hospital_Ohio Hospitalof Psychiatry last_updated_ 2023-12-31 version_1 "hospital_Columbus, Ohio" hospital_address 800 Greenlawn Avenue license_2479-07-01 | OH "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_3HAB|WORKERS COMP] standard_charge|[payer_3HAB|WORKERS COMP] |percent standard_charge|[payer_3HAB|WORKERS COMP] |contracting_method additional_payer_notes |[payer_3HAB|WORKERS COMP] 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_ADAMH ALLEN CO|LOCAL GOVT] standard_charge|[payer_ADAMH ALLEN CO|LOCAL GOVT] |percent standard_charge|[payer_ADAMH ALLEN CO|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH ALLEN CO|LOCAL GOVT] standard_charge|[payer_ADAMH ALS|LOCAL GOVT] standard_charge|[payer_ADAMH ALS|LOCAL GOVT] |percent standard_charge|[payer_ADAMH ALS|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH ALS|LOCAL GOVT] standard_charge|[payer_ADAMH ASHLAND COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH ASHLAND COUNTY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH ASHLAND COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH ASHLAND COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH BELMONT|LOCAL GOVT] standard_charge|[payer_ADAMH BELMONT|LOCAL GOVT] |percent standard_charge|[payer_ADAMH BELMONT|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH BELMONT|LOCAL GOVT] standard_charge|[payer_ADAMH BOARD FRANKLIN CO|LOCAL GOVT] standard_charge|[payer_ADAMH BOARD FRANKLIN CO|LOCAL GOVT] |percent standard_charge|[payer_ADAMH BOARD FRANKLIN CO|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH BOARD FRANKLIN CO|LOCAL GOVT] standard_charge|[payer_ADAMH BOARD OF MONTGOMERY|LOCAL GOVT] standard_charge|[payer_ADAMH BOARD OF MONTGOMERY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH BOARD OF MONTGOMERY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH BOARD OF MONTGOMERY|LOCAL GOVT] standard_charge|[payer_ADAMH BOARD PAINT VALLEY|LOCAL GOVT] standard_charge|[payer_ADAMH BOARD PAINT VALLEY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH BOARD PAINT VALLEY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH BOARD PAINT VALLEY|LOCAL GOVT] standard_charge|[payer_ADAMH FAIRFIELD COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH FAIRFIELD COUNTY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH FAIRFIELD COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH FAIRFIELD COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH HANCOCK COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH HANCOCK COUNTY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH HANCOCK COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH HANCOCK COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH LICKING & KNOX CO|LOCAL GOVT] standard_charge|[payer_ADAMH LICKING & KNOX CO|LOCAL GOVT] |percent standard_charge|[payer_ADAMH LICKING & KNOX CO|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH LICKING & KNOX CO|LOCAL GOVT] standard_charge|[payer_ADAMH LOGAN/CHAMPAIGN CO|LOCAL GOVT] standard_charge|[payer_ADAMH LOGAN/CHAMPAIGN CO|LOCAL GOVT] |percent standard_charge|[payer_ADAMH LOGAN/CHAMPAIGN CO|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH LOGAN/CHAMPAIGN CO|LOCAL GOVT] standard_charge|[payer_ADAMH MARION COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH MARION COUNTY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH MARION COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH MARION COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH MEIGS COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH MEIGS COUNTY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH MEIGS COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH MEIGS COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH TRI-COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH TRI-COUNTY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH TRI-COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH TRI-COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH WASHINGTON COUNTY|LOCAL GOVT] standard_charge|[payer_ADAMH WASHINGTON COUNTY|LOCAL GOVT] |percent standard_charge|[payer_ADAMH WASHINGTON COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ADAMH WASHINGTON COUNTY|LOCAL GOVT] 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 BETTER HEALTH MCD|MANAGED MEDICAID] standard_charge|[payer_AETNA BETTER HEALTH MCD|MANAGED MEDICAID] |percent standard_charge|[payer_AETNA BETTER HEALTH MCD|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AETNA BETTER HEALTH MCD|MANAGED MEDICAID] standard_charge|[payer_AETNA BETTER HEALTH WV|MANAGED MEDICAID] standard_charge|[payer_AETNA BETTER HEALTH WV|MANAGED MEDICAID] |percent standard_charge|[payer_AETNA BETTER HEALTH WV|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AETNA BETTER HEALTH WV|MANAGED MEDICAID] standard_charge|[payer_AETNA BETTER MCR|MANAGED MEDICARE] standard_charge|[payer_AETNA BETTER MCR|MANAGED MEDICARE] |percent standard_charge|[payer_AETNA BETTER MCR|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AETNA BETTER MCR|MANAGED MEDICARE] standard_charge|[payer_AETNA BETTERHEALTH MCD|MANAGED MEDICAID] standard_charge|[payer_AETNA BETTERHEALTH MCD|MANAGED MEDICAID] |percent standard_charge|[payer_AETNA BETTERHEALTH MCD|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AETNA BETTERHEALTH MCD|MANAGED MEDICAID] standard_charge|[payer_AETNA BH PA MCD|MANAGED MEDICAID] standard_charge|[payer_AETNA BH PA MCD|MANAGED MEDICAID] |percent standard_charge|[payer_AETNA BH PA MCD|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AETNA BH PA MCD|MANAGED MEDICAID] 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_ALL SAVERS|HMO/PPO] standard_charge|[payer_ALL SAVERS|HMO/PPO] |percent standard_charge|[payer_ALL SAVERS|HMO/PPO] |contracting_method additional_payer_notes |[payer_ALL SAVERS|HMO/PPO] standard_charge|[payer_ALLIED BENEFIT SYSTEMS|HMO/PPO] standard_charge|[payer_ALLIED BENEFIT SYSTEMS|HMO/PPO] |percent standard_charge|[payer_ALLIED BENEFIT SYSTEMS|HMO/PPO] |contracting_method additional_payer_notes |[payer_ALLIED BENEFIT SYSTEMS|HMO/PPO] standard_charge|[payer_ALTERNATIVE PATHS|LOCAL GOVT] standard_charge|[payer_ALTERNATIVE PATHS|LOCAL GOVT] |percent standard_charge|[payer_ALTERNATIVE PATHS|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_ALTERNATIVE PATHS|LOCAL GOVT] standard_charge|[payer_AMBETTER|HMO/PPO] standard_charge|[payer_AMBETTER|HMO/PPO] |percent standard_charge|[payer_AMBETTER|HMO/PPO] |contracting_method additional_payer_notes |[payer_AMBETTER|HMO/PPO] standard_charge|[payer_AMBETTER MCR|MANAGED MEDICARE] standard_charge|[payer_AMBETTER MCR|MANAGED MEDICARE] |percent standard_charge|[payer_AMBETTER MCR|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AMBETTER MCR|MANAGED MEDICARE] standard_charge|[payer_AMERIHEALTH CARITAS|MANAGED MEDICAID] standard_charge|[payer_AMERIHEALTH CARITAS|MANAGED MEDICAID] |percent standard_charge|[payer_AMERIHEALTH CARITAS|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AMERIHEALTH CARITAS|MANAGED MEDICAID] standard_charge|[payer_AULTCARE|COMMERCIAL] standard_charge|[payer_AULTCARE|COMMERCIAL] |percent standard_charge|[payer_AULTCARE|COMMERCIAL] |contracting_method additional_payer_notes |[payer_AULTCARE|COMMERCIAL] standard_charge|[payer_BAS|HMO/PPO] standard_charge|[payer_BAS|HMO/PPO] |percent standard_charge|[payer_BAS|HMO/PPO] |contracting_method additional_payer_notes |[payer_BAS|HMO/PPO] 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 MEDICAID|MANAGED MEDICAID] standard_charge|[payer_BCBS MEDICAID|MANAGED MEDICAID] |percent standard_charge|[payer_BCBS MEDICAID|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_BCBS MEDICAID|MANAGED MEDICAID] standard_charge|[payer_BCBS OHIO|BLUE CROSS] standard_charge|[payer_BCBS OHIO|BLUE CROSS] |percent standard_charge|[payer_BCBS OHIO|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS OHIO|BLUE CROSS] standard_charge|[payer_BCBS SENIOR ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_BCBS SENIOR ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_BCBS SENIOR ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_BCBS SENIOR ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS|HMO/PPO] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS|HMO/PPO] |percent standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS|HMO/PPO] |contracting_method additional_payer_notes |[payer_BEHAVIORAL HEALTH SYSTEMS|HMO/PPO] standard_charge|[payer_BHP|LOCAL GOVT] standard_charge|[payer_BHP|LOCAL GOVT] |percent standard_charge|[payer_BHP|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_BHP|LOCAL GOVT] standard_charge|[payer_BUCKEYE HEALTH PLAN|MANAGED MEDICAID] standard_charge|[payer_BUCKEYE HEALTH PLAN|MANAGED MEDICAID] |percent standard_charge|[payer_BUCKEYE HEALTH PLAN|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_BUCKEYE HEALTH PLAN|MANAGED MEDICAID] standard_charge|[payer_CARELON BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_CARELON BEHAVIORAL HEALTH|HMO/PPO] |percent standard_charge|[payer_CARELON BEHAVIORAL HEALTH|HMO/PPO] |contracting_method additional_payer_notes |[payer_CARELON BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_CARESOURCE MARKETPLACE|HMO/PPO] standard_charge|[payer_CARESOURCE MARKETPLACE|HMO/PPO] |percent standard_charge|[payer_CARESOURCE MARKETPLACE|HMO/PPO] |contracting_method additional_payer_notes |[payer_CARESOURCE MARKETPLACE|HMO/PPO] standard_charge|[payer_CARESOURCE MCR ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_CARESOURCE MCR ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_CARESOURCE MCR ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_CARESOURCE MCR ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_CARESOURCE MEDICAID|MANAGED MEDICAID] standard_charge|[payer_CARESOURCE MEDICAID|MANAGED MEDICAID] |percent standard_charge|[payer_CARESOURCE MEDICAID|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CARESOURCE MEDICAID|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_CHAMPVA-IP|VETERANS ADMIN] standard_charge|[payer_CHAMPVA-IP|VETERANS ADMIN] |percent standard_charge|[payer_CHAMPVA-IP|VETERANS ADMIN] |contracting_method additional_payer_notes |[payer_CHAMPVA-IP|VETERANS ADMIN] 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_CLARK AND MADISON COUNTY|LOCAL GOVT] standard_charge|[payer_CLARK AND MADISON COUNTY|LOCAL GOVT] |percent standard_charge|[payer_CLARK AND MADISON COUNTY|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_CLARK AND MADISON COUNTY|LOCAL GOVT] standard_charge|[payer_COMMUNICARE ADV|MANAGED MEDICARE] standard_charge|[payer_COMMUNICARE ADV|MANAGED MEDICARE] |percent standard_charge|[payer_COMMUNICARE ADV|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_COMMUNICARE ADV|MANAGED MEDICARE] standard_charge|[payer_COMPSYCH|COMMERCIAL] standard_charge|[payer_COMPSYCH|COMMERCIAL] |percent standard_charge|[payer_COMPSYCH|COMMERCIAL] |contracting_method additional_payer_notes |[payer_COMPSYCH|COMMERCIAL] standard_charge|[payer_FIRELANDS COUNSELING RECC|LOCAL GOVT] standard_charge|[payer_FIRELANDS COUNSELING RECC|LOCAL GOVT] |percent standard_charge|[payer_FIRELANDS COUNSELING RECC|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_FIRELANDS COUNSELING RECC|LOCAL GOVT] standard_charge|[payer_FRONTPATH|COMMERCIAL] standard_charge|[payer_FRONTPATH|COMMERCIAL] |percent standard_charge|[payer_FRONTPATH|COMMERCIAL] |contracting_method additional_payer_notes |[payer_FRONTPATH|COMMERCIAL] standard_charge|[payer_GAINWELL TECHNOLOGIES|MEDICAID: OUT OF STATE] standard_charge|[payer_GAINWELL TECHNOLOGIES|MEDICAID: OUT OF STATE] |percent standard_charge|[payer_GAINWELL TECHNOLOGIES|MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_GAINWELL TECHNOLOGIES|MEDICAID: OUT OF STATE] 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_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_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 GOLD CHOICE MCR|MANAGED MEDICARE] standard_charge|[payer_HUMANA GOLD CHOICE MCR|MANAGED MEDICARE] |percent standard_charge|[payer_HUMANA GOLD CHOICE MCR|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HUMANA GOLD CHOICE MCR|MANAGED MEDICARE] standard_charge|[payer_HUMANA HEALTHY HORIZONS|MANAGED MEDICAID] standard_charge|[payer_HUMANA HEALTHY HORIZONS|MANAGED MEDICAID] |percent standard_charge|[payer_HUMANA HEALTHY HORIZONS|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_HUMANA HEALTHY HORIZONS|MANAGED MEDICAID] standard_charge|[payer_JP FARLEY CORPORATION|COMMERCIAL] standard_charge|[payer_JP FARLEY CORPORATION|COMMERCIAL] |percent standard_charge|[payer_JP FARLEY CORPORATION|COMMERCIAL] |contracting_method additional_payer_notes |[payer_JP FARLEY CORPORATION|COMMERCIAL] 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_LUCENT HEALTH|COMMERCIAL] standard_charge|[payer_LUCENT HEALTH|COMMERCIAL] |percent standard_charge|[payer_LUCENT HEALTH|COMMERCIAL] |contracting_method additional_payer_notes |[payer_LUCENT HEALTH|COMMERCIAL] standard_charge|[payer_MAGELLAN|HMO/PPO] standard_charge|[payer_MAGELLAN|HMO/PPO] |percent standard_charge|[payer_MAGELLAN|HMO/PPO] |contracting_method additional_payer_notes |[payer_MAGELLAN|HMO/PPO] standard_charge|[payer_MEDBEN|HMO/PPO] standard_charge|[payer_MEDBEN|HMO/PPO] |percent standard_charge|[payer_MEDBEN|HMO/PPO] |contracting_method additional_payer_notes |[payer_MEDBEN|HMO/PPO] standard_charge|[payer_MEDICAID|MEDICAID ] standard_charge|[payer_MEDICAID|MEDICAID ] |percent standard_charge|[payer_MEDICAID|MEDICAID ] |contracting_method additional_payer_notes |[payer_MEDICAID|MEDICAID ] standard_charge|[payer_MEDICAL MUTUAL|HMO/PPO] standard_charge|[payer_MEDICAL MUTUAL|HMO/PPO] |percent standard_charge|[payer_MEDICAL MUTUAL|HMO/PPO] |contracting_method additional_payer_notes |[payer_MEDICAL MUTUAL|HMO/PPO] standard_charge|[payer_MEDICAL MUTUAL MCR|MANAGED MEDICARE] standard_charge|[payer_MEDICAL MUTUAL MCR|MANAGED MEDICARE] |percent standard_charge|[payer_MEDICAL MUTUAL MCR|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MEDICAL MUTUAL MCR|MANAGED MEDICARE] 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_MEDIGOLD MEDICARE|MANAGED MEDICARE] standard_charge|[payer_MEDIGOLD MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_MEDIGOLD MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MEDIGOLD MEDICARE|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_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICAID] standard_charge|[payer_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICAID] |percent standard_charge|[payer_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICAID] standard_charge|[payer_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICARE] standard_charge|[payer_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICARE] |percent standard_charge|[payer_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MOLINA HEALTHCARE OF OHIO|MANAGED MEDICARE] standard_charge|[payer_MOLINA MARKETPLACE|HMO/PPO] standard_charge|[payer_MOLINA MARKETPLACE|HMO/PPO] |percent standard_charge|[payer_MOLINA MARKETPLACE|HMO/PPO] |contracting_method additional_payer_notes |[payer_MOLINA MARKETPLACE|HMO/PPO] standard_charge|[payer_MOLINA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_MOLINA MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_MOLINA MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MOLINA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_MOLINA MYCARE MCR|MANAGED MEDICARE] standard_charge|[payer_MOLINA MYCARE MCR|MANAGED MEDICARE] |percent standard_charge|[payer_MOLINA MYCARE MCR|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MOLINA MYCARE MCR|MANAGED MEDICARE] 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_OHIO HEALTHY|HMO/PPO] standard_charge|[payer_OHIO HEALTHY|HMO/PPO] |percent standard_charge|[payer_OHIO HEALTHY|HMO/PPO] |contracting_method additional_payer_notes |[payer_OHIO HEALTHY|HMO/PPO] standard_charge|[payer_OHIORISE - AETNA BETTER|MANAGED MEDICAID] standard_charge|[payer_OHIORISE - AETNA BETTER|MANAGED MEDICAID] |percent standard_charge|[payer_OHIORISE - AETNA BETTER|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_OHIORISE - AETNA BETTER|MANAGED MEDICAID] standard_charge|[payer_OPTUM|HMO/PPO] standard_charge|[payer_OPTUM|HMO/PPO] |percent standard_charge|[payer_OPTUM|HMO/PPO] |contracting_method additional_payer_notes |[payer_OPTUM|HMO/PPO] standard_charge|[payer_OXFORD|HMO/PPO] standard_charge|[payer_OXFORD|HMO/PPO] |percent standard_charge|[payer_OXFORD|HMO/PPO] |contracting_method additional_payer_notes |[payer_OXFORD|HMO/PPO] standard_charge|[payer_PARAMOUNT HEALTHCARE|MANAGED MEDICAID] standard_charge|[payer_PARAMOUNT HEALTHCARE|MANAGED MEDICAID] |percent standard_charge|[payer_PARAMOUNT HEALTHCARE|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_PARAMOUNT HEALTHCARE|MANAGED MEDICAID] standard_charge|[payer_PASSPORT HEALTH PLAN|MANAGED MEDICAID] standard_charge|[payer_PASSPORT HEALTH PLAN|MANAGED MEDICAID] |percent standard_charge|[payer_PASSPORT HEALTH PLAN|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_PASSPORT HEALTH PLAN|MANAGED MEDICAID] standard_charge|[payer_STARK CO ADAMH|LOCAL GOVT] standard_charge|[payer_STARK CO ADAMH|LOCAL GOVT] |percent standard_charge|[payer_STARK CO ADAMH|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_STARK CO ADAMH|LOCAL GOVT] standard_charge|[payer_SUMMACARE|COMMERCIAL] standard_charge|[payer_SUMMACARE|COMMERCIAL] |percent standard_charge|[payer_SUMMACARE|COMMERCIAL] |contracting_method additional_payer_notes |[payer_SUMMACARE|COMMERCIAL] standard_charge|[payer_TCN BEHAVIORAL HEALTH|LOCAL GOVT] standard_charge|[payer_TCN BEHAVIORAL HEALTH|LOCAL GOVT] |percent standard_charge|[payer_TCN BEHAVIORAL HEALTH|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_TCN BEHAVIORAL HEALTH|LOCAL GOVT] standard_charge|[payer_THE COUNSELING CENTER|LOCAL GOVT] standard_charge|[payer_THE COUNSELING CENTER|LOCAL GOVT] |percent standard_charge|[payer_THE COUNSELING CENTER|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_THE COUNSELING CENTER|LOCAL GOVT] standard_charge|[payer_THE HEALTH PLAN|COMMERCIAL] standard_charge|[payer_THE HEALTH PLAN|COMMERCIAL] |percent standard_charge|[payer_THE HEALTH PLAN|COMMERCIAL] |contracting_method additional_payer_notes |[payer_THE HEALTH PLAN|COMMERCIAL] standard_charge|[payer_THE HEALTH PLAN MCD|MANAGED MEDICAID] standard_charge|[payer_THE HEALTH PLAN MCD|MANAGED MEDICAID] |percent standard_charge|[payer_THE HEALTH PLAN MCD|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_THE HEALTH PLAN MCD|MANAGED MEDICAID] standard_charge|[payer_TRI COUNTY BOARD|LOCAL GOVT] standard_charge|[payer_TRI COUNTY BOARD|LOCAL GOVT] |percent standard_charge|[payer_TRI COUNTY BOARD|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_TRI COUNTY BOARD|LOCAL GOVT] standard_charge|[payer_TRICARE EAST REGION|TRICARE] standard_charge|[payer_TRICARE EAST REGION|TRICARE] |percent standard_charge|[payer_TRICARE EAST REGION|TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE EAST REGION|TRICARE] standard_charge|[payer_TRICARE FOR LIFE|COMMERCIAL] standard_charge|[payer_TRICARE FOR LIFE|COMMERCIAL] |percent standard_charge|[payer_TRICARE FOR LIFE|COMMERCIAL] |contracting_method additional_payer_notes |[payer_TRICARE FOR LIFE|COMMERCIAL] standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO] standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO] |percent standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO] |contracting_method additional_payer_notes |[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO] standard_charge|[payer_UBH MCR ADV|MANAGED MEDICARE] standard_charge|[payer_UBH MCR ADV|MANAGED MEDICARE] |percent standard_charge|[payer_UBH MCR ADV|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UBH MCR ADV|MANAGED MEDICARE] standard_charge|[payer_UHC CHOICE PLUS|HMO/PPO] standard_charge|[payer_UHC CHOICE PLUS|HMO/PPO] |percent standard_charge|[payer_UHC CHOICE PLUS|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC CHOICE PLUS|HMO/PPO] standard_charge|[payer_UHC COMMUNITY HEALTH|MANAGED MEDICARE] standard_charge|[payer_UHC COMMUNITY HEALTH|MANAGED MEDICARE] |percent standard_charge|[payer_UHC COMMUNITY HEALTH|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UHC COMMUNITY HEALTH|MANAGED MEDICARE] standard_charge|[payer_UHC COMMUNITY HEALTH MCD|MANAGED MEDICAID] standard_charge|[payer_UHC COMMUNITY HEALTH MCD|MANAGED MEDICAID] |percent standard_charge|[payer_UHC COMMUNITY HEALTH MCD|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_UHC COMMUNITY HEALTH MCD|MANAGED MEDICAID] standard_charge|[payer_UHC SHARED SERVICES|HMO/PPO] standard_charge|[payer_UHC SHARED SERVICES|HMO/PPO] |percent standard_charge|[payer_UHC SHARED SERVICES|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC SHARED SERVICES|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_UNICARE HEALTH PLAN OF WV|MANAGED MEDICAID] standard_charge|[payer_UNICARE HEALTH PLAN OF WV|MANAGED MEDICAID] |percent standard_charge|[payer_UNICARE HEALTH PLAN OF WV|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_UNICARE HEALTH PLAN OF WV|MANAGED MEDICAID] 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_VA CCN OPTUM|VETERANS ADMIN] standard_charge|[payer_VA CCN OPTUM|VETERANS ADMIN] |percent standard_charge|[payer_VA CCN OPTUM|VETERANS ADMIN] |contracting_method additional_payer_notes |[payer_VA CCN OPTUM|VETERANS ADMIN] standard_charge|[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] standard_charge|[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] |percent standard_charge|[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] standard_charge|[payer_X COMMERCIAL-ENTER NAME|COMMERCIAL] standard_charge|[payer_X COMMERCIAL-ENTER NAME|COMMERCIAL] |percent standard_charge|[payer_X COMMERCIAL-ENTER NAME|COMMERCIAL] |contracting_method additional_payer_notes |[payer_X COMMERCIAL-ENTER NAME|COMMERCIAL] standard_charge|[payer_X WORK COMP-ENTER NAME|WORKERS COMP] standard_charge|[payer_X WORK COMP-ENTER NAME|WORKERS COMP] |percent standard_charge|[payer_X WORK COMP-ENTER NAME|WORKERS COMP] |contracting_method additional_payer_notes |[payer_X WORK COMP-ENTER NAME|WORKERS COMP] ADULT ROOM AND BOARD 124 RC facility inpatient 4400 750 560 4400 4400 per diem 827 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 800 per diem 1661 per diem 1503.73 per diem 4400 per diem 827 759 per diem 800 per diem 954 per diem 800 per diem 850 per diem 4400 per diem 824 per diem 824 per diem 767 per diem 800 per diem 660 per diem 743 per diem 651 per diem 1986 per diem 800 per diem 4400 per diem 632.31 per diem 4400 per diem 4400 per diem 4400 per diem 827 per diem 1200 per diem 4400 per diem 4400 per diem 4400 per diem 844 per diem 1100 per diem 925 per diem 759 per diem 4400 per diem 1100 per diem 827 per diem 827 per diem 800 per diem 4400 per diem 800 per diem 4400 per diem 800 per diem 800 per diem 4400 per diem 560 per diem 900 per diem 831 per diem 831 per diem 1100 per diem 838 per diem 827 per diem 827 per diem 827 per diem 827 per diem 1080 per diem 827 per diem 900 per diem 4400 per diem 4400 per diem ADULT ROOM AND BOARD DETOX 126 RC facility inpatient 4400 0 660 660 660 per diem DETOX ROOM AND BOARD 126 RC facility inpatient 4400 0 660 660 660 per diem INTENSIVE OUTPATIENT PROGRAM ADULT PSYCH 905 RC facility outpatient 1000 201.34 142 226.56 170 per diem 150 per diem 200 per diem 157 per diem 182.66 per diem 157 per diem 150 per diem 206 per diem 170 per diem 159 per diem 150 per diem 142 per diem 192 per diem 226.56 per diem 170 per diem 182.66 per diem 182.66 per diem 170 per diem 150 per diem 155 per diem 150 per diem 182.66 per diem 150 per diem 150 per diem TBS MCD ADULT PSYCH 907 RC facility outpatient 600 300 135.92 323 250 per diem 323 per diem 146.27 per diem 135.92 per diem 182.66 per diem 180 per diem 135.92 per diem 135.92 per diem 182.66 per diem CRISIS PSYCHOTHERAPY 910 RC facility outpatient 112.27 0 58.27 73.06 73.06 per diem 73.06 per diem 73.06 per diem 58.27 per diem 73.06 per diem 73.06 per diem 73.06 per diem 73.06 per diem 73.06 per diem INIT PSYCH EVL 90791 910 RC facility outpatient 130.72 0 58.27 73.06 73.06 per diem 73.06 per diem 73.06 per diem 58.27 per diem 73.06 per diem 73.06 per diem 73.06 per diem 73.06 per diem 73.06 per diem INIT PSYCH EVL 90792 910 RC facility outpatient 144.35 0 58.27 73.06 73.06 per diem 73.06 per diem 73.06 per diem 58.27 per diem 73.06 per diem 73.06 per diem 73.06 per diem 73.06 per diem 73.06 per diem GROUP PSYCHOTHERAPY 915 RC facility outpatient 90 0 36.53 433.27 331 per diem 226.56 per diem 36.53 per diem 331 per diem 206.71 per diem 433.27 per diem 206.71 per diem 36.53 per diem 206.71 per diem 433.27 per diem 36.53 per diem 433.27 per diem 433.27 per diem 36.53 per diem 206.71 per diem 36.53 per diem 421.82 per diem 226.56 per diem 36.53 per diem 36.53 per diem 383 per diem 433.27 per diem 36.53 per diem INTENSIVE OUTPATIENT PROGRAM PROC GRP 1 MCD 915 RC facility outpatient 200 0 36.53 433.27 331 per diem 226.56 per diem 36.53 per diem 331 per diem 206.71 per diem 433.27 per diem 206.71 per diem 36.53 per diem 206.71 per diem 433.27 per diem 36.53 per diem 433.27 per diem 433.27 per diem 36.53 per diem 206.71 per diem 36.53 per diem 421.82 per diem 226.56 per diem 36.53 per diem 36.53 per diem 383 per diem 433.27 per diem 36.53 per diem INTENSIVE OUTPATIENT PROGRAM PROC GRP 1 MCR 915 RC facility outpatient 283.33 0 36.53 433.27 331 per diem 226.56 per diem 36.53 per diem 331 per diem 206.71 per diem 433.27 per diem 206.71 per diem 36.53 per diem 206.71 per diem 433.27 per diem 36.53 per diem 433.27 per diem 433.27 per diem 36.53 per diem 206.71 per diem 36.53 per diem 421.82 per diem 226.56 per diem 36.53 per diem 36.53 per diem 383 per diem 433.27 per diem 36.53 per diem INTENSIVE OUTPATIENT PROGRAM PROC GRP 2 MCD 915 RC facility outpatient 100 0 36.53 433.27 331 per diem 226.56 per diem 36.53 per diem 331 per diem 206.71 per diem 433.27 per diem 206.71 per diem 36.53 per diem 206.71 per diem 433.27 per diem 36.53 per diem 433.27 per diem 433.27 per diem 36.53 per diem 206.71 per diem 36.53 per diem 421.82 per diem 226.56 per diem 36.53 per diem 36.53 per diem 383 per diem 433.27 per diem 36.53 per diem PHYSICIAN BILLING 90791 RC facility PHYSICIAN BILLING 310 0 99.63 99.63 99.63 fee schedule PHYSICIAN BILLING 90792 RC facility PHYSICIAN BILLING 310 0 19.47 170.32 133.53 fee schedule 86.17 fee schedule 73.79 fee schedule 19.47 86.58 fee schedule 78.32 fee schedule 74.83 fee schedule 101.81 fee schedule 92.44 fee schedule 141.87 fee schedule 83.14 fee schedule 83.14 fee schedule 31.46 fee schedule 47.42 fee schedule 95 fee schedule 95 fee schedule 100.24 fee schedule 170.32 fee schedule PHYSICIAN BILLING 99221 RC facility PHYSICIAN BILLING 125 0 22.57 72.39 37.61 fee schedule 34.59 fee schedule 31.97 fee schedule 72.39 22.57 fee schedule 33.85 fee schedule 54.52 fee schedule 37.61 fee schedule 37.61 fee schedule PHYSICIAN BILLING 99222 RC facility PHYSICIAN BILLING 125 0 106.51 106.51 106.51 fee schedule PHYSICIAN BILLING 99231 RC facility PHYSICIAN BILLING 120 0 9.98 100.24 31.4 fee schedule 17.49 fee schedule 16.65 fee schedule 15.39 fee schedule 9.98 23.28 fee schedule 15.9 fee schedule 32.59 fee schedule 24.53 fee schedule 15.74 fee schedule 27.7 fee schedule 29.77 fee schedule 17.49 fee schedule 51.15 fee schedule 35.58 fee schedule 17.49 fee schedule 66.83 fee schedule 40.75 fee schedule 100.24 fee schedule 34.25 fee schedule 28.9 fee schedule 45.58 fee schedule PHYSICIAN BILLING 99232 RC facility PHYSICIAN BILLING 140 0 21 68.93 28.18 fee schedule 47.16 fee schedule 26.07 fee schedule 51.76 fee schedule 27.96 fee schedule 51.76 fee schedule 25.36 fee schedule 47.18 fee schedule 28.18 fee schedule 21 fee schedule 64.7 fee schedule 28.18 fee schedule 64.7 fee schedule 44.75 fee schedule 68.93 fee schedule PHYSICIAN BILLING 99238 RC facility PHYSICIAN BILLING 160 0 10.17 71.8 31.62 fee schedule 10.17 fee schedule 27.67 fee schedule 52.59 fee schedule 28.51 fee schedule 45.19 fee schedule 28.46 fee schedule 42.93 fee schedule 52.59 fee schedule 31.62 fee schedule 24.78 fee schedule 65.73 fee schedule 31.62 fee schedule 27.54 fee schedule 46.03 fee schedule 59.85 fee schedule 46.03 fee schedule 71.8 fee schedule