"hospital_Texarkana Behavioral Associates, L.C."	last_updated_ 2023-12-31	version_1	"hospital_Fayetteville, Arkansas"	hospital_address 4253 North Crossover Road		license_ AR5042 | 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 | COMMERCIAL]	standard_charge|[payer_AARP | COMMERCIAL] |percent	standard_charge|[payer_AARP | COMMERCIAL] |contracting_method	additional_payer_notes |[payer_AARP | COMMERCIAL]	standard_charge|[payer_AARP | MANAGED MEDICARE]	standard_charge|[payer_AARP | MANAGED MEDICARE] |percent	standard_charge|[payer_AARP | MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AARP | MANAGED MEDICARE]	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_ALL SAVERS UBH |  HMO/PPO]	standard_charge|[payer_ALL SAVERS UBH |  HMO/PPO] |percent	standard_charge|[payer_ALL SAVERS UBH |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_ALL SAVERS UBH |  HMO/PPO]	standard_charge|[payer_ALLWELL |  MANAGED MEDICARE]	standard_charge|[payer_ALLWELL |  MANAGED MEDICARE] |percent	standard_charge|[payer_ALLWELL |  MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_ALLWELL |  MANAGED MEDICARE]	standard_charge|[payer_AM BETTER OF ARK  | HMO/PPO]	standard_charge|[payer_AM BETTER OF ARK  | HMO/PPO] |percent	standard_charge|[payer_AM BETTER OF ARK  | HMO/PPO] |contracting_method	additional_payer_notes |[payer_AM BETTER OF ARK  | HMO/PPO]	standard_charge|[payer_AMBETTER COMMERCIAL | HMO/PPO]	standard_charge|[payer_AMBETTER COMMERCIAL | HMO/PPO] |percent	standard_charge|[payer_AMBETTER COMMERCIAL | HMO/PPO] |contracting_method	additional_payer_notes |[payer_AMBETTER COMMERCIAL | HMO/PPO]	standard_charge|[payer_AMBETTER NETWORK ACCESS   |HMO/PPO]	standard_charge|[payer_AMBETTER NETWORK ACCESS   |HMO/PPO] |percent	standard_charge|[payer_AMBETTER NETWORK ACCESS   |HMO/PPO] |contracting_method	additional_payer_notes |[payer_AMBETTER NETWORK ACCESS   |HMO/PPO]	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 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 MEDIPAK | BLUE CROSS]	standard_charge|[payer_BCBS MEDIPAK | BLUE CROSS] |percent	standard_charge|[payer_BCBS MEDIPAK | BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS MEDIPAK | 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_BLUE ADVANTAGE | BLUE CROSS]	standard_charge|[payer_BLUE ADVANTAGE | BLUE CROSS] |percent	standard_charge|[payer_BLUE ADVANTAGE | BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BLUE ADVANTAGE | BLUE CROSS]	standard_charge|[payer_BLUE CROSS BLUE SHIELD |  BLUE CROSS]	standard_charge|[payer_BLUE CROSS BLUE SHIELD |  BLUE CROSS] |percent	standard_charge|[payer_BLUE CROSS BLUE SHIELD |  BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BLUE CROSS BLUE SHIELD |  BLUE CROSS]	standard_charge|[payer_CARE IMPROVEMENT |  HMO/PPO]	standard_charge|[payer_CARE IMPROVEMENT |  HMO/PPO] |percent	standard_charge|[payer_CARE IMPROVEMENT |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_CARE IMPROVEMENT |  HMO/PPO]	standard_charge|[payer_CARE IMPROVEMENT |  MANAGED MEDICARE]	standard_charge|[payer_CARE IMPROVEMENT |  MANAGED MEDICARE] |percent	standard_charge|[payer_CARE IMPROVEMENT |  MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_CARE IMPROVEMENT |  MANAGED MEDICARE]	standard_charge|[payer_CARESOURCE | MANAGED MEDICAID]	standard_charge|[payer_CARESOURCE | MANAGED MEDICAID] |percent	standard_charge|[payer_CARESOURCE | MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_CARESOURCE | MANAGED MEDICAID]	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_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 MEDICARE |  MANAGED MEDICARE]	standard_charge|[payer_CIGNA MEDICARE |  MANAGED MEDICARE] |percent	standard_charge|[payer_CIGNA MEDICARE |  MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_CIGNA MEDICARE |  MANAGED MEDICARE]	standard_charge|[payer_CIGNA- OPTUM BH | HMO/PPO]	standard_charge|[payer_CIGNA- OPTUM BH | HMO/PPO] |percent	standard_charge|[payer_CIGNA- OPTUM BH | HMO/PPO] |contracting_method	additional_payer_notes |[payer_CIGNA- OPTUM BH | 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_COUNSELING CLINIC  | LOCAL GOVT]	standard_charge|[payer_COUNSELING CLINIC  | LOCAL GOVT] |percent	standard_charge|[payer_COUNSELING CLINIC  | LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_COUNSELING CLINIC  | LOCAL GOVT]	standard_charge|[payer_COVENTRY | HMO/PPO]	standard_charge|[payer_COVENTRY | HMO/PPO] |percent	standard_charge|[payer_COVENTRY | HMO/PPO] |contracting_method	additional_payer_notes |[payer_COVENTRY | HMO/PPO]	standard_charge|[payer_COVENTRY | MANAGED MEDICARE]	standard_charge|[payer_COVENTRY | MANAGED MEDICARE] |percent	standard_charge|[payer_COVENTRY | MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_COVENTRY | MANAGED MEDICARE]	standard_charge|[payer_COVENTRY ADVANTRA PPO |  MANAGED MEDICARE]	standard_charge|[payer_COVENTRY ADVANTRA PPO |  MANAGED MEDICARE] |percent	standard_charge|[payer_COVENTRY ADVANTRA PPO |  MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_COVENTRY ADVANTRA PPO |  MANAGED MEDICARE]	standard_charge|[payer_COVENTRY TOTAL CARE HMO | MANAGED MEDICARE]	standard_charge|[payer_COVENTRY TOTAL CARE HMO | MANAGED MEDICARE] |percent	standard_charge|[payer_COVENTRY TOTAL CARE HMO | MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_COVENTRY TOTAL CARE HMO | MANAGED MEDICARE]	standard_charge|[payer_DEPT CHILD & FAMILY SRVCS |  LOCAL GOVT]	standard_charge|[payer_DEPT CHILD & FAMILY SRVCS |  LOCAL GOVT] |percent	standard_charge|[payer_DEPT CHILD & FAMILY SRVCS |  LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_DEPT CHILD & FAMILY SRVCS |  LOCAL GOVT]	standard_charge|[payer_EDS OKLAHOMA MEDICAID |  MEDICAID: OUT OF STATE]	standard_charge|[payer_EDS OKLAHOMA MEDICAID |  MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_EDS OKLAHOMA MEDICAID |  MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_EDS OKLAHOMA MEDICAID |  MEDICAID: OUT OF STATE]	standard_charge|[payer_EMPOWER |  MANAGED MEDICAID]	standard_charge|[payer_EMPOWER |  MANAGED MEDICAID] |percent	standard_charge|[payer_EMPOWER |  MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_EMPOWER |  MANAGED 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_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_HEALTH ADVANTAGE |  BLUE CROSS]	standard_charge|[payer_HEALTH ADVANTAGE |  BLUE CROSS] |percent	standard_charge|[payer_HEALTH ADVANTAGE |  BLUE CROSS] |contracting_method	additional_payer_notes |[payer_HEALTH ADVANTAGE |  BLUE CROSS]	standard_charge|[payer_HEALTH PARTNERS |  COMMERCIAL]	standard_charge|[payer_HEALTH PARTNERS |  COMMERCIAL] |percent	standard_charge|[payer_HEALTH PARTNERS |  COMMERCIAL] |contracting_method	additional_payer_notes |[payer_HEALTH PARTNERS |  COMMERCIAL]	standard_charge|[payer_HEALTHSCOPE  |HMO/PPO]	standard_charge|[payer_HEALTHSCOPE  |HMO/PPO] |percent	standard_charge|[payer_HEALTHSCOPE  |HMO/PPO] |contracting_method	additional_payer_notes |[payer_HEALTHSCOPE  |HMO/PPO]	standard_charge|[payer_HOME STATE HEALTH PLAN IN |  MEDICAID: OUT OF STATE]	standard_charge|[payer_HOME STATE HEALTH PLAN IN |  MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_HOME STATE HEALTH PLAN IN |  MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_HOME STATE HEALTH PLAN IN |  MEDICAID: OUT OF STATE]	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 |  HMO/PPO]	standard_charge|[payer_HUMANA MANAGED MEDICARE |  HMO/PPO] |percent	standard_charge|[payer_HUMANA MANAGED MEDICARE |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_HUMANA MANAGED MEDICARE |  HMO/PPO]	standard_charge|[payer_LIFESYNCH |  HMO/PPO]	standard_charge|[payer_LIFESYNCH |  HMO/PPO] |percent	standard_charge|[payer_LIFESYNCH |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_LIFESYNCH |  HMO/PPO]	standard_charge|[payer_LIFESYNCH HUMANA |  HMO/PPO]	standard_charge|[payer_LIFESYNCH HUMANA |  HMO/PPO] |percent	standard_charge|[payer_LIFESYNCH HUMANA |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_LIFESYNCH HUMANA |  HMO/PPO]	standard_charge|[payer_MEDICAID ADULTS |  MEDICAID]	standard_charge|[payer_MEDICAID ADULTS |  MEDICAID] |percent	standard_charge|[payer_MEDICAID ADULTS |  MEDICAID] |contracting_method	additional_payer_notes |[payer_MEDICAID ADULTS |  MEDICAID]	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 |  HMO/PPO]	standard_charge|[payer_MHNET |  HMO/PPO] |percent	standard_charge|[payer_MHNET |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_MHNET |  HMO/PPO]	standard_charge|[payer_MISSOURI CARE |  MEDICAID: OUT OF STATE]	standard_charge|[payer_MISSOURI CARE |  MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_MISSOURI CARE |  MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_MISSOURI CARE |  MEDICAID: OUT OF STATE]	standard_charge|[payer_MISSOURI MEDICAID |  MEDICAID: OUT OF STATE]	standard_charge|[payer_MISSOURI MEDICAID |  MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_MISSOURI MEDICAID |  MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_MISSOURI MEDICAID |  MEDICAID: OUT OF STATE]	standard_charge|[payer_MUNICIPAL HEALTH BEN FUND |  HMO/PPO]	standard_charge|[payer_MUNICIPAL HEALTH BEN FUND |  HMO/PPO] |percent	standard_charge|[payer_MUNICIPAL HEALTH BEN FUND |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_MUNICIPAL HEALTH BEN FUND |  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_OPTUM BEHAVIORAL HEALTH |  HMO/PPO]	standard_charge|[payer_OPTUM BEHAVIORAL HEALTH |  HMO/PPO] |percent	standard_charge|[payer_OPTUM BEHAVIORAL HEALTH |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_OPTUM BEHAVIORAL HEALTH |  HMO/PPO]	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_PEND AR MEDICAID |  PENDING MEDICAID]	standard_charge|[payer_PEND AR MEDICAID |  PENDING MEDICAID] |percent	standard_charge|[payer_PEND AR MEDICAID |  PENDING MEDICAID] |contracting_method	additional_payer_notes |[payer_PEND AR MEDICAID |  PENDING MEDICAID]	standard_charge|[payer_QUALCHOICE |   HMO/PPO]	standard_charge|[payer_QUALCHOICE |   HMO/PPO] |percent	standard_charge|[payer_QUALCHOICE |   HMO/PPO] |contracting_method	additional_payer_notes |[payer_QUALCHOICE |   HMO/PPO]	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_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 HUMANA MILITARY  | TRICARE]	standard_charge|[payer_TRICARE HUMANA MILITARY  | TRICARE] |percent	standard_charge|[payer_TRICARE HUMANA MILITARY  | TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE HUMANA MILITARY  | TRICARE]	standard_charge|[payer_UBH |  HMO/PPO]	standard_charge|[payer_UBH |  HMO/PPO] |percent	standard_charge|[payer_UBH |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_UBH |  HMO/PPO]	standard_charge|[payer_UHC |  HMO/PPO]	standard_charge|[payer_UHC |  HMO/PPO] |percent	standard_charge|[payer_UHC |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_UHC |  HMO/PPO]	standard_charge|[payer_UHC MANAGED MEDICAID |  MEDICAID: OUT OF STATE]	standard_charge|[payer_UHC MANAGED MEDICAID |  MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_UHC MANAGED MEDICAID |  MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_UHC MANAGED MEDICAID |  MEDICAID: OUT OF STATE]	standard_charge|[payer_UHC MANAGED MEDICARE |  MANAGED MEDICARE]	standard_charge|[payer_UHC MANAGED MEDICARE |  MANAGED MEDICARE] |percent	standard_charge|[payer_UHC MANAGED MEDICARE |  MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_UHC MANAGED MEDICARE |  MANAGED MEDICARE]	standard_charge|[payer_UHC SHARED SERVICES GEHA |  HMO/PPO]	standard_charge|[payer_UHC SHARED SERVICES GEHA |  HMO/PPO] |percent	standard_charge|[payer_UHC SHARED SERVICES GEHA |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_UHC SHARED SERVICES GEHA |  HMO/PPO]	standard_charge|[payer_UHC STUDENT RESOURCES  | HMO/PPO]	standard_charge|[payer_UHC STUDENT RESOURCES  | HMO/PPO] |percent	standard_charge|[payer_UHC STUDENT RESOURCES  | HMO/PPO] |contracting_method	additional_payer_notes |[payer_UHC STUDENT RESOURCES  | HMO/PPO]	standard_charge|[payer_UHC STUDENT RESOURE |  HMO/PPO]	standard_charge|[payer_UHC STUDENT RESOURE |  HMO/PPO] |percent	standard_charge|[payer_UHC STUDENT RESOURE |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_UHC STUDENT RESOURE |  HMO/PPO]	standard_charge|[payer_UH-ONE GOLDEN RULE |  HMO/PPO]	standard_charge|[payer_UH-ONE GOLDEN RULE |  HMO/PPO] |percent	standard_charge|[payer_UH-ONE GOLDEN RULE |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_UH-ONE GOLDEN RULE |  HMO/PPO]	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_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_WEB TPA AETNA |  HMO/PPO]	standard_charge|[payer_WEB TPA AETNA |  HMO/PPO] |percent	standard_charge|[payer_WEB TPA AETNA |  HMO/PPO] |contracting_method	additional_payer_notes |[payer_WEB TPA AETNA |  HMO/PPO]	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]
ROOM AND BOARD CHILD ACUTE	124	RC	facility	Inpatient				1725	600	400	1158					738		per diem 		1000		per diem 		738		per diem 						840		per diem 		924		per diem 		1062		per diem 		694		per Diem		694		per Diem		700		per Diem		798		per Diem						759		per Diem		737		per Diem		759		per Diem		759		per Diem		738		per Diem		738		per Diem		694		per Diem						1019		per Diem						1019		per Diem		400		per Diem		450		per Diem		814		per Diem						814		per Diem		814		per Diem		1158		per diem		596		per diem		694		per diem		738		per diem		950		per diem		759		per diem		980		per diem		814		per diem		974		per diem		906		per diem						906		per diem						600		per diem		941		per diem		785		per diem		1052		per diem		1052		per diem		1000		per diem						738		per diem		400		per diem		694		per diem		797		per diem		694		per diem		818.55		per diem		818.55		per diem		738		per diem		738		per diem		1052		per diem		738		per diem		738		per diem		738		per diem						738		per diem		738		per diem		963		per diem		941		per diem		494		per diem	
ROOM AND BOARD GERO UNIT	124	RC	facility	Inpatient				1725	600	400	1158					738		per diem 		1000		per diem 		738		per diem 						840		per diem 		924		per diem 		1062		per diem 		694		per Diem		694		per Diem		700		per Diem		798		per Diem						759		per Diem		737		per Diem		759		per Diem		759		per Diem		738		per Diem		738		per Diem		694		per Diem						1019		per Diem						1019		per Diem		400		per Diem		450		per Diem		814		per Diem						814		per Diem		814		per Diem		1158		per diem		596		per diem		694		per diem		738		per diem		950		per diem		759		per diem		980		per diem		814		per diem		974		per diem		906		per diem						906		per diem						600		per diem		941		per diem		785		per diem		1052		per diem		1052		per diem		1000		per diem						738		per diem		400		per diem		694		per diem		797		per diem		694		per diem		818.55		per diem		818.55		per diem		738		per diem		738		per diem		1052		per diem		738		per diem		738		per diem		738		per diem						738		per diem		738		per diem		963		per diem		941		per diem		494		per diem	
ROOM AND BOARD PSYCH ADO UNIT	124	RC	facility	Inpatient				1725	600	400	1158					738		per diem 		1000		per diem 		738		per diem 						840		per diem 		924		per diem 		1062		per diem 		694		per Diem		694		per Diem		700		per Diem		798		per Diem						759		per Diem		737		per Diem		759		per Diem		759		per Diem		738		per Diem		738		per Diem		694		per Diem						1019		per Diem						1019		per Diem		400		per Diem		450		per Diem		814		per Diem						814		per Diem		814		per Diem		1158		per diem		596		per diem		694		per diem		738		per diem		950		per diem		759		per diem		980		per diem		814		per diem		974		per diem		906		per diem						906		per diem						600		per diem		941		per diem		785		per diem		1052		per diem		1052		per diem		1000		per diem						738		per diem		400		per diem		694		per diem		797		per diem		694		per diem		818.55		per diem		818.55		per diem		738		per diem		738		per diem		1052		per diem		738		per diem		738		per diem		738		per diem						738		per diem		738		per diem		963		per diem		941		per diem		494		per diem	
ROOM AND BOARD PSYCH ADULT	124	RC	facility	Inpatient				1725	600	400	1158					738		per diem 		1000		per diem 		738		per diem 						840		per diem 		924		per diem 		1062		per diem 		694		per Diem		694		per Diem		700		per Diem		798		per Diem						759		per Diem		737		per Diem		759		per Diem		759		per Diem		738		per Diem		738		per Diem		694		per Diem						1019		per Diem						1019		per Diem		400		per Diem		450		per Diem		814		per Diem						814		per Diem		814		per Diem		1158		per diem		596		per diem		694		per diem		738		per diem		950		per diem		759		per diem		980		per diem		814		per diem		974		per diem		906		per diem						906		per diem						600		per diem		941		per diem		785		per diem		1052		per diem		1052		per diem		1000		per diem						738		per diem		400		per diem		694		per diem		797		per diem		694		per diem		818.55		per diem		818.55		per diem		738		per diem		738		per diem		1052		per diem		738		per diem		738		per diem		738		per diem						738		per diem		738		per diem		963		per diem		941		per diem		494		per diem	
ROOM AND BOARD ADULT DETOX	126	RC	facility	Inpatient				1725	600	400	1158					738		per diem 		1000		per diem 		738		per diem 						840		per diem 		924		per diem 		1062		per diem 										590		per Diem		798		per Diem						759		per Diem		628		per Diem		759		per Diem		759		per Diem		738		per Diem										963		per Diem		1019		per Diem						1019		per Diem						450		per Diem		814		per Diem						814		per Diem		814		per Diem		1158		per diem										738		per diem		950		per diem		759		per diem		980		per diem		814		per diem						906		per diem						906		per diem						600		per diem		901		per diem														654		per diem						738		per diem		400		per diem						797		per diem						818.55		per diem		818.55		per diem		738		per diem		738		per diem						738		per diem		738		per diem		738		per diem						738		per diem		738		per diem						901		per diem		494		per diem	
ROOM AND BOARD REBAH CD	128	RC	facility	Inpatient				1725	500	520	1019					738		per diem 		1000		per diem 		738		per diem 						725		per diem 		797		per diem 		917		per diem 										700		per Diem		798		per Diem						759		per Diem						759		per Diem		759		per Diem																		1019		per Diem						1019		per Diem																		520		per Diem		520		per Diem																						759		per diem														618		per diem																																																																										738		per diem						738		per diem						738		per diem						738		per diem										901		per diem					
ROOM AND BOARD PSYCH ADO RTU	129	RC	facility	Inpatient				1020	399	293	1000									750		per diem 		560		per diem 																		597		per Diem		597		per Diem		500		per Diem		508		per Diem						508		per Diem		492		per Diem		508		per Diem		508		per Diem		560		per Diem						597		per Diem						782		per Diem						782		per Diem										520		per Diem						520		per Diem						508		per diem		293		per diem		597		per diem		560		per diem		730		per diem		508		per diem		752		per diem		520		per diem		373		per diem		618		per diem						618		per diem										694		per diem		585		per diem		373		per diem		373		per diem		1000		per diem						560		per diem						597		per diem		363		per diem		597		per diem										560		per diem		560		per diem										560		per diem		560		per diem						560		per diem		560		per diem						694		per diem					
ROOM AND BOARD PSYCH CHILD RTU	129	RC	facility	Inpatient				1020	399	293	1000									750		per diem 		560		per diem 																		597		per Diem		597		per Diem		500		per Diem		508		per Diem						508		per Diem		492		per Diem		508		per Diem		508		per Diem		560		per Diem						597		per Diem						782		per Diem						782		per Diem										520		per Diem						520		per Diem						508		per diem		293		per diem		597		per diem		560		per diem		730		per diem		508		per diem		752		per diem		520		per diem		373		per diem										618		per diem										694		per diem		585		per diem		373		per diem		373		per diem		1000		per diem						560		per diem						597		per diem		363		per diem		597		per diem										560		per diem		560		per diem										560		per diem		560		per diem						560		per diem		560		per diem						694		per diem					
INTENSIVE OUTPATIENT PROGRAM ADULT PROGRAM	905	RC	facility	Outpatient				225	150	126	232					137		per diem 		200		per diem 		137		per diem 		203		per diem 		126		per diem 		138		per diem 		159		per diem 										150		per Diem		162		per Diem		189		per Diem		202		per Diem						202		per Diem		162		per Diem		137		per Diem		137		per Diem										180		per Diem		187.92		per Diem		180		per Diem										175		per Diem		175		per Diem		175		per Diem		175		per Diem														168		per diem		168		per diem		162		per diem																		225		per diem		232		per diem		232		per diem										195		per diem														128		per diem		137		per diem										132		per diem														137		per diem		137		per diem						137		per diem		137		per diem		137		per diem		137		per diem		137		per diem		137		per diem													
INTENSIVE OUTPATIENT PROGRAM GROUP PROGRAM	905	RC	facility	Outpatient				225	150	126	232					137		per diem 		200		per diem 		137		per diem 		203		per diem 		126		per diem 		138		per diem 		159		per diem 										150		per Diem		162		per Diem		189		per Diem		202		per Diem						202		per Diem		162		per Diem		137		per Diem		137		per Diem										180		per Diem		187.92		per Diem		180		per Diem										175		per Diem		175		per Diem		175		per Diem		175		per Diem														168		per diem		168		per diem		162		per diem																		225		per diem		232		per diem		232		per diem										195		per diem														128		per diem		137		per diem										132		per diem														137		per diem		137		per diem						137		per diem		137		per diem		137		per diem		137		per diem		137		per diem		137		per diem													
TELE INTENSIVE OUTPATIENT PROGRAM ADULT	905	RC	facility	Outpatient				225	150	126	232									200		per diem 		137		per diem 		203		per diem 		126		per diem 		138		per diem 		159		per diem 										150		per Diem		162		per Diem		189		per Diem		202		per Diem						202		per Diem		162		per Diem		137		per Diem		137		per Diem										180		per Diem		187.92		per Diem		180		per Diem										175		per Diem		175		per Diem		175		per Diem		175		per Diem														168		per diem		168		per diem		162		per diem																		225		per diem		232		per diem		232		per diem										195		per diem														128		per diem		137		per diem										132		per diem														137		per diem		137		per diem						137		per diem		137		per diem		137		per diem		137		per diem		137		per diem		137		per diem													
CD INTENSIVE OUTPATIENT PROGRAM ADULT PROGRAM	906	RC	facility	Outpatient				225	150	126	187.92	137				137		per diem 														126		per diem 		138		per diem 		159		per diem 																																																						180		per Diem		187.92		per Diem		180		per Diem																																																																																																																						132		per diem