	standard_charge|[payer_COOKS CHILDRENS HEALTH   MANAGED MEDICAID]	standard_charge|[payer_COOKS CHILDRENS HEALTH   MANAGED MEDICAID] |percent	standard_charge|[payer_COOKS CHILDRENS HEALTH   MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_COOKS CHILDRENS HEALTH   MANAGED MEDICAID]	standard_charge|[payer_DENTON COUNTY MHMR   LOCAL GOVT]	standard_charge|[payer_DENTON COUNTY MHMR   LOCAL GOVT] |percent	standard_charge|[payer_DENTON COUNTY MHMR   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_DENTON COUNTY MHMR   LOCAL GOVT]	standard_charge|[payer_EMI HEALTH   COMMERCIAL]	standard_charge|[payer_EMI HEALTH   COMMERCIAL] |percent	standard_charge|[payer_EMI HEALTH   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_EMI HEALTH   COMMERCIAL]	standard_charge|[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID UNDER 21] |percent	standard_charge|[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID UNDER 21] |contracting_method	additional_payer_notes |[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID 22-64]	standard_charge|[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID 22-64] |percent	standard_charge|[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID 22-64] |contracting_method	additional_payer_notes |[payer_FIRST CARE HEALTH PLAN   MANAGED MEDICAID 22-64]	standard_charge|[payer_GEHA   COMMERCIAL]	standard_charge|[payer_GEHA   COMMERCIAL] |percent	standard_charge|[payer_GEHA   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_GEHA   COMMERCIAL]	standard_charge|[payer_GILSBAR   HMO/PPO]	standard_charge|[payer_GILSBAR   HMO/PPO] |percent	standard_charge|[payer_GILSBAR   HMO/PPO] |contracting_method	additional_payer_notes |[payer_GILSBAR   HMO/PPO]	standard_charge|[payer_GREAT WEST   HMO/PPO]	standard_charge|[payer_GREAT WEST   HMO/PPO] |percent	standard_charge|[payer_GREAT WEST   HMO/PPO] |contracting_method	additional_payer_notes |[payer_GREAT WEST   HMO/PPO]	standard_charge|[payer_GROUP RESOURCES   COMMERCIAL]	standard_charge|[payer_GROUP RESOURCES   COMMERCIAL] |percent	standard_charge|[payer_GROUP RESOURCES   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_GROUP RESOURCES   COMMERCIAL]	standard_charge|[payer_HAWAII MAINLAND ADMIN   COMMERCIAL]	standard_charge|[payer_HAWAII MAINLAND ADMIN   COMMERCIAL] |percent	standard_charge|[payer_HAWAII MAINLAND ADMIN   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_HAWAII MAINLAND ADMIN   COMMERCIAL]	standard_charge|[payer_HEALTH CHOICE   HMO/PPO]	standard_charge|[payer_HEALTH CHOICE   HMO/PPO] |percent	standard_charge|[payer_HEALTH CHOICE   HMO/PPO] |contracting_method	additional_payer_notes |[payer_HEALTH CHOICE   HMO/PPO]	standard_charge|[payer_HEALTHSMART   HMO/PPO]	standard_charge|[payer_HEALTHSMART   HMO/PPO] |percent	standard_charge|[payer_HEALTHSMART   HMO/PPO] |contracting_method	additional_payer_notes |[payer_HEALTHSMART   HMO/PPO]	standard_charge|[payer_HELEN FARABEE   LOCAL GOVT]	standard_charge|[payer_HELEN FARABEE   LOCAL GOVT] |percent	standard_charge|[payer_HELEN FARABEE   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_HELEN FARABEE   LOCAL GOVT]	standard_charge|[payer_HUMANA   COMMERCIAL]	standard_charge|[payer_HUMANA   COMMERCIAL] |percent	standard_charge|[payer_HUMANA   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_HUMANA   COMMERCIAL]	standard_charge|[payer_HUMANA   HMO/PPO]	standard_charge|[payer_HUMANA   HMO/PPO] |percent	standard_charge|[payer_HUMANA   HMO/PPO] |contracting_method	additional_payer_notes |[payer_HUMANA   HMO/PPO]	standard_charge|[payer_HUMANA   MANAGED MEDICARE]	standard_charge|[payer_HUMANA   MANAGED MEDICARE] |percent	standard_charge|[payer_HUMANA   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_HUMANA   MANAGED MEDICARE]	standard_charge|[payer_INDIAN HEALTH SERVICES   HMO/PPO]	standard_charge|[payer_INDIAN HEALTH SERVICES   HMO/PPO] |percent	standard_charge|[payer_INDIAN HEALTH SERVICES   HMO/PPO] |contracting_method	additional_payer_notes |[payer_INDIAN HEALTH SERVICES   HMO/PPO]	standard_charge|[payer_INDIAN HEALTH SERVICES   HMO/PPO PHYSICIAN]	standard_charge|[payer_INDIAN HEALTH SERVICES   HMO/PPO PHYSICIAN] |percent	standard_charge|[payer_INDIAN HEALTH SERVICES   HMO/PPO PHYSICIAN] |contracting_method	additional_payer_notes |[payer_INDIAN HEALTH SERVICES   HMO/PPO PHYSICIAN]	standard_charge|[payer_KEMPTON GROUP   COMMERCIAL]	standard_charge|[payer_KEMPTON GROUP   COMMERCIAL] |percent	standard_charge|[payer_KEMPTON GROUP   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_KEMPTON GROUP   COMMERCIAL]	standard_charge|[payer_LIFE SYNCH   COMMERCIAL]	standard_charge|[payer_LIFE SYNCH   COMMERCIAL] |percent	standard_charge|[payer_LIFE SYNCH   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_LIFE SYNCH   COMMERCIAL]	standard_charge|[payer_MAGELLAN BEHAVIORAL HEAL   HMO/PPO]	standard_charge|[payer_MAGELLAN BEHAVIORAL HEAL   HMO/PPO] |percent	standard_charge|[payer_MAGELLAN BEHAVIORAL HEAL   HMO/PPO] |contracting_method	additional_payer_notes |[payer_MAGELLAN BEHAVIORAL HEAL   HMO/PPO]	standard_charge|[payer_MAIL HANDLERS   HMO/PPO]	standard_charge|[payer_MAIL HANDLERS   HMO/PPO] |percent	standard_charge|[payer_MAIL HANDLERS   HMO/PPO] |contracting_method	additional_payer_notes |[payer_MAIL HANDLERS   HMO/PPO]	standard_charge|[payer_MAIL HANDLERS BEN PLAN   HMO/PPO]	standard_charge|[payer_MAIL HANDLERS BEN PLAN   HMO/PPO] |percent	standard_charge|[payer_MAIL HANDLERS BEN PLAN   HMO/PPO] |contracting_method	additional_payer_notes |[payer_MAIL HANDLERS BEN PLAN   HMO/PPO]	standard_charge|[payer_MEDICAID NHIC   MEDICAID]	standard_charge|[payer_MEDICAID NHIC   MEDICAID] |percent	standard_charge|[payer_MEDICAID NHIC   MEDICAID] |contracting_method	additional_payer_notes |[payer_MEDICAID NHIC   MEDICAID]	standard_charge|[payer_MEDICARE TX   MEDICARE]	standard_charge|[payer_MEDICARE TX   MEDICARE] |percent	standard_charge|[payer_MEDICARE TX   MEDICARE] |contracting_method	additional_payer_notes |[payer_MEDICARE TX   MEDICARE]	standard_charge|[payer_MENTAL HEALTH NETWORK   HMO/PPO]	standard_charge|[payer_MENTAL HEALTH NETWORK   HMO/PPO] |percent	standard_charge|[payer_MENTAL HEALTH NETWORK   HMO/PPO] |contracting_method	additional_payer_notes |[payer_MENTAL HEALTH NETWORK   HMO/PPO]	standard_charge|[payer_MERITAIN HEALTH   HMO/PPO]	standard_charge|[payer_MERITAIN HEALTH   HMO/PPO] |percent	standard_charge|[payer_MERITAIN HEALTH   HMO/PPO] |contracting_method	additional_payer_notes |[payer_MERITAIN HEALTH   HMO/PPO]	standard_charge|[payer_MISC INSURANCE   COMMERCIAL]	standard_charge|[payer_MISC INSURANCE   COMMERCIAL] |percent	standard_charge|[payer_MISC INSURANCE   COMMERCIAL] |contracting_method	additional_payer_notes |[payer_MISC INSURANCE   COMMERCIAL]	standard_charge|[payer_MOLINA HEALTHCARE   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_MOLINA HEALTHCARE   MANAGED MEDICAID UNDER 21] |percent	standard_charge|[payer_MOLINA HEALTHCARE   MANAGED MEDICAID UNDER 21] |contracting_method	additional_payer_notes |[payer_MOLINA HEALTHCARE   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_MOLINA HEALTHCARE   MANAGED MEDICAID 22-64]	standard_charge|[payer_MOLINA HEALTHCARE   MANAGED MEDICAID 22-64] |percent	standard_charge|[payer_MOLINA HEALTHCARE   MANAGED MEDICAID 22-64] |contracting_method	additional_payer_notes |[payer_MOLINA HEALTHCARE   MANAGED MEDICAID 22-64]	standard_charge|[payer_OKLAHOMA HEALTH CARE AUTH   MEDICAID]	standard_charge|[payer_OKLAHOMA HEALTH CARE AUTH   MEDICAID] |percent	standard_charge|[payer_OKLAHOMA HEALTH CARE AUTH   MEDICAID] |contracting_method	additional_payer_notes |[payer_OKLAHOMA HEALTH CARE AUTH   MEDICAID]	standard_charge|[payer_OPTUM HEALTH   HMO/PPO]	standard_charge|[payer_OPTUM HEALTH   HMO/PPO] |percent	standard_charge|[payer_OPTUM HEALTH   HMO/PPO] |contracting_method	additional_payer_notes |[payer_OPTUM HEALTH   HMO/PPO]	standard_charge|[payer_OPTUM HEALTH   MANAGED MEDICARE]	standard_charge|[payer_OPTUM HEALTH   MANAGED MEDICARE] |percent	standard_charge|[payer_OPTUM HEALTH   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_OPTUM HEALTH   MANAGED MEDICARE]	standard_charge|[payer_PECAN VALLEY   LOCAL GOVT]	standard_charge|[payer_PECAN VALLEY   LOCAL GOVT] |percent	standard_charge|[payer_PECAN VALLEY   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_PECAN VALLEY   LOCAL GOVT]	standard_charge|[payer_REGENCE BLUE SHIELD   BLUE CROSS]	standard_charge|[payer_REGENCE BLUE SHIELD   BLUE CROSS] |percent	standard_charge|[payer_REGENCE BLUE SHIELD   BLUE CROSS] |contracting_method	additional_payer_notes |[payer_REGENCE BLUE SHIELD   BLUE CROSS]	standard_charge|[payer_SECURE HORIZONS   MANAGED MEDICARE]	standard_charge|[payer_SECURE HORIZONS   MANAGED MEDICARE] |percent	standard_charge|[payer_SECURE HORIZONS   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_SECURE HORIZONS   MANAGED MEDICARE]	standard_charge|[payer_STARCARE SPECIALTY HEALTH   LOCAL GOVT]	standard_charge|[payer_STARCARE SPECIALTY HEALTH   LOCAL GOVT] |percent	standard_charge|[payer_STARCARE SPECIALTY HEALTH   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_STARCARE SPECIALTY HEALTH   LOCAL GOVT]	standard_charge|[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID UNDER 21] |percent	standard_charge|[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID UNDER 21] |contracting_method	additional_payer_notes |[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID UNDER 21]	standard_charge|[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID 22-64]	standard_charge|[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID 22-64] |percent	standard_charge|[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID 22-64] |contracting_method	additional_payer_notes |[payer_SUPERIOR HEALTH PLAN   MANAGED MEDICAID 22-64]	standard_charge|[payer_SUREST   HMO/PPO]	standard_charge|[payer_SUREST   HMO/PPO] |percent	standard_charge|[payer_SUREST   HMO/PPO] |contracting_method	additional_payer_notes |[payer_SUREST   HMO/PPO]	standard_charge|[payer_TEXOMA COMMUNITY CENTER   LOCAL GOVT]	standard_charge|[payer_TEXOMA COMMUNITY CENTER   LOCAL GOVT] |percent	standard_charge|[payer_TEXOMA COMMUNITY CENTER   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_TEXOMA COMMUNITY CENTER   LOCAL GOVT]	standard_charge|[payer_TML INTERGOVERNMENTAL   HMO/PPO]	standard_charge|[payer_TML INTERGOVERNMENTAL   HMO/PPO] |percent	standard_charge|[payer_TML INTERGOVERNMENTAL   HMO/PPO] |contracting_method	additional_payer_notes |[payer_TML INTERGOVERNMENTAL   HMO/PPO]	standard_charge|[payer_TRICARE EAST   TRICARE]	standard_charge|[payer_TRICARE EAST   TRICARE] |percent	standard_charge|[payer_TRICARE EAST   TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE EAST   TRICARE]	standard_charge|[payer_TRICARE EAST ACTIVE DUTY   TRICARE]	standard_charge|[payer_TRICARE EAST ACTIVE DUTY   TRICARE] |percent	standard_charge|[payer_TRICARE EAST ACTIVE DUTY   TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE EAST ACTIVE DUTY   TRICARE]	standard_charge|[payer_TRICARE EAST DEPENDENT   TRICARE]	standard_charge|[payer_TRICARE EAST DEPENDENT   TRICARE] |percent	standard_charge|[payer_TRICARE EAST DEPENDENT   TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE EAST DEPENDENT   TRICARE]	standard_charge|[payer_TRICARE FOR LIFE   TRICARE]	standard_charge|[payer_TRICARE FOR LIFE   TRICARE] |percent	standard_charge|[payer_TRICARE FOR LIFE   TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE FOR LIFE   TRICARE]	standard_charge|[payer_TRICARE FOR LIFE   TRICARE PHYSICIAN]	standard_charge|[payer_TRICARE FOR LIFE   TRICARE PHYSICIAN] |percent	standard_charge|[payer_TRICARE FOR LIFE   TRICARE PHYSICIAN] |contracting_method	additional_payer_notes |[payer_TRICARE FOR LIFE   TRICARE PHYSICIAN]	standard_charge|[payer_TRICARE NORTH REGION   TRICARE]	standard_charge|[payer_TRICARE NORTH REGION   TRICARE] |percent	standard_charge|[payer_TRICARE NORTH REGION   TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE NORTH REGION   TRICARE]	standard_charge|[payer_TRICARE OVERSEAS   TRICARE]	standard_charge|[payer_TRICARE OVERSEAS   TRICARE] |percent	standard_charge|[payer_TRICARE OVERSEAS   TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE OVERSEAS   TRICARE]	standard_charge|[payer_TRICARE WEST   TRICARE]	standard_charge|[payer_TRICARE WEST   TRICARE] |percent	standard_charge|[payer_TRICARE WEST   TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE WEST   TRICARE]	standard_charge|[payer_TRIWEST VA CCN CLAIMS   VETERANS ADMIN]	standard_charge|[payer_TRIWEST VA CCN CLAIMS   VETERANS ADMIN] |percent	standard_charge|[payer_TRIWEST VA CCN CLAIMS   VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_TRIWEST VA CCN CLAIMS   VETERANS ADMIN]	standard_charge|[payer_TX DFPS   LOCAL GOVT]	standard_charge|[payer_TX DFPS   LOCAL GOVT] |percent	standard_charge|[payer_TX DFPS   LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_TX DFPS   LOCAL GOVT]	standard_charge|[payer_UBH MANAGED MEDICAID   MANAGED MEDICAID]	standard_charge|[payer_UBH MANAGED MEDICAID   MANAGED MEDICAID] |percent	standard_charge|[payer_UBH MANAGED MEDICAID   MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_UBH MANAGED MEDICAID   MANAGED MEDICAID]	standard_charge|[payer_UMR   HMO/PPO]	standard_charge|[payer_UMR   HMO/PPO] |percent	standard_charge|[payer_UMR   HMO/PPO] |contracting_method	additional_payer_notes |[payer_UMR   HMO/PPO]	standard_charge|[payer_UNITED BEHAVIORAL HEALTH   HMO/PPO]	standard_charge|[payer_UNITED BEHAVIORAL HEALTH   HMO/PPO] |percent	standard_charge|[payer_UNITED BEHAVIORAL HEALTH   HMO/PPO] |contracting_method	additional_payer_notes |[payer_UNITED BEHAVIORAL HEALTH   HMO/PPO]	standard_charge|[payer_UNITED BEHAVIORAL HEALTH   MANAGED MEDICAID]	standard_charge|[payer_UNITED BEHAVIORAL HEALTH   MANAGED MEDICAID] |percent	standard_charge|[payer_UNITED BEHAVIORAL HEALTH   MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_UNITED BEHAVIORAL HEALTH   MANAGED MEDICAID]	standard_charge|[payer_VHA OFFICE OF COMMUNITY   VETERANS ADMIN]	standard_charge|[payer_VHA OFFICE OF COMMUNITY   VETERANS ADMIN] |percent	standard_charge|[payer_VHA OFFICE OF COMMUNITY   VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_VHA OFFICE OF COMMUNITY   VETERANS ADMIN]	standard_charge|[payer_WEB TPA   HMO/PPO]	standard_charge|[payer_WEB TPA   HMO/PPO] |percent	standard_charge|[payer_WEB TPA   HMO/PPO] |contracting_method	additional_payer_notes |[payer_WEB TPA   HMO/PPO]	standard_charge|[payer_WELLCARE   MANAGED MEDICARE]	standard_charge|[payer_WELLCARE   MANAGED MEDICARE] |percent	standard_charge|[payer_WELLCARE   MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_WELLCARE   MANAGED MEDICARE]
ADOL ROOM & BOARD	124	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem		1072.44		per diem		782.8		per diem		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem		498		per diem		550		per diem		675		per diem		683.07		per diem		498.59		per diem		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		575		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		724		per diem				 		650		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem		842.55		per diem		615		per diem				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 		850		per diem				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
ADULT ROOM & BOARD	124	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem		1072.44		per diem		782.8		per diem		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem		498		per diem		550		per diem		675		per diem		683.07		per diem		498.59		per diem		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		575		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		724		per diem				 		650		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem		842.55		per diem		615		per diem				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 		850		per diem				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
CHILD ROOM & BOARD	124	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem		1072.44		per diem		782.8		per diem		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem		498		per diem		550		per diem		675		per diem		683.07		per diem		498.59		per diem		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		575		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		724		per diem				 		650		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem		842.55		per diem		615		per diem				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 		850		per diem				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
GERIACTRICATRIC ROOM & BOARD	124	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem		1072.44		per diem		782.8		per diem		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem		498		per diem		550		per diem		675		per diem		683.07		per diem		498.59		per diem		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		575		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		724		per diem				 		650		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem		842.55		per diem		615		per diem				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 		850		per diem				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
MILITARY ROOM & BOARD	124	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem		1072.44		per diem		782.8		per diem		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem		498		per diem		550		per diem		675		per diem		683.07		per diem		498.59		per diem		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		575		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		724		per diem				 		650		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem		842.55		per diem		615		per diem				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 		850		per diem				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
PICU ROOM AND BOARD	124	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem		1072.44		per diem		782.8		per diem		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem		498		per diem		550		per diem		675		per diem		683.07		per diem		498.59		per diem		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		575		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		724		per diem				 		650		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem		842.55		per diem		615		per diem				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 		850		per diem				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
SUBACUT ROOM & BOARD	124	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem		1072.44		per diem		782.8		per diem		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem		498		per diem		550		per diem		675		per diem		683.07		per diem		498.59		per diem		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		575		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		650		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem		842.55		per diem		615		per diem				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 		850		per diem				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
ADULT CD-DETOX/2 BED	126	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
ADULT DETOX ROOM & BOARD	126	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
GERIACTRIC CD-DETOX/2 BED	126	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
MILIT CD-DETOX/2 BED	126	RC	facility	Inpatient				2060	675	400	1090	750		per diem		694		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		565		per diem		694		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem		700		per diem	
ADULT CD/REHAB/2BED	128	RC	facility	Inpatient				2060	675	400	1090	750		per diem		627		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		515		per diem		627		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem				 	
ADULT REHAB R&B	128	RC	facility	Inpatient				2060	675	400	1090	750		per diem		627		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		515		per diem		627		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem				 	
GERIACTRIC CD/REHAB/2 BED	128	RC	facility	Inpatient				2060	675	400	1090	750		per diem		627		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		515		per diem		627		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem				 	
MILIT CD/REHAB/2BED	128	RC	facility	Inpatient				2060	675	400	1090	750		per diem		627		per diem		675		per diem		675		per diem		675		per diem				 				 		805		per diem		760		per diem		805		per diem		753		per diem		754		per diem		635		per diem		725		per diem		725		per diem			 	 		550		per diem		590		per diem		675		per diem		782		per diem		498		per diem		400		per diem				 		550		per diem		675		per diem				 				 		725		per diem		782		per diem		754		per diem		700		per diem		675		per diem		754		per diem		530		per diem		700		per diem			 	 		624		per diem				 		652		per diem		652		per diem		782		per diem				 		624		per diem		725		per diem		725		per diem		498		per diem		869		drg		515		per diem		627		per diem		675		per diem		799		per diem		650		per diem		596		per diem		725		per diem		725		per diem		660		per diem		760		per diem		725		per diem		700		per diem				 				 				 		700		per diem		725		per diem				 		1035		per diem		1035		per diem		869		per diem		869		per diem				 		962		per diem		1090		per diem				 				 				 		725		per diem		769		per diem		725		per diem		869		drg		514		per diem				 	
INTENSIVE OUTPATIENT PROGRAM ADOL	905	RC	facility	Outpatient				525	150	125	450	195		per diem				 				 				 				 				 				 		240		per diem				 		240		per diem		228		per diem		450		per diem				 		165		per diem		320		per diem		125	 	per diem				 				 				 		191		per diem		125		per diem		150		per diem		134		per diem				 				 				 				 				 		191		per diem				 				 				 		150		per diem		125		per diem				 		173	 	per diem				 		246		per diem				 				 		191		per diem		150		per diem		156		per diem				 				 				 				 				 		161		per diem				 		175		per diem		175		per diem				 				 		165		per diem				 				 				 				 		134		per diem		134		per diem		165		per diem				 				 				 		246		per diem				 				 				 		173		per diem		173		per diem		246		per diem				 				 		160		per diem		160		per diem		165		per diem				 				 		390		per diem		165		per diem	
INTENSIVE OUTPATIENT PROGRAM ADULT	905	RC	facility	Outpatient				525	150	125	450	195		per diem				 				 				 				 				 				 		240		per diem				 		240		per diem		228		per diem		450		per diem				 		165		per diem		320		per diem		125	 	per diem				 				 				 		191		per diem		125		per diem		150		per diem		134		per diem				 				 				 				 				 		191		per diem				 				 				 		150		per diem		125		per diem				 		173	 	per diem				 		246		per diem				 				 		191		per diem		150		per diem		156		per diem				 				 				 				 				 		161		per diem				 		175		per diem		175		per diem				 				 		165		per diem				 				 				 				 		134		per diem		134		per diem		165		per diem				 				 				 		246		per diem				 				 				 		173		per diem		173		per diem		246		per diem				 				 		160		per diem		160		per diem		165		per diem				 				 		390		per diem		165		per diem	
INTENSIVE OUTPATIENT PROGRAM CD	906	RC	facility	Outpatient				350	150	125	450			 				 				 				 				 				 				 		281		per diem				 		281		per diem				 		450		per diem				 		165		per diem		320		per diem		125	 	per diem				 				 				 		191		per diem				 				 		134		per diem				 				 				 				 				 		191		per diem				 				 				 		150		per diem		125		per diem				 		173	 	per diem				 		246		per diem				 				 		191		per diem		150		per diem		156		per diem				 				 				 				 				 				 				 		175		per diem		175		per diem				 				 		165		per diem				 				 				 				 		134		per diem		134		per diem		165		per diem				 				 				 		246		per diem				 				 				 		173		per diem		173		per diem		246		per diem				 				 				 		160		per diem		165		per diem				 				 				 		165		per diem	
PARTIAL HOSPITAL PROGRAM ADULT CD	912	RC	facility	Outpatient				550	250	189	864	378		per diem				 				 				 				 				 				 		450		per diem				 		450		per diem		428		per diem		864		per diem				 		310		per diem		620		per diem		250	 	per diem				 				 				 		310		per diem		250		per diem		250		per diem		268		per diem				 				 				 				 				 		329		per diem				 				 				 		250		per diem		235		per diem				 		189	 	per diem				 		246		per diem				 				 		329		per diem		250		per diem		312		per diem				 				 				 		246		per diem				 		311		per diem				 		350		per diem		350		per diem				 				 		310		per diem				 				 				 				 		268		per diem		268		per diem		310		per diem				 				 		246		per diem		246		per diem				 				 				 		189		per diem		193		per diem		246		per diem		246		per diem				 		310		per diem		310		per diem		310		per diem				 		202		per diem		756		per diem		275		per diem	
PARTIAL HOSPITAL PROGRAM ADULT FULL DAY	912	RC	facility	Outpatient				824	250	189	864	378		per diem				 				 				 				 				 				 		450		per diem				 		450		per diem		428		per diem		864		per diem				 		310		per diem		620		per diem		250	 	per diem				 				 				 		310		per diem		250		per diem		250		per diem		268		per diem				 				 				 				 				 		329		per diem				 				 				 		250		per diem		235		per diem				 		189	 	per diem				 		246		per diem				 				 		329		per diem		250		per diem		312		per diem				 				 				 		246		per diem				 		311		per diem				 		350		per diem		350		per diem				 				 		310		per diem				 				 				 				 		268		per diem		268		per diem		310		per diem				 				 		246		per diem		246		per diem				 				 				 		189		per diem		193		per diem		246		per diem		246		per diem				 		310		per diem		310		per diem		310		per diem				 		202		per diem		756		per diem		275		per diem	
PARTIAL HOSPITAL PROGRAM GERIACTRICATRIC	912	RC	facility	Outpatient				550	250	189	864	378		per diem				 				 				 				 				 				 		450		per diem				 		450		per diem		428		per diem		864		per diem				 		310		per diem		620		per diem		250	 	per diem				 				 				 		310		per diem		250		per diem		250		per diem		268		per diem				 				 				 				 				 		329		per diem				 				 				 		250		per diem		235		per diem				 		189	 	per diem				 		246		per diem				 				 		329		per diem		250		per diem		312		per diem				 				 				 		246		per diem				 		311		per diem				 		350		per diem		350		per diem				 				 		310		per diem				 				 				 				 		268		per diem		268		per diem		310		per diem				 				 		246		per diem		246		per diem				 				 				 		189		per diem		193		per diem		246		per diem		246		per diem				 		310		per diem		310		per diem		310		per diem				 		202		per diem		756		per diem		275		per diem