"hospital_El Paso Behavioral Hosptial, LLC" last_updated_ 2023-12-31 version_1 "hospital_El Paso, Texas" hospital_address 1390 Northwestern Drive license_100456 | TX "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded in this machine-readable file is true, accurate, and complete as of the date indicated in this file" description code |1 code|1|type billing_class setting drug_unit_of_measurement drug_type_of_measurement modifiers standard_charge | gross standard_charge|discounted_cash standard_charge|min standard_charge | max standard_charge|[payer_AARP MEDICARE COMPLETE| MANAGED MEDICARE] standard_charge|[payer_AARP MEDICARE COMPLETE| MANAGED MEDICARE] |percent standard_charge|[payer_AARP MEDICARE COMPLETE| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AARP MEDICARE COMPLETE| MANAGED MEDICARE] standard_charge|[payer_AARP SUPPLEMENTAL HEALTH| COMMERCIAL] standard_charge|[payer_AARP SUPPLEMENTAL HEALTH| COMMERCIAL] |percent standard_charge|[payer_AARP SUPPLEMENTAL HEALTH| COMMERCIAL] |contracting_method additional_payer_notes |[payer_AARP SUPPLEMENTAL HEALTH| COMMERCIAL] standard_charge|[payer_AETNA HEALTHCARE| HMO/PPO] standard_charge|[payer_AETNA HEALTHCARE| HMO/PPO] |percent standard_charge|[payer_AETNA HEALTHCARE| HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA HEALTHCARE| HMO/PPO] standard_charge|[payer_AETNA LIFE INSURANCE| HMO/PPO] standard_charge|[payer_AETNA LIFE INSURANCE| HMO/PPO] |percent standard_charge|[payer_AETNA LIFE INSURANCE| HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA LIFE INSURANCE| HMO/PPO] standard_charge|[payer_AETNA MEDICARE MNGD| MANAGED MEDICARE] standard_charge|[payer_AETNA MEDICARE MNGD| MANAGED MEDICARE] |percent standard_charge|[payer_AETNA MEDICARE MNGD| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AETNA MEDICARE MNGD| MANAGED MEDICARE] standard_charge|[payer_AETNA SENIOR SUPPLEMENTAL| COMMERCIAL] standard_charge|[payer_AETNA SENIOR SUPPLEMENTAL| COMMERCIAL] |percent standard_charge|[payer_AETNA SENIOR SUPPLEMENTAL| COMMERCIAL] |contracting_method additional_payer_notes |[payer_AETNA SENIOR SUPPLEMENTAL| COMMERCIAL] standard_charge|[payer_ALLIED BENEFITS SYSTEMS| COMMERCIAL] standard_charge|[payer_ALLIED BENEFITS SYSTEMS| COMMERCIAL] |percent standard_charge|[payer_ALLIED BENEFITS SYSTEMS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_ALLIED BENEFITS SYSTEMS| COMMERCIAL] 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_AMERIGROUP DUAL| MANAGED MEDICARE] standard_charge|[payer_AMERIGROUP DUAL| MANAGED MEDICARE] |percent standard_charge|[payer_AMERIGROUP DUAL| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AMERIGROUP DUAL| MANAGED MEDICARE] standard_charge|[payer_AMERIGROUP MCD| MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP MCD| MANAGED MEDICAID] |percent standard_charge|[payer_AMERIGROUP MCD| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AMERIGROUP MCD| MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP STAR| MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP STAR| MANAGED MEDICAID] |percent standard_charge|[payer_AMERIGROUP STAR| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AMERIGROUP STAR| MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP STAR PLUS| MANAGED MEDICAID] |percent standard_charge|[payer_AMERIGROUP STAR PLUS| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AMERIGROUP STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_ARIZONA COMPLETE HEALTH| MANAGED MEDICAID] standard_charge|[payer_ARIZONA COMPLETE HEALTH| MANAGED MEDICAID] |percent standard_charge|[payer_ARIZONA COMPLETE HEALTH| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_ARIZONA COMPLETE HEALTH| MANAGED MEDICAID] standard_charge|[payer_ASR HEALTH BENEFITS| COMMERCIAL] standard_charge|[payer_ASR HEALTH BENEFITS| COMMERCIAL] |percent standard_charge|[payer_ASR HEALTH BENEFITS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_ASR HEALTH BENEFITS| COMMERCIAL] standard_charge|[payer_ASSURED BENEFITS ADMIN| COMMERCIAL] standard_charge|[payer_ASSURED BENEFITS ADMIN| COMMERCIAL] |percent standard_charge|[payer_ASSURED BENEFITS ADMIN| COMMERCIAL] |contracting_method additional_payer_notes |[payer_ASSURED BENEFITS ADMIN| COMMERCIAL] standard_charge|[payer_AUXIANT INSURANCE| COMMERCIAL] standard_charge|[payer_AUXIANT INSURANCE| COMMERCIAL] |percent standard_charge|[payer_AUXIANT INSURANCE| COMMERCIAL] |contracting_method additional_payer_notes |[payer_AUXIANT INSURANCE| COMMERCIAL] standard_charge|[payer_BAS BENEFIT ADM SYSTEMS| COMMERCIAL] standard_charge|[payer_BAS BENEFIT ADM SYSTEMS| COMMERCIAL] |percent standard_charge|[payer_BAS BENEFIT ADM SYSTEMS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_BAS BENEFIT ADM SYSTEMS| COMMERCIAL] standard_charge|[payer_BCBS CENTENNIAL| MANAGED MEDICAID] standard_charge|[payer_BCBS CENTENNIAL| MANAGED MEDICAID] |percent standard_charge|[payer_BCBS CENTENNIAL| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_BCBS CENTENNIAL| 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 OF TX| BLUE CROSS] standard_charge|[payer_BCBS OF TX| BLUE CROSS] |percent standard_charge|[payer_BCBS OF TX| BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS OF TX| 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| COMMERCIAL] standard_charge|[payer_BEACON HEALTH| COMMERCIAL] |percent standard_charge|[payer_BEACON HEALTH| COMMERCIAL] |contracting_method additional_payer_notes |[payer_BEACON HEALTH| COMMERCIAL] standard_charge|[payer_BEAZLEY INS COMPANY INC| COMMERCIAL] standard_charge|[payer_BEAZLEY INS COMPANY INC| COMMERCIAL] |percent standard_charge|[payer_BEAZLEY INS COMPANY INC| COMMERCIAL] |contracting_method additional_payer_notes |[payer_BEAZLEY INS COMPANY INC| COMMERCIAL] standard_charge|[payer_BOON CHAMPMAN| COMMERCIAL] standard_charge|[payer_BOON CHAMPMAN| COMMERCIAL] |percent standard_charge|[payer_BOON CHAMPMAN| COMMERCIAL] |contracting_method additional_payer_notes |[payer_BOON CHAMPMAN| COMMERCIAL] standard_charge|[payer_CARE MORE HEALTH| MANAGED MEDICARE] standard_charge|[payer_CARE MORE HEALTH| MANAGED MEDICARE] |percent standard_charge|[payer_CARE MORE HEALTH| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_CARE MORE HEALTH| MANAGED MEDICARE] 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 HEALTHCARE| HMO/PPO] standard_charge|[payer_CIGNA HEALTHCARE| HMO/PPO] |percent standard_charge|[payer_CIGNA HEALTHCARE| HMO/PPO] |contracting_method additional_payer_notes |[payer_CIGNA HEALTHCARE| HMO/PPO] standard_charge|[payer_CIGNA TRUE CHOICE| MANAGED MEDICARE] standard_charge|[payer_CIGNA TRUE CHOICE| MANAGED MEDICARE] |percent standard_charge|[payer_CIGNA TRUE CHOICE| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_CIGNA TRUE CHOICE| MANAGED MEDICARE] standard_charge|[payer_CLAIMS ADMIN SERVICES| WORKERS COMP] standard_charge|[payer_CLAIMS ADMIN SERVICES| WORKERS COMP] |percent standard_charge|[payer_CLAIMS ADMIN SERVICES| WORKERS COMP] |contracting_method additional_payer_notes |[payer_CLAIMS ADMIN SERVICES| WORKERS COMP] standard_charge|[payer_DEPT FAMILY AND PROTECTIV| COMMERCIAL] standard_charge|[payer_DEPT FAMILY AND PROTECTIV| COMMERCIAL] |percent standard_charge|[payer_DEPT FAMILY AND PROTECTIV| COMMERCIAL] |contracting_method additional_payer_notes |[payer_DEPT FAMILY AND PROTECTIV| COMMERCIAL] standard_charge|[payer_EBMS| COMMERCIAL] standard_charge|[payer_EBMS| COMMERCIAL] |percent standard_charge|[payer_EBMS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_EBMS| COMMERCIAL] standard_charge|[payer_EL PASO CHILDRENS HOSPITA| HMO/PPO] standard_charge|[payer_EL PASO CHILDRENS HOSPITA| HMO/PPO] |percent standard_charge|[payer_EL PASO CHILDRENS HOSPITA| HMO/PPO] |contracting_method additional_payer_notes |[payer_EL PASO CHILDRENS HOSPITA| HMO/PPO] standard_charge|[payer_EL PASO HEALTH MGD MCD| MANAGED MEDICAID] standard_charge|[payer_EL PASO HEALTH MGD MCD| MANAGED MEDICAID] |percent standard_charge|[payer_EL PASO HEALTH MGD MCD| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_EL PASO HEALTH MGD MCD| MANAGED MEDICAID] standard_charge|[payer_EL PASO HEALTH STAR| MANAGED MEDICAID] standard_charge|[payer_EL PASO HEALTH STAR| MANAGED MEDICAID] |percent standard_charge|[payer_EL PASO HEALTH STAR| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_EL PASO HEALTH STAR| MANAGED MEDICAID] standard_charge|[payer_EL PASO HEALTH STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_EL PASO HEALTH STAR PLUS| MANAGED MEDICAID] |percent standard_charge|[payer_EL PASO HEALTH STAR PLUS| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_EL PASO HEALTH STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_FRIDAY HEALTH PLANS| HMO/PPO] standard_charge|[payer_FRIDAY HEALTH PLANS| HMO/PPO] |percent standard_charge|[payer_FRIDAY HEALTH PLANS| HMO/PPO] |contracting_method additional_payer_notes |[payer_FRIDAY HEALTH PLANS| HMO/PPO] 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_GOLDEN RULE| COMMERCIAL] standard_charge|[payer_GOLDEN RULE| COMMERCIAL] |percent standard_charge|[payer_GOLDEN RULE| COMMERCIAL] |contracting_method additional_payer_notes |[payer_GOLDEN RULE| COMMERCIAL] standard_charge|[payer_HEALTHPARTNERS| COMMERCIAL] standard_charge|[payer_HEALTHPARTNERS| COMMERCIAL] |percent standard_charge|[payer_HEALTHPARTNERS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_HEALTHPARTNERS| COMMERCIAL] standard_charge|[payer_HEALTHSPRING/CIGNA| MANAGED MEDICARE] standard_charge|[payer_HEALTHSPRING/CIGNA| MANAGED MEDICARE] |percent standard_charge|[payer_HEALTHSPRING/CIGNA| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HEALTHSPRING/CIGNA| MANAGED MEDICARE] standard_charge|[payer_HMC HEALTHWORKS/PHCS| COMMERCIAL] standard_charge|[payer_HMC HEALTHWORKS/PHCS| COMMERCIAL] |percent standard_charge|[payer_HMC HEALTHWORKS/PHCS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_HMC HEALTHWORKS/PHCS| COMMERCIAL] 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_HWMG| COMMERCIAL] standard_charge|[payer_HWMG| COMMERCIAL] |percent standard_charge|[payer_HWMG| COMMERCIAL] |contracting_method additional_payer_notes |[payer_HWMG| COMMERCIAL] standard_charge|[payer_ICE HEALTH SVS CORPS| COMMERCIAL] standard_charge|[payer_ICE HEALTH SVS CORPS| COMMERCIAL] |percent standard_charge|[payer_ICE HEALTH SVS CORPS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_ICE HEALTH SVS CORPS| COMMERCIAL] standard_charge|[payer_INDEPENDENT MEDICAL SYSTE| COMMERCIAL] standard_charge|[payer_INDEPENDENT MEDICAL SYSTE| COMMERCIAL] |percent standard_charge|[payer_INDEPENDENT MEDICAL SYSTE| COMMERCIAL] |contracting_method additional_payer_notes |[payer_INDEPENDENT MEDICAL SYSTE| COMMERCIAL] standard_charge|[payer_KAISER PERMANENTE| MANAGED MEDICARE] standard_charge|[payer_KAISER PERMANENTE| MANAGED MEDICARE] |percent standard_charge|[payer_KAISER PERMANENTE| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_KAISER PERMANENTE| MANAGED MEDICARE] standard_charge|[payer_MAGELLAN HEALTHCARE| HMO/PPO] standard_charge|[payer_MAGELLAN HEALTHCARE| HMO/PPO] |percent standard_charge|[payer_MAGELLAN HEALTHCARE| HMO/PPO] |contracting_method additional_payer_notes |[payer_MAGELLAN HEALTHCARE| HMO/PPO] standard_charge|[payer_MAGELLAN TX MCD| MANAGED MEDICAID] standard_charge|[payer_MAGELLAN TX MCD| MANAGED MEDICAID] |percent standard_charge|[payer_MAGELLAN TX MCD| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_MAGELLAN TX MCD| MANAGED MEDICAID] standard_charge|[payer_MAGELLAN TX MCR| MANAGED MEDICARE] standard_charge|[payer_MAGELLAN TX MCR| MANAGED MEDICARE] |percent standard_charge|[payer_MAGELLAN TX MCR| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MAGELLAN TX 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_MERITAIN HEALTH| COMMERCIAL] standard_charge|[payer_MERITAIN HEALTH| COMMERCIAL] |percent standard_charge|[payer_MERITAIN HEALTH| COMMERCIAL] |contracting_method additional_payer_notes |[payer_MERITAIN HEALTH| COMMERCIAL] 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 MEDICAID| MANAGED MEDICAID] standard_charge|[payer_MOLINA MEDICAID| MANAGED MEDICAID] |percent standard_charge|[payer_MOLINA MEDICAID| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_MOLINA MEDICAID| MANAGED MEDICAID] 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 STAR| MANAGED MEDICAID] standard_charge|[payer_MOLINA STAR| MANAGED MEDICAID] |percent standard_charge|[payer_MOLINA STAR| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_MOLINA STAR| MANAGED MEDICAID] standard_charge|[payer_MOLINA STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_MOLINA STAR PLUS| MANAGED MEDICAID] |percent standard_charge|[payer_MOLINA STAR PLUS| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_MOLINA STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_NEW MEXICO MEDICAID| MEDICAID] standard_charge|[payer_NEW MEXICO MEDICAID| MEDICAID] |percent standard_charge|[payer_NEW MEXICO MEDICAID| MEDICAID] |contracting_method additional_payer_notes |[payer_NEW MEXICO MEDICAID| MEDICAID] standard_charge|[payer_NEW MEXICO MEDICAID| MEDICAID: OUT OF STATE] standard_charge|[payer_NEW MEXICO MEDICAID| MEDICAID: OUT OF STATE] |percent standard_charge|[payer_NEW MEXICO MEDICAID| MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_NEW MEXICO MEDICAID| MEDICAID: OUT OF STATE] standard_charge|[payer_OMAHA INS COMPANY| COMMERCIAL] standard_charge|[payer_OMAHA INS COMPANY| COMMERCIAL] |percent standard_charge|[payer_OMAHA INS COMPANY| COMMERCIAL] |contracting_method additional_payer_notes |[payer_OMAHA INS COMPANY| COMMERCIAL] standard_charge|[payer_PAN AMERICAN LIFE INS| COMMERCIAL] standard_charge|[payer_PAN AMERICAN LIFE INS| COMMERCIAL] |percent standard_charge|[payer_PAN AMERICAN LIFE INS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_PAN AMERICAN LIFE INS| COMMERCIAL] standard_charge|[payer_PHP PHYSICIAN HEALTH PLAN| COMMERCIAL] standard_charge|[payer_PHP PHYSICIAN HEALTH PLAN| COMMERCIAL] |percent standard_charge|[payer_PHP PHYSICIAN HEALTH PLAN| COMMERCIAL] |contracting_method additional_payer_notes |[payer_PHP PHYSICIAN HEALTH PLAN| COMMERCIAL] standard_charge|[payer_POINT COMFORT UNDERWRITER| HMO/PPO] standard_charge|[payer_POINT COMFORT UNDERWRITER| HMO/PPO] |percent standard_charge|[payer_POINT COMFORT UNDERWRITER| HMO/PPO] |contracting_method additional_payer_notes |[payer_POINT COMFORT UNDERWRITER| HMO/PPO] standard_charge|[payer_PREFERRED ADMINISTRATORS| HMO/PPO] standard_charge|[payer_PREFERRED ADMINISTRATORS| HMO/PPO] |percent standard_charge|[payer_PREFERRED ADMINISTRATORS| HMO/PPO] |contracting_method additional_payer_notes |[payer_PREFERRED ADMINISTRATORS| HMO/PPO] standard_charge|[payer_PRESBYTERIAN MEDICAID| MANAGED MEDICAID] standard_charge|[payer_PRESBYTERIAN MEDICAID| MANAGED MEDICAID] |percent standard_charge|[payer_PRESBYTERIAN MEDICAID| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_PRESBYTERIAN MEDICAID| MANAGED MEDICAID] standard_charge|[payer_PRESBYTERIAN MGD MEDICARE| MANAGED MEDICARE] standard_charge|[payer_PRESBYTERIAN MGD MEDICARE| MANAGED MEDICARE] |percent standard_charge|[payer_PRESBYTERIAN MGD MEDICARE| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_PRESBYTERIAN MGD MEDICARE| MANAGED MEDICARE] standard_charge|[payer_PRESBYTERIAN/COMMERCIAL| HMO/PPO] standard_charge|[payer_PRESBYTERIAN/COMMERCIAL| HMO/PPO] |percent standard_charge|[payer_PRESBYTERIAN/COMMERCIAL| HMO/PPO] |contracting_method additional_payer_notes |[payer_PRESBYTERIAN/COMMERCIAL| HMO/PPO] standard_charge|[payer_SANA BENEFITS| COMMERCIAL] standard_charge|[payer_SANA BENEFITS| COMMERCIAL] |percent standard_charge|[payer_SANA BENEFITS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_SANA BENEFITS| COMMERCIAL] standard_charge|[payer_SCOTT AND WHITE HEALTH| MANAGED MEDICARE] standard_charge|[payer_SCOTT AND WHITE HEALTH| MANAGED MEDICARE] |percent standard_charge|[payer_SCOTT AND WHITE HEALTH| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_SCOTT AND WHITE HEALTH| MANAGED MEDICARE] standard_charge|[payer_SELECT HEALTH| COMMERCIAL] standard_charge|[payer_SELECT HEALTH| COMMERCIAL] |percent standard_charge|[payer_SELECT HEALTH| COMMERCIAL] |contracting_method additional_payer_notes |[payer_SELECT HEALTH| COMMERCIAL] standard_charge|[payer_SIERRA HEALTH LIFE INS| MANAGED MEDICARE] standard_charge|[payer_SIERRA HEALTH LIFE INS| MANAGED MEDICARE] |percent standard_charge|[payer_SIERRA HEALTH LIFE INS| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_SIERRA HEALTH LIFE INS| MANAGED MEDICARE] standard_charge|[payer_SUPERIOR HEALTHCARE| MANAGED MEDICAID] standard_charge|[payer_SUPERIOR HEALTHCARE| MANAGED MEDICAID] |percent standard_charge|[payer_SUPERIOR HEALTHCARE| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_SUPERIOR HEALTHCARE| MANAGED MEDICAID] standard_charge|[payer_SUPERIOR MCR DUAL| MANAGED MEDICARE] standard_charge|[payer_SUPERIOR MCR DUAL| MANAGED MEDICARE] |percent standard_charge|[payer_SUPERIOR MCR DUAL| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_SUPERIOR MCR DUAL| MANAGED MEDICARE] standard_charge|[payer_SUPERIOR STAR| MANAGED MEDICAID] standard_charge|[payer_SUPERIOR STAR| MANAGED MEDICAID] |percent standard_charge|[payer_SUPERIOR STAR| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_SUPERIOR STAR| MANAGED MEDICAID] standard_charge|[payer_SUPERIOR STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_SUPERIOR STAR PLUS| MANAGED MEDICAID] |percent standard_charge|[payer_SUPERIOR STAR PLUS| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_SUPERIOR STAR PLUS| MANAGED MEDICAID] standard_charge|[payer_SUPERIOR/AMBETTER| HMO/PPO] standard_charge|[payer_SUPERIOR/AMBETTER| HMO/PPO] |percent standard_charge|[payer_SUPERIOR/AMBETTER| HMO/PPO] |contracting_method additional_payer_notes |[payer_SUPERIOR/AMBETTER| HMO/PPO] standard_charge|[payer_TEXAS MEDICAID| MEDICAID] standard_charge|[payer_TEXAS MEDICAID| MEDICAID] |percent standard_charge|[payer_TEXAS MEDICAID| MEDICAID] |contracting_method additional_payer_notes |[payer_TEXAS MEDICAID| MEDICAID] 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_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 OVERSEAS| TRICARE] standard_charge|[payer_TRICARE OVERSEAS| TRICARE] |percent standard_charge|[payer_TRICARE OVERSEAS| TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE OVERSEAS| TRICARE] standard_charge|[payer_TRICARE WEST| TRICARE] standard_charge|[payer_TRICARE WEST| TRICARE] |percent standard_charge|[payer_TRICARE WEST| TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE WEST| TRICARE] standard_charge|[payer_TRUEHEALTH| COMMERCIAL] standard_charge|[payer_TRUEHEALTH| COMMERCIAL] |percent standard_charge|[payer_TRUEHEALTH| COMMERCIAL] |contracting_method additional_payer_notes |[payer_TRUEHEALTH| COMMERCIAL] standard_charge|[payer_UHC COMMUNITY PLAN-TX| MANAGED MEDICARE] standard_charge|[payer_UHC COMMUNITY PLAN-TX| MANAGED MEDICARE] |percent standard_charge|[payer_UHC COMMUNITY PLAN-TX| MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UHC COMMUNITY PLAN-TX| MANAGED MEDICARE] 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| MANAGED MEDICAID] standard_charge|[payer_UHC MEDICAID| MANAGED MEDICAID] |percent standard_charge|[payer_UHC MEDICAID| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_UHC MEDICAID| MANAGED MEDICAID] standard_charge|[payer_UHC/OPTUM HEALTH| HMO/PPO] standard_charge|[payer_UHC/OPTUM HEALTH| HMO/PPO] |percent standard_charge|[payer_UHC/OPTUM HEALTH| HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC/OPTUM HEALTH| HMO/PPO] standard_charge|[payer_UMR| COMMERCIAL] standard_charge|[payer_UMR| COMMERCIAL] |percent standard_charge|[payer_UMR| COMMERCIAL] |contracting_method additional_payer_notes |[payer_UMR| COMMERCIAL] standard_charge|[payer_UNITED HEALTH SHARE SVCS| COMMERCIAL] standard_charge|[payer_UNITED HEALTH SHARE SVCS| COMMERCIAL] |percent standard_charge|[payer_UNITED HEALTH SHARE SVCS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_UNITED HEALTH SHARE SVCS| COMMERCIAL] standard_charge|[payer_US MARSHALLS PECOS| COMMERCIAL] standard_charge|[payer_US MARSHALLS PECOS| COMMERCIAL] |percent standard_charge|[payer_US MARSHALLS PECOS| COMMERCIAL] |contracting_method additional_payer_notes |[payer_US MARSHALLS PECOS| COMMERCIAL] standard_charge|[payer_VA WPS CCN| VETERANS ADMIN] standard_charge|[payer_VA WPS CCN| VETERANS ADMIN] |percent standard_charge|[payer_VA WPS CCN| VETERANS ADMIN] |contracting_method additional_payer_notes |[payer_VA WPS CCN| VETERANS ADMIN] standard_charge|[payer_WEB TPA| COMMERCIAL] standard_charge|[payer_WEB TPA| COMMERCIAL] |percent standard_charge|[payer_WEB TPA| COMMERCIAL] |contracting_method additional_payer_notes |[payer_WEB TPA| COMMERCIAL] 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 SKY MGD MCD| MANAGED MEDICAID] standard_charge|[payer_WESTERN SKY MGD MCD| MANAGED MEDICAID] |percent standard_charge|[payer_WESTERN SKY MGD MCD| MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_WESTERN SKY MGD MCD| MANAGED MEDICAID] standard_charge|[payer_YSLETA DEL SUR PUEBLO| HMO/PPO] standard_charge|[payer_YSLETA DEL SUR PUEBLO| HMO/PPO] |percent standard_charge|[payer_YSLETA DEL SUR PUEBLO| HMO/PPO] |contracting_method additional_payer_notes |[payer_YSLETA DEL SUR PUEBLO| HMO/PPO] ROOM AND BOARD ADOL UNIT 124 RC facility Inpatient 2303 750 529 1300 750 per diem 750 per diem 847 per diem 847 per diem 750 per diem 750 per diem 750 per diem 700 per diem 640 per diem 723 per diem 723 per diem 750 per diem 750 per diem 750 per diem 750 per diem 750 per diem 752 per diem 805 per diem 805 per diem 805 per diem 750 per diem 750 per diem 750 per diem 875 per diem 750 per diem 750 per diem 750 per diem 750 per diem 529 per diem 610 per diem 689 per diem 689 per diem 1300 per diem 750 per diem 750 per diem 750 per diem 750 per diem 900 per diem 750 per diem 750 per diem 750 per diem 750 per diem 788 per diem 758 per diem 750 per diem 750 per diem 683 per diem 771 per diem 771 per diem 750 per diem 750 per diem 750 per diem 750 per diem 600 per diem 756 per diem 756 per diem 756 per diem 750 per diem 750 per diem 750 per diem 750 per diem 642 per diem 725 per diem 725 per diem 700 per diem 529 per diem 750 per diem 750 per diem 750 per diem 857 per diem 1160 per diem 750 per diem 529 per diem 932 per diem 750 per diem 750 per diem 750 per diem 750 per diem 700 per diem 750 per diem ELECTOCONVULSIVE THERAPY - OUTPATIENT 901 RC facility Outpatient 1890 0 398 624 624 per diem 624 per diem 398 per diem ELECTOCONVULSIVE THERAPY-INPATIENT 901 RC facility Inpatient 1890 0 398 624 624 per diem 624 per diem 398 per diem INTENSIVE OUTPATIENT PROGRAM ADULT CD 905 RC facility Outpatient 859 155 120 400 155 per diem 155 per diem 212 per diem 155 per diem 155 per diem 155 per diem 155 per diem 155 per diem 170 per diem 170 per diem 170 per diem 155 per diem 155 per diem 155 per diem 240 per diem 240 per diem 240 per diem 155 per diem 155 per diem 155 per diem 155 per diem 155 per diem 218 per diem 155 per diem 155 per diem 155 per diem 155 per diem 120 per diem 120 per diem 120 per diem 400 per diem 155 per diem 155 per diem 155 per diem 218 per diem 155 per diem 205 per diem 254 per diem 155 per diem 155 per diem 155 per diem 155 per diem 187 per diem 180 per diem 155 per diem 205 per diem 155 per diem 225 per diem 184 per diem 225 per diem 184 per diem 184 per diem 155 per diem 155 per diem 155 per diem 155 per diem 155 per diem 125 per diem 155 per diem 155 per diem 155 per diem 155 per diem 161 per diem 155 per diem 161 per diem 161 per diem 165 per diem 155 per diem 155 per diem 155 per diem 155 per diem 203 per diem 155 per diem 150 per diem 150 per diem 180 per diem 175 per diem 155 per diem 155 per diem 204 per diem 155 per diem 155 per diem 199 per diem 175 per diem TELE INTENSIVE OUTPATIENT PROGRAM ADOL 905 RC facility Outpatient 859 155 120 400 155 per diem 155 per diem 212 per diem 155 per diem 155 per diem 155 per diem 155 per diem 155 per diem 170 per diem 170 per diem 170 per diem 155 per diem 155 per diem 155 per diem 240 per diem 240 per diem 240 per diem 155 per diem 155 per diem 155 per diem 155 per diem 155 per diem 218 per diem 155 per diem 155 per diem 155 per diem 155 per diem 120 per diem 120 per diem 120 per diem 400 per diem 155 per diem 155 per diem 155 per diem 218 per diem 155 per diem 205 per diem 254 per diem 155 per diem 155 per diem 155 per diem 155 per diem 187 per diem 180 per diem 155 per diem 205 per diem 155 per diem 225 per diem 184 per diem 225 per diem 184 per diem 184 per diem 155 per diem 155 per diem 155 per diem 155 per diem 155 per diem 125 per diem 155 per diem 155 per diem 155 per diem 155 per diem 161 per diem 155 per diem 161 per diem 161 per diem 165 per diem 155 per diem 155 per diem 155 per diem 155 per diem 203 per diem 155 per diem 150 per diem 150 per diem 180 per diem 175 per diem 155 per diem 155 per diem 204 per diem 155 per diem 155 per diem 199 per diem 175 per diem INTENSIVE OUTPATIENT PROGRAM ADULT CD 906 RC facility Outpatient 859 155 155 281 212 per diem 170 per diem 170 per diem 155 per diem 281 per diem 281 per diem 281 per diem 205 per diem 254 per diem 155 per diem 180 per diem 225 per diem 184 per diem 184 per diem 184 per diem 161 per diem 161 per diem 161 per diem 203 per diem 204 per diem 175 per diem PARTIAL HOSPITAL PROGRAM CD ADULT 912 RC facility Outpatient 1149 270 235 647 270 per diem 270 per diem 424 per diem 270 per diem 270 per diem 270 per diem 270 per diem 270 per diem 275 per diem 275 per diem 275 per diem 270 per diem 270 per diem 270 per diem 647 per diem 450 per diem 450 per diem 450 per diem 270 per diem 270 per diem 270 per diem 270 per diem 270 per diem 338 per diem 270 per diem 270 per diem 270 per diem 270 per diem 250 per diem 250 per diem 250 per diem 550 per diem 270 per diem 270 per diem 270 per diem 338 per diem 270 per diem 241 per diem 460 per diem 270 per diem 270 per diem 270 per diem 270 per diem 364 per diem 350 per diem 270 per diem 241 per diem 270 per diem 450 per diem 368 per diem 450 per diem 368 per diem 368 per diem 270 per diem 270 per diem 270 per diem 270 per diem 270 per diem 300 per diem 647 per diem 540 per diem 540 per diem 270 per diem 270 per diem 270 per diem 270 per diem 321 per diem 270 per diem 321 per diem 321 per diem 275 per diem 270 per diem 270 per diem 270 per diem 270 per diem 235 per diem 239 per diem 270 per diem 250 per diem 250 per diem 308 per diem 299 per diem 270 per diem 270 per diem 241 per diem 270 per diem 270 per diem 647 per diem 350 per diem TELE PARTIAL HOSPITAL PROGRAM ADOL 912 RC facility Outpatient 1149 270 235 647 270 per diem 270 per diem 424 per diem 270 per diem 270 per diem 270 per diem 270 per diem 270 per diem 275 per diem 275 per diem 275 per diem 270 per diem 270 per diem 270 per diem 647 per diem 450 per diem 450 per diem 450 per diem 270 per diem 270 per diem 270 per diem 270 per diem 270 per diem 338 per diem 270 per diem 270 per diem 270 per diem 270 per diem 250 per diem 250 per diem 250 per diem 550 per diem 270 per diem 270 per diem 270 per diem 338 per diem 270 per diem 241 per diem 460 per diem 270 per diem 270 per diem 270 per diem 270 per diem 364 per diem 350 per diem 270 per diem 241 per diem 270 per diem 450 per diem 368 per diem 450 per diem 368 per diem 368 per diem 270 per diem 270 per diem 270 per diem 270 per diem 270 per diem 300 per diem 647 per diem 540 per diem 540 per diem 270 per diem 270 per diem 270 per diem 270 per diem 321 per diem 270 per diem 321 per diem 321 per diem 275 per diem 270 per diem 270 per diem 270 per diem 270 per diem 235 per diem 239 per diem 270 per diem 250 per diem 250 per diem 308 per diem 299 per diem 270 per diem 270 per diem 241 per diem 270 per diem 270 per diem 647 per diem 350 per diem INTENSIVE OUTPATIENT PROGRAM CD PROCGROUP 1 ADU 915 RC facility Outpatient 278 75 70 241 70 per diem 241 per diem 241 per diem 235 per diem 239 per diem 241 per diem PARTIAL HOSPITAL PROGRAM CD PROC GROUP1 ADU 915 RC facility Outpatient 223 55 70 241 70 per diem 241 per diem 241 per diem 235 per diem 239 per diem 241 per diem PROCESS GROUP 1 ADULT 915 RC facility Outpatient 223 55 70 241 70 per diem 241 per diem 241 per diem 235 per diem 239 per diem 241 per diem