"hospital_Valley Behavioral Health System, LLC" last_updated_ 2023-12-31 version_1 "hospital_Barling, Arkansas" hospital_address 10301 Mayo Drive license_ AR5044 | AR "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_AARP HEALTH CARE OPTIONS|HMO/PPO] standard_charge|[payer_AARP HEALTH CARE OPTIONS|HMO/PPO] |percent standard_charge|[payer_AARP HEALTH CARE OPTIONS|HMO/PPO] |contracting_method additional_payer_notes |[payer_AARP HEALTH CARE OPTIONS|HMO/PPO] standard_charge|[payer_AARP | MEDICARE ADVANTAGE] standard_charge|[payer_AARP | MEDICARE ADVANTAGE] |percent standard_charge|[payer_AARP | MEDICARE ADVANTAGE] |contracting_method additional_payer_notes |[payer_AARP | MEDICARE ADVANTAGE] standard_charge|[payer_AETNA|HMO/PPO] standard_charge|[payer_AETNA|HMO/PPO] |percent standard_charge|[payer_AETNA|HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA|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_ALLWELL MEDICARE|MANAGED MEDICARE] standard_charge|[payer_ALLWELL MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_ALLWELL MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_ALLWELL MEDICARE|MANAGED MEDICARE] standard_charge|[payer_AMBETTER OF ARKANSAS|HMO/PPO] standard_charge|[payer_AMBETTER OF ARKANSAS|HMO/PPO] |percent standard_charge|[payer_AMBETTER OF ARKANSAS|HMO/PPO] |contracting_method additional_payer_notes |[payer_AMBETTER OF ARKANSAS|HMO/PPO] standard_charge|[payer_AMBETTER OF ARKANSAS|HMO/PPO PHYSICIAN] standard_charge|[payer_AMBETTER OF ARKANSAS|HMO/PPO PHYSICIAN] |percent standard_charge|[payer_AMBETTER OF ARKANSAS|HMO/PPO PHYSICIAN] |contracting_method additional_payer_notes |[payer_AMBETTER OF ARKANSAS|HMO/PPO PHYSICIAN] standard_charge|[payer_ANTHEM MEDIBLUE PLUS CA|MANAGED MEDICARE] standard_charge|[payer_ANTHEM MEDIBLUE PLUS CA|MANAGED MEDICARE] |percent standard_charge|[payer_ANTHEM MEDIBLUE PLUS CA|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_ANTHEM MEDIBLUE PLUS CA|MANAGED MEDICARE] standard_charge|[payer_AR MEDICAID 21 OVER|MEDICAID ] standard_charge|[payer_AR MEDICAID 21 OVER|MEDICAID ] |percent standard_charge|[payer_AR MEDICAID 21 OVER|MEDICAID ] |contracting_method additional_payer_notes |[payer_AR MEDICAID 21 OVER|MEDICAID ] standard_charge|[payer_AR MEDICAID PENDING|PENDING MEDICAID] standard_charge|[payer_AR MEDICAID PENDING|PENDING MEDICAID] |percent standard_charge|[payer_AR MEDICAID PENDING|PENDING MEDICAID] |contracting_method additional_payer_notes |[payer_AR MEDICAID PENDING|PENDING MEDICAID] standard_charge|[payer_ARKANSAS MEDICAID|MEDICAID ] standard_charge|[payer_ARKANSAS MEDICAID|MEDICAID ] |percent standard_charge|[payer_ARKANSAS MEDICAID|MEDICAID ] |contracting_method additional_payer_notes |[payer_ARKANSAS MEDICAID|MEDICAID ] standard_charge|[payer_ARKANSAS TOTAL CARE|MANAGED MEDICAID] standard_charge|[payer_ARKANSAS TOTAL CARE|MANAGED MEDICAID] |percent standard_charge|[payer_ARKANSAS TOTAL CARE|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_ARKANSAS TOTAL CARE|MANAGED MEDICAID] standard_charge|[payer_BCBS ARKANSAS|BLUE CROSS] standard_charge|[payer_BCBS ARKANSAS|BLUE CROSS] |percent standard_charge|[payer_BCBS ARKANSAS|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS ARKANSAS|BLUE CROSS] 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 MARKETPLACE|BLUE CROSS] standard_charge|[payer_BCBS MARKETPLACE|BLUE CROSS] |percent standard_charge|[payer_BCBS MARKETPLACE|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS MARKETPLACE|BLUE CROSS] standard_charge|[payer_BCBS OUT OF STATE|BLUE CROSS] standard_charge|[payer_BCBS OUT OF STATE|BLUE CROSS] |percent standard_charge|[payer_BCBS OUT OF STATE|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS OUT OF STATE|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_BENEFIT ADMINISTRATIVE SY|COMMERCIAL] standard_charge|[payer_BENEFIT ADMINISTRATIVE SY|COMMERCIAL] |percent standard_charge|[payer_BENEFIT ADMINISTRATIVE SY|COMMERCIAL] |contracting_method additional_payer_notes |[payer_BENEFIT ADMINISTRATIVE SY|COMMERCIAL] standard_charge|[payer_CARE IMPROVEMENT OPTUM|MANAGED MEDICARE] standard_charge|[payer_CARE IMPROVEMENT OPTUM|MANAGED MEDICARE] |percent standard_charge|[payer_CARE IMPROVEMENT OPTUM|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_CARE IMPROVEMENT OPTUM|MANAGED MEDICARE] standard_charge|[payer_CARESOURCE PASSE|MANAGED MEDICAID] standard_charge|[payer_CARESOURCE PASSE|MANAGED MEDICAID] |percent standard_charge|[payer_CARESOURCE PASSE|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CARESOURCE PASSE|MANAGED MEDICAID] standard_charge|[payer_CENTURY HEALTHCARE LLC|COMMERCIAL] standard_charge|[payer_CENTURY HEALTHCARE LLC|COMMERCIAL] |percent standard_charge|[payer_CENTURY HEALTHCARE LLC|COMMERCIAL] |contracting_method additional_payer_notes |[payer_CENTURY HEALTHCARE LLC|COMMERCIAL] standard_charge|[payer_CHAMPUS TRICARE PGBA|TRICARE] standard_charge|[payer_CHAMPUS TRICARE PGBA|TRICARE] |percent standard_charge|[payer_CHAMPUS TRICARE PGBA|TRICARE] |contracting_method additional_payer_notes |[payer_CHAMPUS TRICARE PGBA|TRICARE] standard_charge|[payer_CHAMPVA|VETERANS ADMIN] standard_charge|[payer_CHAMPVA|VETERANS ADMIN] |percent standard_charge|[payer_CHAMPVA|VETERANS ADMIN] |contracting_method additional_payer_notes |[payer_CHAMPVA|VETERANS ADMIN] standard_charge|[payer_CHEROKEE NATION OFFICE|LOCAL GOVT] standard_charge|[payer_CHEROKEE NATION OFFICE|LOCAL GOVT] |percent standard_charge|[payer_CHEROKEE NATION OFFICE|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_CHEROKEE NATION OFFICE|LOCAL GOVT] standard_charge|[payer_CHOCTAW NATION HOSPITAL|HMO/PPO] standard_charge|[payer_CHOCTAW NATION HOSPITAL|HMO/PPO] |percent standard_charge|[payer_CHOCTAW NATION HOSPITAL|HMO/PPO] |contracting_method additional_payer_notes |[payer_CHOCTAW NATION HOSPITAL|HMO/PPO] standard_charge|[payer_CHOICE BENEFITS|HMO/PPO] standard_charge|[payer_CHOICE BENEFITS|HMO/PPO] |percent standard_charge|[payer_CHOICE BENEFITS|HMO/PPO] |contracting_method additional_payer_notes |[payer_CHOICE BENEFITS|HMO/PPO] standard_charge|[payer_CHRISTIAN BROS EMP BENEFT|COMMERCIAL] standard_charge|[payer_CHRISTIAN BROS EMP BENEFT|COMMERCIAL] |percent standard_charge|[payer_CHRISTIAN BROS EMP BENEFT|COMMERCIAL] |contracting_method additional_payer_notes |[payer_CHRISTIAN BROS EMP BENEFT|COMMERCIAL] standard_charge|[payer_CIGNA BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_CIGNA BEHAVIORAL HEALTH|HMO/PPO] |percent standard_charge|[payer_CIGNA BEHAVIORAL HEALTH|HMO/PPO] |contracting_method additional_payer_notes |[payer_CIGNA BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_CIGNA CHOICE BENEFITS|HMO/PPO] standard_charge|[payer_CIGNA CHOICE BENEFITS|HMO/PPO] |percent standard_charge|[payer_CIGNA CHOICE BENEFITS|HMO/PPO] |contracting_method additional_payer_notes |[payer_CIGNA CHOICE BENEFITS|HMO/PPO] standard_charge|[payer_CIGNA MEDICARE ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_CIGNA MEDICARE ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_CIGNA MEDICARE ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_CIGNA MEDICARE ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_COMPSYCH CORPORATION|COMMERCIAL] standard_charge|[payer_COMPSYCH CORPORATION|COMMERCIAL] |percent standard_charge|[payer_COMPSYCH CORPORATION|COMMERCIAL] |contracting_method additional_payer_notes |[payer_COMPSYCH CORPORATION|COMMERCIAL] standard_charge|[payer_CORESOURCE|HMO/PPO] standard_charge|[payer_CORESOURCE|HMO/PPO] |percent standard_charge|[payer_CORESOURCE|HMO/PPO] |contracting_method additional_payer_notes |[payer_CORESOURCE|HMO/PPO] standard_charge|[payer_COUNSELING ASSOCIATES|LOCAL GOVT] standard_charge|[payer_COUNSELING ASSOCIATES|LOCAL GOVT] |percent standard_charge|[payer_COUNSELING ASSOCIATES|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_COUNSELING ASSOCIATES|LOCAL GOVT] standard_charge|[payer_COVENTRY HEALTH|HMO/PPO] standard_charge|[payer_COVENTRY HEALTH|HMO/PPO] |percent standard_charge|[payer_COVENTRY HEALTH|HMO/PPO] |contracting_method additional_payer_notes |[payer_COVENTRY HEALTH|HMO/PPO] standard_charge|[payer_COVENTRY MANAGED MEDICARE|MANAGED MEDICARE] standard_charge|[payer_COVENTRY MANAGED MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_COVENTRY MANAGED MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_COVENTRY MANAGED MEDICARE|MANAGED MEDICARE] standard_charge|[payer_COX HEALT PLANS|HMO/PPO] standard_charge|[payer_COX HEALT PLANS|HMO/PPO] |percent standard_charge|[payer_COX HEALT PLANS|HMO/PPO] |contracting_method additional_payer_notes |[payer_COX HEALT PLANS|HMO/PPO] standard_charge|[payer_COX HEALTH PLANS|HMO/PPO] standard_charge|[payer_COX HEALTH PLANS|HMO/PPO] |percent standard_charge|[payer_COX HEALTH PLANS|HMO/PPO] |contracting_method additional_payer_notes |[payer_COX HEALTH PLANS|HMO/PPO] standard_charge|[payer_DCFS CHICAGO|LOCAL GOVT] standard_charge|[payer_DCFS CHICAGO|LOCAL GOVT] |percent standard_charge|[payer_DCFS CHICAGO|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_DCFS CHICAGO|LOCAL GOVT] standard_charge|[payer_DHS ARKANSAS|LOCAL GOVT] standard_charge|[payer_DHS ARKANSAS|LOCAL GOVT] |percent standard_charge|[payer_DHS ARKANSAS|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_DHS ARKANSAS|LOCAL GOVT] standard_charge|[payer_DHS OKLAHOMA|LOCAL GOVT] standard_charge|[payer_DHS OKLAHOMA|LOCAL GOVT] |percent standard_charge|[payer_DHS OKLAHOMA|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_DHS OKLAHOMA|LOCAL GOVT] standard_charge|[payer_DHS OUT OF STATE|LOCAL GOVT] standard_charge|[payer_DHS OUT OF STATE|LOCAL GOVT] |percent standard_charge|[payer_DHS OUT OF STATE|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_DHS OUT OF STATE|LOCAL GOVT] standard_charge|[payer_EHN|HMO/PPO] standard_charge|[payer_EHN|HMO/PPO] |percent standard_charge|[payer_EHN|HMO/PPO] |contracting_method additional_payer_notes |[payer_EHN|HMO/PPO] standard_charge|[payer_EMPLOYERS HEALTH CHOICE|HMO/PPO] standard_charge|[payer_EMPLOYERS HEALTH CHOICE|HMO/PPO] |percent standard_charge|[payer_EMPLOYERS HEALTH CHOICE|HMO/PPO] |contracting_method additional_payer_notes |[payer_EMPLOYERS HEALTH CHOICE|HMO/PPO] standard_charge|[payer_EMPOWER HEALTHCARE|MANAGED MEDICAID] standard_charge|[payer_EMPOWER HEALTHCARE|MANAGED MEDICAID] |percent standard_charge|[payer_EMPOWER HEALTHCARE|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_EMPOWER HEALTHCARE|MANAGED MEDICAID] standard_charge|[payer_ENTER NO PAY INS HERE|MEDICAID ] standard_charge|[payer_ENTER NO PAY INS HERE|MEDICAID ] |percent standard_charge|[payer_ENTER NO PAY INS HERE|MEDICAID ] |contracting_method additional_payer_notes |[payer_ENTER NO PAY INS HERE|MEDICAID ] standard_charge|[payer_GEHA|HMO/PPO] standard_charge|[payer_GEHA|HMO/PPO] |percent standard_charge|[payer_GEHA|HMO/PPO] |contracting_method additional_payer_notes |[payer_GEHA|HMO/PPO] standard_charge|[payer_GPA GROUP AND PENSION ADM|HMO/PPO] standard_charge|[payer_GPA GROUP AND PENSION ADM|HMO/PPO] |percent standard_charge|[payer_GPA GROUP AND PENSION ADM|HMO/PPO] |contracting_method additional_payer_notes |[payer_GPA GROUP AND PENSION ADM|HMO/PPO] standard_charge|[payer_HEALTHCHOICE|HMO/PPO] standard_charge|[payer_HEALTHCHOICE|HMO/PPO] |percent standard_charge|[payer_HEALTHCHOICE|HMO/PPO] |contracting_method additional_payer_notes |[payer_HEALTHCHOICE|HMO/PPO] standard_charge|[payer_HEALTHSCOPE-AETNA|HMO/PPO] standard_charge|[payer_HEALTHSCOPE-AETNA|HMO/PPO] |percent standard_charge|[payer_HEALTHSCOPE-AETNA|HMO/PPO] |contracting_method additional_payer_notes |[payer_HEALTHSCOPE-AETNA|HMO/PPO] standard_charge|[payer_HEALTHSCOPE-CIGNA|HMO/PPO] standard_charge|[payer_HEALTHSCOPE-CIGNA|HMO/PPO] |percent standard_charge|[payer_HEALTHSCOPE-CIGNA|HMO/PPO] |contracting_method additional_payer_notes |[payer_HEALTHSCOPE-CIGNA|HMO/PPO] standard_charge|[payer_HEALTHSCOPE-UHC|HMO/PPO] standard_charge|[payer_HEALTHSCOPE-UHC|HMO/PPO] |percent standard_charge|[payer_HEALTHSCOPE-UHC|HMO/PPO] |contracting_method additional_payer_notes |[payer_HEALTHSCOPE-UHC|HMO/PPO] standard_charge|[payer_HEALTHSPRINGS|MANAGED MEDICARE] standard_charge|[payer_HEALTHSPRINGS|MANAGED MEDICARE] |percent standard_charge|[payer_HEALTHSPRINGS|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HEALTHSPRINGS|MANAGED MEDICARE] standard_charge|[payer_HUMANA GOLD] standard_charge|[payer_HUMANA GOLD] |percent standard_charge|[payer_HUMANA GOLD] |contracting_method additional_payer_notes |[payer_HUMANA GOLD] standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HUMANA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_HUMANA PPO|HMO/PPO] standard_charge|[payer_HUMANA PPO|HMO/PPO] |percent standard_charge|[payer_HUMANA PPO|HMO/PPO] |contracting_method additional_payer_notes |[payer_HUMANA PPO|HMO/PPO] standard_charge|[payer_KAISER PERMANENTE|COMMERCIAL] standard_charge|[payer_KAISER PERMANENTE|COMMERCIAL] |percent standard_charge|[payer_KAISER PERMANENTE|COMMERCIAL] |contracting_method additional_payer_notes |[payer_KAISER PERMANENTE|COMMERCIAL] standard_charge|[payer_LINECO BENEFIT FUND|HMO/PPO] standard_charge|[payer_LINECO BENEFIT FUND|HMO/PPO] |percent standard_charge|[payer_LINECO BENEFIT FUND|HMO/PPO] |contracting_method additional_payer_notes |[payer_LINECO BENEFIT FUND|HMO/PPO] standard_charge|[payer_MAGELLAN BEHAVIORAL HEALT|HMO/PPO] standard_charge|[payer_MAGELLAN BEHAVIORAL HEALT|HMO/PPO] |percent standard_charge|[payer_MAGELLAN BEHAVIORAL HEALT|HMO/PPO] |contracting_method additional_payer_notes |[payer_MAGELLAN BEHAVIORAL HEALT|HMO/PPO] standard_charge|[payer_MEDICARE|MEDICARE] standard_charge|[payer_MEDICARE|MEDICARE] |percent standard_charge|[payer_MEDICARE|MEDICARE] |contracting_method additional_payer_notes |[payer_MEDICARE|MEDICARE] standard_charge|[payer_MEDIPAK ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_MEDIPAK ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_MEDIPAK ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MEDIPAK ADVANTAGE|MANAGED MEDICARE] 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_MHNET|MANAGED MEDICARE] standard_charge|[payer_MHNET|MANAGED MEDICARE] |percent standard_charge|[payer_MHNET|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MHNET|MANAGED MEDICARE] standard_charge|[payer_MHNET BEHAVIORAL HEALTH|MANAGED MEDICARE] standard_charge|[payer_MHNET BEHAVIORAL HEALTH|MANAGED MEDICARE] |percent standard_charge|[payer_MHNET BEHAVIORAL HEALTH|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MHNET BEHAVIORAL HEALTH|MANAGED MEDICARE] standard_charge|[payer_MISC COMMERCIAL|COMMERCIAL] standard_charge|[payer_MISC COMMERCIAL|COMMERCIAL] |percent standard_charge|[payer_MISC COMMERCIAL|COMMERCIAL] |contracting_method additional_payer_notes |[payer_MISC COMMERCIAL|COMMERCIAL] standard_charge|[payer_MISC MANAGED MEDICAID|MANAGED MEDICAID] standard_charge|[payer_MISC MANAGED MEDICAID|MANAGED MEDICAID] |percent standard_charge|[payer_MISC MANAGED MEDICAID|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_MISC MANAGED MEDICAID|MANAGED MEDICAID] standard_charge|[payer_MO ANTHEM BCBS|BLUE CROSS] standard_charge|[payer_MO ANTHEM BCBS|BLUE CROSS] |percent standard_charge|[payer_MO ANTHEM BCBS|BLUE CROSS] |contracting_method additional_payer_notes |[payer_MO ANTHEM BCBS|BLUE CROSS] standard_charge|[payer_MO ANTHEM MEDIBLUE DUAL|MANAGED MEDICARE] standard_charge|[payer_MO ANTHEM MEDIBLUE DUAL|MANAGED MEDICARE] |percent standard_charge|[payer_MO ANTHEM MEDIBLUE DUAL|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MO ANTHEM MEDIBLUE DUAL|MANAGED MEDICARE] standard_charge|[payer_MO BCBS ANTHEM|BLUE CROSS] standard_charge|[payer_MO BCBS ANTHEM|BLUE CROSS] |percent standard_charge|[payer_MO BCBS ANTHEM|BLUE CROSS] |contracting_method additional_payer_notes |[payer_MO BCBS ANTHEM|BLUE CROSS] standard_charge|[payer_MUNICIPAL HEALTH BENEFITS|HMO/PPO] standard_charge|[payer_MUNICIPAL HEALTH BENEFITS|HMO/PPO] |percent standard_charge|[payer_MUNICIPAL HEALTH BENEFITS|HMO/PPO] |contracting_method additional_payer_notes |[payer_MUNICIPAL HEALTH BENEFITS|HMO/PPO] standard_charge|[payer_MUTUAL OF OMAHA|COMMERCIAL] standard_charge|[payer_MUTUAL OF OMAHA|COMMERCIAL] |percent standard_charge|[payer_MUTUAL OF OMAHA|COMMERCIAL] |contracting_method additional_payer_notes |[payer_MUTUAL OF OMAHA|COMMERCIAL] standard_charge|[payer_NOVASYS|HMO/PPO] standard_charge|[payer_NOVASYS|HMO/PPO] |percent standard_charge|[payer_NOVASYS|HMO/PPO] |contracting_method additional_payer_notes |[payer_NOVASYS|HMO/PPO] standard_charge|[payer_OK MEDICAID PENDING|PENDING MEDICAID] standard_charge|[payer_OK MEDICAID PENDING|PENDING MEDICAID] |percent standard_charge|[payer_OK MEDICAID PENDING|PENDING MEDICAID] |contracting_method additional_payer_notes |[payer_OK MEDICAID PENDING|PENDING MEDICAID] standard_charge|[payer_OKLAHOMA MEDICAID|MEDICAID: OUT OF STATE] standard_charge|[payer_OKLAHOMA MEDICAID|MEDICAID: OUT OF STATE] |percent standard_charge|[payer_OKLAHOMA MEDICAID|MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_OKLAHOMA MEDICAID|MEDICAID: OUT OF STATE] standard_charge|[payer_OKLAHOMA MEDICAID EDS|MEDICAID: OUT OF STATE] standard_charge|[payer_OKLAHOMA MEDICAID EDS|MEDICAID: OUT OF STATE] |percent standard_charge|[payer_OKLAHOMA MEDICAID EDS|MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_OKLAHOMA MEDICAID EDS|MEDICAID: OUT OF STATE] standard_charge|[payer_OPTUM OOS EXCHANGE|COMMERCIAL] standard_charge|[payer_OPTUM OOS EXCHANGE|COMMERCIAL] |percent standard_charge|[payer_OPTUM OOS EXCHANGE|COMMERCIAL] |contracting_method additional_payer_notes |[payer_OPTUM OOS EXCHANGE|COMMERCIAL] standard_charge|[payer_OUT OF STATE MEDICAID|MEDICAID: OUT OF STATE] standard_charge|[payer_OUT OF STATE MEDICAID|MEDICAID: OUT OF STATE] |percent standard_charge|[payer_OUT OF STATE MEDICAID|MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_OUT OF STATE MEDICAID|MEDICAID: OUT OF STATE] standard_charge|[payer_OZARK GUIDANCE CENTER|LOCAL GOVT] standard_charge|[payer_OZARK GUIDANCE CENTER|LOCAL GOVT] |percent standard_charge|[payer_OZARK GUIDANCE CENTER|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_OZARK GUIDANCE CENTER|LOCAL GOVT] standard_charge|[payer_PROFESSIONAL COUNSELING|LOCAL GOVT] standard_charge|[payer_PROFESSIONAL COUNSELING|LOCAL GOVT] |percent standard_charge|[payer_PROFESSIONAL COUNSELING|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_PROFESSIONAL COUNSELING|LOCAL GOVT] standard_charge|[payer_QUALCHOICE OF ARKANSAS|HMO/PPO] standard_charge|[payer_QUALCHOICE OF ARKANSAS|HMO/PPO] |percent standard_charge|[payer_QUALCHOICE OF ARKANSAS|HMO/PPO] |contracting_method additional_payer_notes |[payer_QUALCHOICE OF ARKANSAS|HMO/PPO] standard_charge|[payer_SISCO|COMMERCIAL] standard_charge|[payer_SISCO|COMMERCIAL] |percent standard_charge|[payer_SISCO|COMMERCIAL] |contracting_method additional_payer_notes |[payer_SISCO|COMMERCIAL] standard_charge|[payer_SUMMIT COMMUNITY CARE|MANAGED MEDICAID] standard_charge|[payer_SUMMIT COMMUNITY CARE|MANAGED MEDICAID] |percent standard_charge|[payer_SUMMIT COMMUNITY CARE|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_SUMMIT COMMUNITY CARE|MANAGED MEDICAID] standard_charge|[payer_THE KEMPTON GROUP ADM INC|COMMERCIAL] standard_charge|[payer_THE KEMPTON GROUP ADM INC|COMMERCIAL] |percent standard_charge|[payer_THE KEMPTON GROUP ADM INC|COMMERCIAL] |contracting_method additional_payer_notes |[payer_THE KEMPTON GROUP ADM INC|COMMERCIAL] standard_charge|[payer_TRIBUTE HEALTHPLAN|MANAGED MEDICARE] standard_charge|[payer_TRIBUTE HEALTHPLAN|MANAGED MEDICARE] |percent standard_charge|[payer_TRIBUTE HEALTHPLAN|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_TRIBUTE HEALTHPLAN|MANAGED MEDICARE] 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 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 SOUTH|TRICARE] standard_charge|[payer_TRICARE SOUTH|TRICARE] |percent standard_charge|[payer_TRICARE SOUTH|TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE SOUTH|TRICARE] standard_charge|[payer_TRUSTMARK|HMO/PPO] standard_charge|[payer_TRUSTMARK|HMO/PPO] |percent standard_charge|[payer_TRUSTMARK|HMO/PPO] |contracting_method additional_payer_notes |[payer_TRUSTMARK|HMO/PPO] standard_charge|[payer_UBH / OPTUM|HMO/PPO] standard_charge|[payer_UBH / OPTUM|HMO/PPO] |percent standard_charge|[payer_UBH / OPTUM|HMO/PPO] |contracting_method additional_payer_notes |[payer_UBH / OPTUM|HMO/PPO] standard_charge|[payer_UBH MEDICARE ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_UBH MEDICARE ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_UBH MEDICARE ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UBH MEDICARE ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_UHC COMM AND STATE OF LA|MEDICAID: OUT OF STATE] standard_charge|[payer_UHC COMM AND STATE OF LA|MEDICAID: OUT OF STATE] |percent standard_charge|[payer_UHC COMM AND STATE OF LA|MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_UHC COMM AND STATE OF LA|MEDICAID: OUT OF STATE] standard_charge|[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] standard_charge|[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] |percent standard_charge|[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] standard_charge|[payer_UHC MEDICAID TEXAS|MEDICAID: OUT OF STATE] standard_charge|[payer_UHC MEDICAID TEXAS|MEDICAID: OUT OF STATE] |percent standard_charge|[payer_UHC MEDICAID TEXAS|MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_UHC MEDICAID TEXAS|MEDICAID: OUT OF STATE] standard_charge|[payer_UHC MEDICARE ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_UHC MEDICARE ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_UHC MEDICARE ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UHC MEDICARE ADVANTAGE|MANAGED MEDICARE] 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 HEALTHCARE|HMO/PPO] standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO] |percent standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED HEALTHCARE|HMO/PPO] standard_charge|[payer_VETERANS ADMINISTRATION|VETERANS ADMIN] standard_charge|[payer_VETERANS ADMINISTRATION|VETERANS ADMIN] |percent standard_charge|[payer_VETERANS ADMINISTRATION|VETERANS ADMIN] |contracting_method additional_payer_notes |[payer_VETERANS ADMINISTRATION|VETERANS ADMIN] 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] standard_charge|[payer_WESTERN AR GUIDANCE CTR|LOCAL GOVT] standard_charge|[payer_WESTERN AR GUIDANCE CTR|LOCAL GOVT] |percent standard_charge|[payer_WESTERN AR GUIDANCE CTR|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_WESTERN AR GUIDANCE CTR|LOCAL GOVT] standard_charge|[payer_WORKERS COMP|WORKERS COMP] standard_charge|[payer_WORKERS COMP|WORKERS COMP] |percent standard_charge|[payer_WORKERS COMP|WORKERS COMP] |contracting_method additional_payer_notes |[payer_WORKERS COMP|WORKERS COMP] ROOM AND BOARD ADOL ACUTE 114 RC facility inpatient 1800.00 700 400.00 3450.00 760 per diem 979 per diem 979 per diem 840 per diem 738 per diem 717 per diem 717 per diem 717 per diem 717 per diem 759 per diem 759 per diem 798 per diem 759 per diem 1000 per diem 700 per diem 703 per diem 717 per diem 1725 per diem 620 per diem 767.93 per diem 950 per diem 950 per diem 1058 per diem 1325 per diem 1058 per diem 1058 per diem 980 per diem 738 per diem 887 per diem 400 per diem 814 per diem 785 per diem 980 per diem 1800 per diem 717 per diem 596.91 per diem 1800 per diem 950 per diem 903 per diem 717 per diem 664 per diem 1325 per diem 1725 per diem 944 per diem 887 per diem 980 per diem 703 per diem 960 per diem 2085 per diem 1000 per diem 736 per diem 941 per diem 785 per diem 785 per diem 3450 per diem 1800 per diem 838 per diem 1000 per diem 1800 per diem 814 per diem 596.91 per diem 596.91 per diem 596.91 per diem 738 per diem 1725 per diem 400 per diem 400 per diem 924 per diem 1800 per diem 717 per diem 1800 per diem 673.34 per diem 704 per diem 620 per diem 914 per diem 738 per diem 738 per diem 738 per diem 738 per diem 1800 per diem 738 per diem 738 per diem 738 per diem 738 per diem 620 per diem 550 per diem 1800 per diem ROOM AND BOARD ADOL RTU 129 RC facility inpatient 1100.00 450 220.00 1100.00 577 per diem 725 per diem 619 per diem 508 per diem 508 per diem 508 per diem 508 per diem 750 per diem 450 per diem 619 per diem 812 per diem 812 per diem 812 per diem 655 per diem 752 per diem 619 per diem 1100 per diem 903 per diem 619 per diem 390 per diem 544 per diem 220 per diem 695 per diem 585 per diem 1020 per diem 530 per diem 1000 per diem 520 per diem 363 per diem 619 per diem 560 per diem 560 per diem 560 per diem 560 per diem 560 per diem 560 per diem ROOM AND BOARD CHILD RTU 129 RC facility inpatient 1100.00 450 220.00 1100.00 577 per diem 725 per diem 619 per diem 508 per diem 508 per diem 508 per diem 508 per diem 750 per diem 450 per diem 619 per diem 812 per diem 812 per diem 812 per diem 655 per diem 752 per diem 619 per diem 1100 per diem 903 per diem 619 per diem 390 per diem 544 per diem 220 per diem 695 per diem 585 per diem 1020 per diem 530 per diem 1000 per diem 520 per diem 363 per diem 619 per diem 560 per diem 560 per diem 560 per diem 560 per diem 560 per diem 560 per diem PARTIAL HOSPITAL PROGRAM ACT THERAPY GRP 904 RC facility outpatient 100.00 0 125.00 125.00 125 per diem PARTIAL HOSPITAL PROGRAM GRP ACTIVITY 904 RC facility outpatient 125.00 0 125.00 125.00 125 per diem INTENSIVE OUTPATIENT PROGRAM CHARGE 905 RC facility outpatient 375.00 190 126.00 375.00 141 per diem 196 per diem 196 per diem 126 per diem 126 per diem 375 per diem 375 per diem 375 per diem 375 per diem 200 per diem 200 per diem 200 per diem 200 per diem 250 per diem 128 per diem 375 per diem 225 per diem 200 per diem 225 per diem 187 per diem 187 per diem 262.5 per diem 200 per diem 375 per diem 165 per diem 165 per diem 187 per diem 141 per diem 204.75 per diem 202.95 per diem 250 per diem 204.75 per diem 208.97 per diem 195 per diem 375 per diem 200 per diem 200 per diem 200 per diem 175 per diem 375 per diem 375 per diem 138.6 per diem 375 per diem 200 per diem 141 per diem 141 per diem 141 per diem 141 per diem 141 per diem 141 per diem 141 per diem 141 per diem 204.75 per diem 375 per diem PARTIAL HOSPITAL PROGRAM PROGRAM CHARGE 912 RC facility outpatient 500.00 260 189.69 700.00 376 per diem 432 per diem 432 per diem 208.97 per diem 315 per diem 500 per diem 500 per diem 500 per diem 500 per diem 286 per diem 330 per diem 286 per diem 286 per diem 450 per diem 350 per diem 500 per diem 307 per diem 402 per diem 434 per diem 262.5 per diem 330 per diem 402 per diem 239.22 per diem 360 per diem 235.58 per diem 700 per diem 500 per diem 330 per diem 330 per diem 330 per diem 300 per diem 500 per diem 500 per diem 500 per diem 189.69 per diem 234.58 per diem 376 per diem 376 per diem 376 per diem 376 per diem 376 per diem 376 per diem 376 per diem 376 per diem 189.69 per diem 500 per diem INTENSIVE OUTPATIENT PROGRAM IND THERAPY 60M 914 RC facility outpatient 110.00 0 120.34 125.00 125 per diem 121.26 per diem 120.34 per diem PARTIAL HOSPITAL PROGRAM IND THERAPY 60M 914 RC facility outpatient 125.00 0 120.34 125.00 125 per diem 121.26 per diem 120.34 per diem INTENSIVE OUTPATIENT PROGRAM MCR PROCESS GRP1 915 RC facility outpatient 125.00 0 173.18 500.00 208.97 per diem 500 per diem 262.5 per diem 202.95 per diem 360 per diem 235.39 per diem 235.58 per diem 350 per diem 250 per diem 175 per diem 500 per diem 173.18 per diem 436.85 per diem 350 per diem 379.38 per diem PARTIAL HOSPITAL PROGRAM GROUP THERAPY 915 RC facility outpatient 75.00 0 173.18 500.00 208.97 per diem 500 per diem 262.5 per diem 239.22 per diem 360 per diem 235.39 per diem 235.58 per diem 350 per diem 250 per diem 175 per diem 500 per diem 173.18 per diem 436.85 per diem 350 per diem 379.38 per diem Psychiatric diagnostic evaluation 90791 RC facility Profees 332.00 0 75.00 168.15 75.00 fee schedule 122.07 fee schedule 168.15 fee schedule 114.46 fee schedule 145.05 fee schedule 97.66 fee schedule 124.10 fee schedule 75.00 fee schedule 95.48 fee schedule Psychiatric diagnostic evaluation with medical services 90792 RC facility Profees 405.00 0 153.95 153.95 153.95 fee schedule "Subsequent hospital inpatient or observation care, per day, straightforward or low medical decision making" 99231 RC facility Profees 120.00 0 24.85 45.80 45.80 fee schedule 24.85 fee schedule 40.79 fee schedule 30.82 fee schedule 38.52 fee schedule 27.09 fee schedule 31.85 fee schedule "Subsequent hospital inpatient or observation care, per day, moderate medical decision making" 99232 RC facility Profees 130.00 0 35.28 76.36 35.28 fee schedule 61.72 fee schedule 76.36 fee schedule 73.37 fee schedule 60.47 fee schedule 76.23 fee schedule 43.53 fee schedule 62.17 fee schedule 35.28 fee schedule 46.16 fee schedule Hospital discharge day management; 30 minutes or less 99238 RC facility Profees 160.00 0 49.33 77.39 74.48 fee schedule 77.39 fee schedule 62.02 fee schedule 63.17 fee schedule 59.52 fee schedule 49.33 fee schedule