hospital_name last_updated_on version hospital_location hospital_address license_number|MI "To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated." "Greenleaf Center, LLC, LLC" 5/31/2024 2.0.0 "Valdosta, Georgia" 2209 Pineview Drive license_ 092-686 | GA TRUE 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 ADVANTAGE]|[plan_MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_AARP MEDICARE ADVANTAGE]|[plan_MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_AARP MEDICARE ADVANTAGE]|[plan_MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_AARP MEDICARE ADVANTAGE]|[plan_MANAGED MEDICARE] standard_charge|[payer_AARP MEDICARE ADVANTAGE]|[plan_MANAGED MEDICARE]|methodology additional_payer_notes|[payer_AARP MEDICARE ADVANTAGE]|[plan_MANAGED MEDICARE] standard_charge|[payer_AARP UHC]|[plan_HMO/PPO]|negotiated_dollar standard_charge|[payer_AARP UHC]|[plan_HMO/PPO]|negotiated_percentage standard_charge|[payer_AARP UHC]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount|[payer_AARP UHC]|[plan_HMO/PPO] standard_charge|[payer_AARP UHC]|[plan_HMO/PPO]|methodology additional_payer_notes|[payer_AARP UHC]|[plan_HMO/PPO] standard_charge|[payer_ADMINISTRATION CONCEPTS]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_ADMINISTRATION CONCEPTS]|[plan_COMMERCIAL]|negotiated_percentage standard_charge|[payer_ADMINISTRATION CONCEPTS]|[plan_COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_ADMINISTRATION CONCEPTS]|[plan_COMMERCIAL] standard_charge|[payer_ADMINISTRATION CONCEPTS]|[plan_COMMERCIAL]|methodology additional_payer_notes|[payer_ADMINISTRATION CONCEPTS]|[plan_COMMERCIAL] standard_charge|[payer_AETNA]|[plan_HMO/PPO]|negotiated_dollar standard_charge|[payer_AETNA]|[plan_HMO/PPO]|negotiated_percentage standard_charge|[payer_AETNA]|[plan_HMO/PPO]|negotiated_algorithm estimated_amount|[payer_AETNA]|[plan_HMO/PPO] standard_charge|[payer_AETNA]|[plan_HMO/PPO]|methodology additional_payer_notes|[payer_AETNA]|[plan_HMO/PPO] standard_charge|[payer_AETNA MEDICARE ADV|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_AETNA MEDICARE ADV|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_AETNA MEDICARE ADV|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_AETNA MEDICARE ADV|MANAGED MEDICARE] standard_charge|[payer_AETNA MEDICARE ADV|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_AETNA MEDICARE ADV|MANAGED MEDICARE] standard_charge|[payer_ALL SAVERS HEALTH PLAN|HMO/PPO]|negotiated_dollar standard_charge|[payer_ALL SAVERS HEALTH PLAN|HMO/PPO]|negotiated_percentage standard_charge|[payer_ALL SAVERS HEALTH PLAN|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_ALL SAVERS HEALTH PLAN|HMO/PPO] standard_charge|[payer_ALL SAVERS HEALTH PLAN|HMO/PPO]|methodology additional_payer_notes|[payer_ALL SAVERS HEALTH PLAN|HMO/PPO] standard_charge|[payer_ALLIANT HEALTH PLAN|HMO/PPO]|negotiated_dollar standard_charge|[payer_ALLIANT HEALTH PLAN|HMO/PPO]|negotiated_percentage standard_charge|[payer_ALLIANT HEALTH PLAN|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_ALLIANT HEALTH PLAN|HMO/PPO] standard_charge|[payer_ALLIANT HEALTH PLAN|HMO/PPO]|methodology additional_payer_notes|[payer_ALLIANT HEALTH PLAN|HMO/PPO] standard_charge|[payer_ALLIED BENEFIT|HMO/PPO]|negotiated_dollar standard_charge|[payer_ALLIED BENEFIT|HMO/PPO]|negotiated_percentage standard_charge|[payer_ALLIED BENEFIT|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_ALLIED BENEFIT|HMO/PPO] standard_charge|[payer_ALLIED BENEFIT|HMO/PPO]|methodology additional_payer_notes|[payer_ALLIED BENEFIT|HMO/PPO] standard_charge|[payer_ALLIED NATIONAL|HMO/PPO]|negotiated_dollar standard_charge|[payer_ALLIED NATIONAL|HMO/PPO]|negotiated_percentage standard_charge|[payer_ALLIED NATIONAL|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_ALLIED NATIONAL|HMO/PPO] standard_charge|[payer_ALLIED NATIONAL|HMO/PPO]|methodology additional_payer_notes|[payer_ALLIED NATIONAL|HMO/PPO] standard_charge|[payer_ALLIED NATIONAL GLOBAL IN|COMMERCIAL]|negotiated_dollar standard_charge|[payer_ALLIED NATIONAL GLOBAL IN|COMMERCIAL]|negotiated_percentage standard_charge|[payer_ALLIED NATIONAL GLOBAL IN|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_ALLIED NATIONAL GLOBAL IN|COMMERCIAL] standard_charge|[payer_ALLIED NATIONAL GLOBAL IN|COMMERCIAL]|methodology additional_payer_notes|[payer_ALLIED NATIONAL GLOBAL IN|COMMERCIAL] standard_charge|[payer_ALLWELL DUAL MEDICARE|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_ALLWELL DUAL MEDICARE|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_ALLWELL DUAL MEDICARE|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_ALLWELL DUAL MEDICARE|MANAGED MEDICARE] standard_charge|[payer_ALLWELL DUAL MEDICARE|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_ALLWELL DUAL MEDICARE|MANAGED MEDICARE] standard_charge|[payer_AMBETTER BY PEACHSTATE|HMO/PPO]|negotiated_dollar standard_charge|[payer_AMBETTER BY PEACHSTATE|HMO/PPO]|negotiated_percentage standard_charge|[payer_AMBETTER BY PEACHSTATE|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_AMBETTER BY PEACHSTATE|HMO/PPO] standard_charge|[payer_AMBETTER BY PEACHSTATE|HMO/PPO]|methodology additional_payer_notes|[payer_AMBETTER BY PEACHSTATE|HMO/PPO] standard_charge|[payer_AMERICAN HEALTH GROUP INC|COMMERCIAL]|negotiated_dollar standard_charge|[payer_AMERICAN HEALTH GROUP INC|COMMERCIAL]|negotiated_percentage standard_charge|[payer_AMERICAN HEALTH GROUP INC|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_AMERICAN HEALTH GROUP INC|COMMERCIAL] standard_charge|[payer_AMERICAN HEALTH GROUP INC|COMMERCIAL]|methodology additional_payer_notes|[payer_AMERICAN HEALTH GROUP INC|COMMERCIAL] standard_charge|[payer_AMERIGROUP COMM CARE|MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_AMERIGROUP COMM CARE|MANAGED MEDICAID]|negotiated_percentage standard_charge|[payer_AMERIGROUP COMM CARE|MANAGED MEDICAID]|negotiated_algorithm estimated_amount|[payer_AMERIGROUP COMM CARE|MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP COMM CARE|MANAGED MEDICAID]|methodology additional_payer_notes|[payer_AMERIGROUP COMM CARE|MANAGED MEDICAID] standard_charge|[payer_AMERIVANTAGE MCR|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_AMERIVANTAGE MCR|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_AMERIVANTAGE MCR|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_AMERIVANTAGE MCR|MANAGED MEDICARE] standard_charge|[payer_AMERIVANTAGE MCR|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_AMERIVANTAGE MCR|MANAGED MEDICARE] standard_charge|[payer_ANTHEM BCBS|BLUE CROSS]|negotiated_dollar standard_charge|[payer_ANTHEM BCBS|BLUE CROSS]|negotiated_percentage standard_charge|[payer_ANTHEM BCBS|BLUE CROSS]|negotiated_algorithm estimated_amount|[payer_ANTHEM BCBS|BLUE CROSS] standard_charge|[payer_ANTHEM BCBS|BLUE CROSS]|methodology additional_payer_notes|[payer_ANTHEM BCBS|BLUE CROSS] standard_charge|[payer_ANTHEM FLEX HOUR SUP PLAN|COMMERCIAL]|negotiated_dollar standard_charge|[payer_ANTHEM FLEX HOUR SUP PLAN|COMMERCIAL]|negotiated_percentage standard_charge|[payer_ANTHEM FLEX HOUR SUP PLAN|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_ANTHEM FLEX HOUR SUP PLAN|COMMERCIAL] standard_charge|[payer_ANTHEM FLEX HOUR SUP PLAN|COMMERCIAL]|methodology additional_payer_notes|[payer_ANTHEM FLEX HOUR SUP PLAN|COMMERCIAL] standard_charge|[payer_APS HEALTHCARE GA DOBH|HMO/PPO]|negotiated_dollar standard_charge|[payer_APS HEALTHCARE GA DOBH|HMO/PPO]|negotiated_percentage standard_charge|[payer_APS HEALTHCARE GA DOBH|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_APS HEALTHCARE GA DOBH|HMO/PPO] standard_charge|[payer_APS HEALTHCARE GA DOBH|HMO/PPO]|methodology additional_payer_notes|[payer_APS HEALTHCARE GA DOBH|HMO/PPO] standard_charge|[payer_ASPEN STM IBS ADMIN ZELIS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_ASPEN STM IBS ADMIN ZELIS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_ASPEN STM IBS ADMIN ZELIS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_ASPEN STM IBS ADMIN ZELIS|COMMERCIAL] standard_charge|[payer_ASPEN STM IBS ADMIN ZELIS|COMMERCIAL]|methodology additional_payer_notes|[payer_ASPEN STM IBS ADMIN ZELIS|COMMERCIAL] standard_charge|[payer_BAS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_BAS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_BAS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_BAS|COMMERCIAL] standard_charge|[payer_BAS|COMMERCIAL]|methodology additional_payer_notes|[payer_BAS|COMMERCIAL] standard_charge|[payer_BAS|HMO/PPO]|negotiated_dollar standard_charge|[payer_BAS|HMO/PPO]|negotiated_percentage standard_charge|[payer_BAS|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_BAS|HMO/PPO] standard_charge|[payer_BAS|HMO/PPO]|methodology additional_payer_notes|[payer_BAS|HMO/PPO] standard_charge|[payer_BCBS MEDICARE MCR|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_BCBS MEDICARE MCR|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_BCBS MEDICARE MCR|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_BCBS MEDICARE MCR|MANAGED MEDICARE] standard_charge|[payer_BCBS MEDICARE MCR|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_BCBS MEDICARE MCR|MANAGED MEDICARE] standard_charge|[payer_BEACON HEALTH CARE MCR|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_BEACON HEALTH CARE MCR|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_BEACON HEALTH CARE MCR|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_BEACON HEALTH CARE MCR|MANAGED MEDICARE] standard_charge|[payer_BEACON HEALTH CARE MCR|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_BEACON HEALTH CARE MCR|MANAGED MEDICARE] standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO]|negotiated_dollar standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO]|negotiated_percentage standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_BEACON HEALTH OPTIONS|HMO/PPO] standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO]|methodology additional_payer_notes|[payer_BEACON HEALTH OPTIONS|HMO/PPO] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_BEHAVIORAL HEALTH SYSTEMS|COMMERCIAL] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS|COMMERCIAL]|methodology additional_payer_notes|[payer_BEHAVIORAL HEALTH SYSTEMS|COMMERCIAL] standard_charge|[payer_BIND/UNITED HEALTHCARE|HMO/PPO]|negotiated_dollar standard_charge|[payer_BIND/UNITED HEALTHCARE|HMO/PPO]|negotiated_percentage standard_charge|[payer_BIND/UNITED HEALTHCARE|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_BIND/UNITED HEALTHCARE|HMO/PPO] standard_charge|[payer_BIND/UNITED HEALTHCARE|HMO/PPO]|methodology additional_payer_notes|[payer_BIND/UNITED HEALTHCARE|HMO/PPO] standard_charge|[payer_BRIGHT HEALTHCARE|HMO/PPO]|negotiated_dollar standard_charge|[payer_BRIGHT HEALTHCARE|HMO/PPO]|negotiated_percentage standard_charge|[payer_BRIGHT HEALTHCARE|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_BRIGHT HEALTHCARE|HMO/PPO] standard_charge|[payer_BRIGHT HEALTHCARE|HMO/PPO]|methodology additional_payer_notes|[payer_BRIGHT HEALTHCARE|HMO/PPO] standard_charge|[payer_CARE NETWORK|COMMERCIAL]|negotiated_dollar standard_charge|[payer_CARE NETWORK|COMMERCIAL]|negotiated_percentage standard_charge|[payer_CARE NETWORK|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_CARE NETWORK|COMMERCIAL] standard_charge|[payer_CARE NETWORK|COMMERCIAL]|methodology additional_payer_notes|[payer_CARE NETWORK|COMMERCIAL] standard_charge|[payer_CARESOURCE|MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CARESOURCE|MANAGED MEDICAID]|negotiated_percentage standard_charge|[payer_CARESOURCE|MANAGED MEDICAID]|negotiated_algorithm estimated_amount|[payer_CARESOURCE|MANAGED MEDICAID] standard_charge|[payer_CARESOURCE|MANAGED MEDICAID]|methodology additional_payer_notes|[payer_CARESOURCE|MANAGED MEDICAID] standard_charge|[payer_CARESOURCE MARKETPLACE|HMO/PPO]|negotiated_dollar standard_charge|[payer_CARESOURCE MARKETPLACE|HMO/PPO]|negotiated_percentage standard_charge|[payer_CARESOURCE MARKETPLACE|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_CARESOURCE MARKETPLACE|HMO/PPO] standard_charge|[payer_CARESOURCE MARKETPLACE|HMO/PPO]|methodology additional_payer_notes|[payer_CARESOURCE MARKETPLACE|HMO/PPO] standard_charge|[payer_CARESOURCE MARTKETPLACE|HMO/PPO]|negotiated_dollar standard_charge|[payer_CARESOURCE MARTKETPLACE|HMO/PPO]|negotiated_percentage standard_charge|[payer_CARESOURCE MARTKETPLACE|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_CARESOURCE MARTKETPLACE|HMO/PPO] standard_charge|[payer_CARESOURCE MARTKETPLACE|HMO/PPO]|methodology additional_payer_notes|[payer_CARESOURCE MARTKETPLACE|HMO/PPO] standard_charge|[payer_CHAMPVA|VETERANS ADMIN]|negotiated_dollar standard_charge|[payer_CHAMPVA|VETERANS ADMIN]|negotiated_percentage standard_charge|[payer_CHAMPVA|VETERANS ADMIN]|negotiated_algorithm estimated_amount|[payer_CHAMPVA|VETERANS ADMIN] standard_charge|[payer_CHAMPVA|VETERANS ADMIN]|methodology additional_payer_notes|[payer_CHAMPVA|VETERANS ADMIN] standard_charge|[payer_CIGNA|HMO/PPO]|negotiated_dollar standard_charge|[payer_CIGNA|HMO/PPO]|negotiated_percentage standard_charge|[payer_CIGNA|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_CIGNA|HMO/PPO] standard_charge|[payer_CIGNA|HMO/PPO]|methodology additional_payer_notes|[payer_CIGNA|HMO/PPO] standard_charge|[payer_CIGNA GWH|HMO/PPO]|negotiated_dollar standard_charge|[payer_CIGNA GWH|HMO/PPO]|negotiated_percentage standard_charge|[payer_CIGNA GWH|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_CIGNA GWH|HMO/PPO] standard_charge|[payer_CIGNA GWH|HMO/PPO]|methodology additional_payer_notes|[payer_CIGNA GWH|HMO/PPO] standard_charge|[payer_CIGNA HEALTH SPRING MCR|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_CIGNA HEALTH SPRING MCR|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_CIGNA HEALTH SPRING MCR|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_CIGNA HEALTH SPRING MCR|MANAGED MEDICARE] standard_charge|[payer_CIGNA HEALTH SPRING MCR|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_CIGNA HEALTH SPRING MCR|MANAGED MEDICARE] standard_charge|[payer_COMMERCIAL INS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_COMMERCIAL INS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_COMMERCIAL INS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_COMMERCIAL INS|COMMERCIAL] standard_charge|[payer_COMMERCIAL INS|COMMERCIAL]|methodology additional_payer_notes|[payer_COMMERCIAL INS|COMMERCIAL] standard_charge|[payer_COMPSYCH CORPORATION|HMO/PPO]|negotiated_dollar standard_charge|[payer_COMPSYCH CORPORATION|HMO/PPO]|negotiated_percentage standard_charge|[payer_COMPSYCH CORPORATION|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_COMPSYCH CORPORATION|HMO/PPO] standard_charge|[payer_COMPSYCH CORPORATION|HMO/PPO]|methodology additional_payer_notes|[payer_COMPSYCH CORPORATION|HMO/PPO] standard_charge|[payer_CORE ADMINISTRATIVE SVCS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_CORE ADMINISTRATIVE SVCS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_CORE ADMINISTRATIVE SVCS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_CORE ADMINISTRATIVE SVCS|COMMERCIAL] standard_charge|[payer_CORE ADMINISTRATIVE SVCS|COMMERCIAL]|methodology additional_payer_notes|[payer_CORE ADMINISTRATIVE SVCS|COMMERCIAL] standard_charge|[payer_CORESOURCE GULFSTREAM|COMMERCIAL]|negotiated_dollar standard_charge|[payer_CORESOURCE GULFSTREAM|COMMERCIAL]|negotiated_percentage standard_charge|[payer_CORESOURCE GULFSTREAM|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_CORESOURCE GULFSTREAM|COMMERCIAL] standard_charge|[payer_CORESOURCE GULFSTREAM|COMMERCIAL]|methodology additional_payer_notes|[payer_CORESOURCE GULFSTREAM|COMMERCIAL] standard_charge|[payer_COVENTRY|COMMERCIAL]|negotiated_dollar standard_charge|[payer_COVENTRY|COMMERCIAL]|negotiated_percentage standard_charge|[payer_COVENTRY|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_COVENTRY|COMMERCIAL] standard_charge|[payer_COVENTRY|COMMERCIAL]|methodology additional_payer_notes|[payer_COVENTRY|COMMERCIAL] standard_charge|[payer_DFCS RICHMOND COUNTY|MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_DFCS RICHMOND COUNTY|MANAGED MEDICAID]|negotiated_percentage standard_charge|[payer_DFCS RICHMOND COUNTY|MANAGED MEDICAID]|negotiated_algorithm estimated_amount|[payer_DFCS RICHMOND COUNTY|MANAGED MEDICAID] standard_charge|[payer_DFCS RICHMOND COUNTY|MANAGED MEDICAID]|methodology additional_payer_notes|[payer_DFCS RICHMOND COUNTY|MANAGED MEDICAID] standard_charge|[payer_EBMS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_EBMS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_EBMS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_EBMS|COMMERCIAL] standard_charge|[payer_EBMS|COMMERCIAL]|methodology additional_payer_notes|[payer_EBMS|COMMERCIAL] standard_charge|[payer_EMP BEN MGMT SVC|COMMERCIAL]|negotiated_dollar standard_charge|[payer_EMP BEN MGMT SVC|COMMERCIAL]|negotiated_percentage standard_charge|[payer_EMP BEN MGMT SVC|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_EMP BEN MGMT SVC|COMMERCIAL] standard_charge|[payer_EMP BEN MGMT SVC|COMMERCIAL]|methodology additional_payer_notes|[payer_EMP BEN MGMT SVC|COMMERCIAL] standard_charge|[payer_FIRST HEALTH|COMMERCIAL]|negotiated_dollar standard_charge|[payer_FIRST HEALTH|COMMERCIAL]|negotiated_percentage standard_charge|[payer_FIRST HEALTH|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_FIRST HEALTH|COMMERCIAL] standard_charge|[payer_FIRST HEALTH|COMMERCIAL]|methodology additional_payer_notes|[payer_FIRST HEALTH|COMMERCIAL] standard_charge|[payer_FIRST HEALTH|HMO/PPO]|negotiated_dollar standard_charge|[payer_FIRST HEALTH|HMO/PPO]|negotiated_percentage standard_charge|[payer_FIRST HEALTH|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_FIRST HEALTH|HMO/PPO] standard_charge|[payer_FIRST HEALTH|HMO/PPO]|methodology additional_payer_notes|[payer_FIRST HEALTH|HMO/PPO] standard_charge|[payer_GA VICTIMS ADVOCACY|COMMERCIAL]|negotiated_dollar standard_charge|[payer_GA VICTIMS ADVOCACY|COMMERCIAL]|negotiated_percentage standard_charge|[payer_GA VICTIMS ADVOCACY|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_GA VICTIMS ADVOCACY|COMMERCIAL] standard_charge|[payer_GA VICTIMS ADVOCACY|COMMERCIAL]|methodology additional_payer_notes|[payer_GA VICTIMS ADVOCACY|COMMERCIAL] standard_charge|[payer_GEHA|HMO/PPO]|negotiated_dollar standard_charge|[payer_GEHA|HMO/PPO]|negotiated_percentage standard_charge|[payer_GEHA|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_GEHA|HMO/PPO] standard_charge|[payer_GEHA|HMO/PPO]|methodology additional_payer_notes|[payer_GEHA|HMO/PPO] standard_charge|[payer_GMR HEALTHCARE|COMMERCIAL]|negotiated_dollar standard_charge|[payer_GMR HEALTHCARE|COMMERCIAL]|negotiated_percentage standard_charge|[payer_GMR HEALTHCARE|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_GMR HEALTHCARE|COMMERCIAL] standard_charge|[payer_GMR HEALTHCARE|COMMERCIAL]|methodology additional_payer_notes|[payer_GMR HEALTHCARE|COMMERCIAL] standard_charge|[payer_GPA (GA PARTNERS ADMIN)|COMMERCIAL]|negotiated_dollar standard_charge|[payer_GPA (GA PARTNERS ADMIN)|COMMERCIAL]|negotiated_percentage standard_charge|[payer_GPA (GA PARTNERS ADMIN)|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_GPA (GA PARTNERS ADMIN)|COMMERCIAL] standard_charge|[payer_GPA (GA PARTNERS ADMIN)|COMMERCIAL]|methodology additional_payer_notes|[payer_GPA (GA PARTNERS ADMIN)|COMMERCIAL] standard_charge|[payer_HAP|HMO/PPO]|negotiated_dollar standard_charge|[payer_HAP|HMO/PPO]|negotiated_percentage standard_charge|[payer_HAP|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_HAP|HMO/PPO] standard_charge|[payer_HAP|HMO/PPO]|methodology additional_payer_notes|[payer_HAP|HMO/PPO] "standard_charge|[payer_HEALTH PLANS, INC|COMMERCIAL]|negotiated_dollar" "standard_charge|[payer_HEALTH PLANS, INC|COMMERCIAL]|negotiated_percentage" "standard_charge|[payer_HEALTH PLANS, INC|COMMERCIAL]|negotiated_algorithm" "estimated_amount|[payer_HEALTH PLANS, INC|COMMERCIAL]" "standard_charge|[payer_HEALTH PLANS, INC|COMMERCIAL]|methodology" "additional_payer_notes|[payer_HEALTH PLANS, INC|COMMERCIAL]" standard_charge|[payer_HEALTHGRAM|HMO/PPO]|negotiated_dollar standard_charge|[payer_HEALTHGRAM|HMO/PPO]|negotiated_percentage standard_charge|[payer_HEALTHGRAM|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_HEALTHGRAM|HMO/PPO] standard_charge|[payer_HEALTHGRAM|HMO/PPO]|methodology additional_payer_notes|[payer_HEALTHGRAM|HMO/PPO] standard_charge|[payer_HEALTHSCOPE BENEFITS|HMO/PPO]|negotiated_dollar standard_charge|[payer_HEALTHSCOPE BENEFITS|HMO/PPO]|negotiated_percentage standard_charge|[payer_HEALTHSCOPE BENEFITS|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_HEALTHSCOPE BENEFITS|HMO/PPO] standard_charge|[payer_HEALTHSCOPE BENEFITS|HMO/PPO]|methodology additional_payer_notes|[payer_HEALTHSCOPE BENEFITS|HMO/PPO] standard_charge|[payer_HEALTHSMART CLAIMS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_HEALTHSMART CLAIMS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_HEALTHSMART CLAIMS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_HEALTHSMART CLAIMS|COMMERCIAL] standard_charge|[payer_HEALTHSMART CLAIMS|COMMERCIAL]|methodology additional_payer_notes|[payer_HEALTHSMART CLAIMS|COMMERCIAL] standard_charge|[payer_HUMANA|COMMERCIAL]|negotiated_dollar standard_charge|[payer_HUMANA|COMMERCIAL]|negotiated_percentage standard_charge|[payer_HUMANA|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_HUMANA|COMMERCIAL] standard_charge|[payer_HUMANA|COMMERCIAL]|methodology additional_payer_notes|[payer_HUMANA|COMMERCIAL] standard_charge|[payer_HUMANA|HMO/PPO]|negotiated_dollar standard_charge|[payer_HUMANA|HMO/PPO]|negotiated_percentage standard_charge|[payer_HUMANA|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_HUMANA|HMO/PPO] standard_charge|[payer_HUMANA|HMO/PPO]|methodology additional_payer_notes|[payer_HUMANA|HMO/PPO] standard_charge|[payer_HUMANA MEDICARE HMO|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_HUMANA MEDICARE HMO|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_HUMANA MEDICARE HMO|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_HUMANA MEDICARE HMO|MANAGED MEDICARE] standard_charge|[payer_HUMANA MEDICARE HMO|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_HUMANA MEDICARE HMO|MANAGED MEDICARE] standard_charge|[payer_IMAGINE 360|COMMERCIAL]|negotiated_dollar standard_charge|[payer_IMAGINE 360|COMMERCIAL]|negotiated_percentage standard_charge|[payer_IMAGINE 360|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_IMAGINE 360|COMMERCIAL] standard_charge|[payer_IMAGINE 360|COMMERCIAL]|methodology additional_payer_notes|[payer_IMAGINE 360|COMMERCIAL] standard_charge|[payer_KAISER PERMANENTE|HMO/PPO]|negotiated_dollar standard_charge|[payer_KAISER PERMANENTE|HMO/PPO]|negotiated_percentage standard_charge|[payer_KAISER PERMANENTE|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_KAISER PERMANENTE|HMO/PPO] standard_charge|[payer_KAISER PERMANENTE|HMO/PPO]|methodology additional_payer_notes|[payer_KAISER PERMANENTE|HMO/PPO] standard_charge|[payer_KAISER PERMANENTE OF GA|HMO/PPO]|negotiated_dollar standard_charge|[payer_KAISER PERMANENTE OF GA|HMO/PPO]|negotiated_percentage standard_charge|[payer_KAISER PERMANENTE OF GA|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_KAISER PERMANENTE OF GA|HMO/PPO] standard_charge|[payer_KAISER PERMANENTE OF GA|HMO/PPO]|methodology additional_payer_notes|[payer_KAISER PERMANENTE OF GA|HMO/PPO] standard_charge|[payer_LINECO CONSTRUCTION BEN|COMMERCIAL]|negotiated_dollar standard_charge|[payer_LINECO CONSTRUCTION BEN|COMMERCIAL]|negotiated_percentage standard_charge|[payer_LINECO CONSTRUCTION BEN|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_LINECO CONSTRUCTION BEN|COMMERCIAL] standard_charge|[payer_LINECO CONSTRUCTION BEN|COMMERCIAL]|methodology additional_payer_notes|[payer_LINECO CONSTRUCTION BEN|COMMERCIAL] standard_charge|[payer_MAESTRO HEALTH|COMMERCIAL]|negotiated_dollar standard_charge|[payer_MAESTRO HEALTH|COMMERCIAL]|negotiated_percentage standard_charge|[payer_MAESTRO HEALTH|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_MAESTRO HEALTH|COMMERCIAL] standard_charge|[payer_MAESTRO HEALTH|COMMERCIAL]|methodology additional_payer_notes|[payer_MAESTRO HEALTH|COMMERCIAL] standard_charge|[payer_MAGELLAN|BLUE CROSS]|negotiated_dollar standard_charge|[payer_MAGELLAN|BLUE CROSS]|negotiated_percentage standard_charge|[payer_MAGELLAN|BLUE CROSS]|negotiated_algorithm estimated_amount|[payer_MAGELLAN|BLUE CROSS] standard_charge|[payer_MAGELLAN|BLUE CROSS]|methodology additional_payer_notes|[payer_MAGELLAN|BLUE CROSS] standard_charge|[payer_MAGELLAN/LOWES|COMMERCIAL]|negotiated_dollar standard_charge|[payer_MAGELLAN/LOWES|COMMERCIAL]|negotiated_percentage standard_charge|[payer_MAGELLAN/LOWES|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_MAGELLAN/LOWES|COMMERCIAL] standard_charge|[payer_MAGELLAN/LOWES|COMMERCIAL]|methodology additional_payer_notes|[payer_MAGELLAN/LOWES|COMMERCIAL] standard_charge|[payer_MAYO CLINIC HLT SOL|COMMERCIAL]|negotiated_dollar standard_charge|[payer_MAYO CLINIC HLT SOL|COMMERCIAL]|negotiated_percentage standard_charge|[payer_MAYO CLINIC HLT SOL|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_MAYO CLINIC HLT SOL|COMMERCIAL] standard_charge|[payer_MAYO CLINIC HLT SOL|COMMERCIAL]|methodology additional_payer_notes|[payer_MAYO CLINIC HLT SOL|COMMERCIAL] standard_charge|[payer_MEDCOST BENEFITS|HMO/PPO]|negotiated_dollar standard_charge|[payer_MEDCOST BENEFITS|HMO/PPO]|negotiated_percentage standard_charge|[payer_MEDCOST BENEFITS|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_MEDCOST BENEFITS|HMO/PPO] standard_charge|[payer_MEDCOST BENEFITS|HMO/PPO]|methodology additional_payer_notes|[payer_MEDCOST BENEFITS|HMO/PPO] standard_charge|[payer_MEDICAID ONLY / CHARITY|SELF PAY CHARITY]|negotiated_dollar standard_charge|[payer_MEDICAID ONLY / CHARITY|SELF PAY CHARITY]|negotiated_percentage standard_charge|[payer_MEDICAID ONLY / CHARITY|SELF PAY CHARITY]|negotiated_algorithm estimated_amount|[payer_MEDICAID ONLY / CHARITY|SELF PAY CHARITY] standard_charge|[payer_MEDICAID ONLY / CHARITY|SELF PAY CHARITY]|methodology additional_payer_notes|[payer_MEDICAID ONLY / CHARITY|SELF PAY CHARITY] standard_charge|[payer_MEDICARE|MEDICARE]|negotiated_dollar standard_charge|[payer_MEDICARE|MEDICARE]|negotiated_percentage standard_charge|[payer_MEDICARE|MEDICARE]|negotiated_algorithm estimated_amount|[payer_MEDICARE|MEDICARE] standard_charge|[payer_MEDICARE|MEDICARE]|methodology additional_payer_notes|[payer_MEDICARE|MEDICARE] standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL]|negotiated_dollar standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL]|negotiated_percentage standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_MERITAIN HEALTH|COMMERCIAL] standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL]|methodology additional_payer_notes|[payer_MERITAIN HEALTH|COMMERCIAL] standard_charge|[payer_MERITAIN HEALTH|HMO/PPO]|negotiated_dollar standard_charge|[payer_MERITAIN HEALTH|HMO/PPO]|negotiated_percentage standard_charge|[payer_MERITAIN HEALTH|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_MERITAIN HEALTH|HMO/PPO] standard_charge|[payer_MERITAIN HEALTH|HMO/PPO]|methodology additional_payer_notes|[payer_MERITAIN HEALTH|HMO/PPO] standard_charge|[payer_MHNET CLAIMS|HMO/PPO]|negotiated_dollar standard_charge|[payer_MHNET CLAIMS|HMO/PPO]|negotiated_percentage standard_charge|[payer_MHNET CLAIMS|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_MHNET CLAIMS|HMO/PPO] standard_charge|[payer_MHNET CLAIMS|HMO/PPO]|methodology additional_payer_notes|[payer_MHNET CLAIMS|HMO/PPO] standard_charge|[payer_MUTUAL OF OMAHA - PLAN G|COMMERCIAL]|negotiated_dollar standard_charge|[payer_MUTUAL OF OMAHA - PLAN G|COMMERCIAL]|negotiated_percentage standard_charge|[payer_MUTUAL OF OMAHA - PLAN G|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_MUTUAL OF OMAHA - PLAN G|COMMERCIAL] standard_charge|[payer_MUTUAL OF OMAHA - PLAN G|COMMERCIAL]|methodology additional_payer_notes|[payer_MUTUAL OF OMAHA - PLAN G|COMMERCIAL] standard_charge|[payer_NOVANET|COMMERCIAL]|negotiated_dollar standard_charge|[payer_NOVANET|COMMERCIAL]|negotiated_percentage standard_charge|[payer_NOVANET|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_NOVANET|COMMERCIAL] standard_charge|[payer_NOVANET|COMMERCIAL]|methodology additional_payer_notes|[payer_NOVANET|COMMERCIAL] standard_charge|[payer_OPTUM UBH|HMO/PPO]|negotiated_dollar standard_charge|[payer_OPTUM UBH|HMO/PPO]|negotiated_percentage standard_charge|[payer_OPTUM UBH|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_OPTUM UBH|HMO/PPO] standard_charge|[payer_OPTUM UBH|HMO/PPO]|methodology additional_payer_notes|[payer_OPTUM UBH|HMO/PPO] standard_charge|[payer_PEACH STATE HEALTH PLAN|MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_PEACH STATE HEALTH PLAN|MANAGED MEDICAID]|negotiated_percentage standard_charge|[payer_PEACH STATE HEALTH PLAN|MANAGED MEDICAID]|negotiated_algorithm estimated_amount|[payer_PEACH STATE HEALTH PLAN|MANAGED MEDICAID] standard_charge|[payer_PEACH STATE HEALTH PLAN|MANAGED MEDICAID]|methodology additional_payer_notes|[payer_PEACH STATE HEALTH PLAN|MANAGED MEDICAID] standard_charge|[payer_RESOURCE ONE|COMMERCIAL]|negotiated_dollar standard_charge|[payer_RESOURCE ONE|COMMERCIAL]|negotiated_percentage standard_charge|[payer_RESOURCE ONE|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_RESOURCE ONE|COMMERCIAL] standard_charge|[payer_RESOURCE ONE|COMMERCIAL]|methodology additional_payer_notes|[payer_RESOURCE ONE|COMMERCIAL] standard_charge|[payer_SECURE HEALTH PLANS OF GA|COMMERCIAL]|negotiated_dollar standard_charge|[payer_SECURE HEALTH PLANS OF GA|COMMERCIAL]|negotiated_percentage standard_charge|[payer_SECURE HEALTH PLANS OF GA|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_SECURE HEALTH PLANS OF GA|COMMERCIAL] standard_charge|[payer_SECURE HEALTH PLANS OF GA|COMMERCIAL]|methodology additional_payer_notes|[payer_SECURE HEALTH PLANS OF GA|COMMERCIAL] standard_charge|[payer_SECURE HEALTH PLANS OF GA|HMO/PPO]|negotiated_dollar standard_charge|[payer_SECURE HEALTH PLANS OF GA|HMO/PPO]|negotiated_percentage standard_charge|[payer_SECURE HEALTH PLANS OF GA|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_SECURE HEALTH PLANS OF GA|HMO/PPO] standard_charge|[payer_SECURE HEALTH PLANS OF GA|HMO/PPO]|methodology additional_payer_notes|[payer_SECURE HEALTH PLANS OF GA|HMO/PPO] standard_charge|[payer_SECURE HORIZONS|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_SECURE HORIZONS|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_SECURE HORIZONS|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_SECURE HORIZONS|MANAGED MEDICARE] standard_charge|[payer_SECURE HORIZONS|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_SECURE HORIZONS|MANAGED MEDICARE] standard_charge|[payer_SOMOS IPA LLC|MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_SOMOS IPA LLC|MANAGED MEDICAID]|negotiated_percentage standard_charge|[payer_SOMOS IPA LLC|MANAGED MEDICAID]|negotiated_algorithm estimated_amount|[payer_SOMOS IPA LLC|MANAGED MEDICAID] standard_charge|[payer_SOMOS IPA LLC|MANAGED MEDICAID]|methodology additional_payer_notes|[payer_SOMOS IPA LLC|MANAGED MEDICAID] standard_charge|[payer_SURESTPO|HMO/PPO]|negotiated_dollar standard_charge|[payer_SURESTPO|HMO/PPO]|negotiated_percentage standard_charge|[payer_SURESTPO|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_SURESTPO|HMO/PPO] standard_charge|[payer_SURESTPO|HMO/PPO]|methodology additional_payer_notes|[payer_SURESTPO|HMO/PPO] standard_charge|[payer_TAYLOR BENEFIT RESOURCE|HMO/PPO]|negotiated_dollar standard_charge|[payer_TAYLOR BENEFIT RESOURCE|HMO/PPO]|negotiated_percentage standard_charge|[payer_TAYLOR BENEFIT RESOURCE|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_TAYLOR BENEFIT RESOURCE|HMO/PPO] standard_charge|[payer_TAYLOR BENEFIT RESOURCE|HMO/PPO]|methodology additional_payer_notes|[payer_TAYLOR BENEFIT RESOURCE|HMO/PPO] standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|COMMERCIAL]|negotiated_dollar standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|COMMERCIAL]|negotiated_percentage standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_TLC BENEFIT SOLUTIONS INC|COMMERCIAL] standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|COMMERCIAL]|methodology additional_payer_notes|[payer_TLC BENEFIT SOLUTIONS INC|COMMERCIAL] standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|HMO/PPO]|negotiated_dollar standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|HMO/PPO]|negotiated_percentage standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_TLC BENEFIT SOLUTIONS INC|HMO/PPO] standard_charge|[payer_TLC BENEFIT SOLUTIONS INC|HMO/PPO]|methodology additional_payer_notes|[payer_TLC BENEFIT SOLUTIONS INC|HMO/PPO] standard_charge|[payer_TRICARE EAST|TRICARE]|negotiated_dollar standard_charge|[payer_TRICARE EAST|TRICARE]|negotiated_percentage standard_charge|[payer_TRICARE EAST|TRICARE]|negotiated_algorithm estimated_amount|[payer_TRICARE EAST|TRICARE] standard_charge|[payer_TRICARE EAST|TRICARE]|methodology additional_payer_notes|[payer_TRICARE EAST|TRICARE] standard_charge|[payer_TRICARE WEST|TRICARE]|negotiated_dollar standard_charge|[payer_TRICARE WEST|TRICARE]|negotiated_percentage standard_charge|[payer_TRICARE WEST|TRICARE]|negotiated_algorithm estimated_amount|[payer_TRICARE WEST|TRICARE] standard_charge|[payer_TRICARE WEST|TRICARE]|methodology additional_payer_notes|[payer_TRICARE WEST|TRICARE] standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|BLUE CROSS]|negotiated_dollar standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|BLUE CROSS]|negotiated_percentage standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|BLUE CROSS]|negotiated_algorithm estimated_amount|[payer_TRUSTMARK HEALTH BENEFITS|BLUE CROSS] standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|BLUE CROSS]|methodology additional_payer_notes|[payer_TRUSTMARK HEALTH BENEFITS|BLUE CROSS] standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO]|negotiated_dollar standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO]|negotiated_percentage standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO] standard_charge|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO]|methodology additional_payer_notes|[payer_TRUSTMARK HEALTH BENEFITS|HMO/PPO] standard_charge|[payer_UHC MEDICAID|MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_UHC MEDICAID|MANAGED MEDICAID]|negotiated_percentage standard_charge|[payer_UHC MEDICAID|MANAGED MEDICAID]|negotiated_algorithm estimated_amount|[payer_UHC MEDICAID|MANAGED MEDICAID] standard_charge|[payer_UHC MEDICAID|MANAGED MEDICAID]|methodology additional_payer_notes|[payer_UHC MEDICAID|MANAGED MEDICAID] standard_charge|[payer_UHC STATE HEALTH PLAN|HMO/PPO]|negotiated_dollar standard_charge|[payer_UHC STATE HEALTH PLAN|HMO/PPO]|negotiated_percentage standard_charge|[payer_UHC STATE HEALTH PLAN|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_UHC STATE HEALTH PLAN|HMO/PPO] standard_charge|[payer_UHC STATE HEALTH PLAN|HMO/PPO]|methodology additional_payer_notes|[payer_UHC STATE HEALTH PLAN|HMO/PPO] standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO]|negotiated_dollar standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO]|negotiated_percentage standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_UHC STUDENT RESOURCES|HMO/PPO] standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO]|methodology additional_payer_notes|[payer_UHC STUDENT RESOURCES|HMO/PPO] standard_charge|[payer_UMR|HMO/PPO]|negotiated_dollar standard_charge|[payer_UMR|HMO/PPO]|negotiated_percentage standard_charge|[payer_UMR|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_UMR|HMO/PPO] standard_charge|[payer_UMR|HMO/PPO]|methodology additional_payer_notes|[payer_UMR|HMO/PPO] standard_charge|[payer_UMR CITY OF VALDOSTA|HMO/PPO]|negotiated_dollar standard_charge|[payer_UMR CITY OF VALDOSTA|HMO/PPO]|negotiated_percentage standard_charge|[payer_UMR CITY OF VALDOSTA|HMO/PPO]|negotiated_algorithm estimated_amount|[payer_UMR CITY OF VALDOSTA|HMO/PPO] standard_charge|[payer_UMR CITY OF VALDOSTA|HMO/PPO]|methodology additional_payer_notes|[payer_UMR CITY OF VALDOSTA|HMO/PPO] standard_charge|[payer_UNITEDHC MCR SOLUTIONS|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_UNITEDHC MCR SOLUTIONS|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_UNITEDHC MCR SOLUTIONS|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_UNITEDHC MCR SOLUTIONS|MANAGED MEDICARE] standard_charge|[payer_UNITEDHC MCR SOLUTIONS|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_UNITEDHC MCR SOLUTIONS|MANAGED MEDICARE] standard_charge|[payer_VACCN OPTUM|VETERANS ADMIN]|negotiated_dollar standard_charge|[payer_VACCN OPTUM|VETERANS ADMIN]|negotiated_percentage standard_charge|[payer_VACCN OPTUM|VETERANS ADMIN]|negotiated_algorithm estimated_amount|[payer_VACCN OPTUM|VETERANS ADMIN] standard_charge|[payer_VACCN OPTUM|VETERANS ADMIN]|methodology additional_payer_notes|[payer_VACCN OPTUM|VETERANS ADMIN] standard_charge|[payer_VALUE OPTIONS|COMMERCIAL]|negotiated_dollar standard_charge|[payer_VALUE OPTIONS|COMMERCIAL]|negotiated_percentage standard_charge|[payer_VALUE OPTIONS|COMMERCIAL]|negotiated_algorithm estimated_amount|[payer_VALUE OPTIONS|COMMERCIAL] standard_charge|[payer_VALUE OPTIONS|COMMERCIAL]|methodology additional_payer_notes|[payer_VALUE OPTIONS|COMMERCIAL] standard_charge|[payer_WELLCARE MEDICAID CLAIMS|MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_WELLCARE MEDICAID CLAIMS|MANAGED MEDICAID]|negotiated_percentage standard_charge|[payer_WELLCARE MEDICAID CLAIMS|MANAGED MEDICAID]|negotiated_algorithm estimated_amount|[payer_WELLCARE MEDICAID CLAIMS|MANAGED MEDICAID] standard_charge|[payer_WELLCARE MEDICAID CLAIMS|MANAGED MEDICAID]|methodology additional_payer_notes|[payer_WELLCARE MEDICAID CLAIMS|MANAGED MEDICAID] standard_charge|[payer_WELLCARE MEDICARE OF GA|MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_WELLCARE MEDICARE OF GA|MANAGED MEDICARE]|negotiated_percentage standard_charge|[payer_WELLCARE MEDICARE OF GA|MANAGED MEDICARE]|negotiated_algorithm estimated_amount|[payer_WELLCARE MEDICARE OF GA|MANAGED MEDICARE] standard_charge|[payer_WELLCARE MEDICARE OF GA|MANAGED MEDICARE]|methodology additional_payer_notes|[payer_WELLCARE MEDICARE OF GA|MANAGED MEDICARE] additional_generic_notes ROOM AND BOARD PSYCH ADULT ME 124 RC facility inpatient 2000 600 600 2000 762 per diem 750 per diem 880 per diem 880 per diem 976 per diem 1800 per diem 750 per diem 931 per diem 750 per diem 750 per diem 760 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 1800 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 815 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 1800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1028 per diem 1028 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 976 per diem 801 per diem 750 per diem 750 per diem 762 per diem 931 per diem 976 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 778 per diem 976 per diem 976 per diem 921 per diem 921 per diem 800 per diem 815 per diem 658 per diem 658 per diem ROOM AND BOARD PSYCH GEN 124 RC facility inpatient 2000 600 600 2000 762 per diem 750 per diem 880 per diem 880 per diem 976 per diem 1800 per diem 750 per diem 931 per diem 750 per diem 750 per diem 760 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 1800 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 815 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 1800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1028 per diem 1028 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 976 per diem 801 per diem 750 per diem 750 per diem 762 per diem 931 per diem 976 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 778 per diem 976 per diem 976 per diem 921 per diem 921 per diem 800 per diem 815 per diem 658 per diem 658 per diem ROOM AND BOARD PSYCH PICU 124 RC facility inpatient 2000 600 600 2000 762 per diem 750 per diem 880 per diem 880 per diem 976 per diem 1800 per diem 750 per diem 931 per diem 750 per diem 750 per diem 760 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 1800 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 815 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 1800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1028 per diem 1028 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 976 per diem 801 per diem 750 per diem 750 per diem 762 per diem 931 per diem 976 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 778 per diem 976 per diem 976 per diem 921 per diem 921 per diem 800 per diem 815 per diem 658 per diem 658 per diem ROOM AND BOARD PSYCH REHAB 124 RC facility inpatient 2000 600 600 2000 762 per diem 750 per diem 880 per diem 880 per diem 976 per diem 1800 per diem 750 per diem 931 per diem 750 per diem 750 per diem 760 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 1800 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 815 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 1800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1028 per diem 1028 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 976 per diem 801 per diem 750 per diem 750 per diem 762 per diem 931 per diem 976 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 778 per diem 976 per diem 976 per diem 921 per diem 921 per diem 800 per diem 815 per diem 658 per diem 658 per diem INPATIENT 126 RC facility inpatient 2000 600 600 2000 704 per diem 750 per diem 880 per diem 880 per diem 1000 per diem 1800 per diem 750 per diem 931 per diem 750 per diem 750 per diem 760 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 1800 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 1800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1017 per diem 1017 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 1000 per diem 801 per diem 750 per diem 750 per diem 704 per diem 931 per diem 1000 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 1000 per diem 1000 per diem 921 per diem 921 per diem 840 per diem 815 per diem 658 per diem 658 per diem ROOM AND BOARD DETOX GEN 126 RC facility inpatient 2000 600 600 2000 704 per diem 750 per diem 880 per diem 880 per diem 1000 per diem 1800 per diem 750 per diem 931 per diem 750 per diem 750 per diem 760 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 1800 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 1800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1017 per diem 1017 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 1000 per diem 801 per diem 750 per diem 750 per diem 704 per diem 931 per diem 1000 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 1000 per diem 1000 per diem 921 per diem 921 per diem 840 per diem 815 per diem 658 per diem 658 per diem ROOM AND BOARD DETOX REHAB 126 RC facility inpatient 2000 600 600 2000 704 per diem 750 per diem 880 per diem 880 per diem 1000 per diem 1800 per diem 750 per diem 931 per diem 750 per diem 750 per diem 760 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 1800 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 1800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1017 per diem 1017 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 1000 per diem 801 per diem 750 per diem 750 per diem 704 per diem 931 per diem 1000 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 1000 per diem 1000 per diem 921 per diem 921 per diem 840 per diem 815 per diem 658 per diem 658 per diem ROOM AND BOARD REHAB 128 RC facility inpatient 2000 600 600 2000 704 per diem 750 per diem 880 per diem 880 per diem 976 per diem 750 per diem 931 per diem 750 per diem 750 per diem 931 per diem 2000 per diem 840 per diem 750 per diem 750 per diem 750 per diem 815 per diem 675 per diem 921 per diem 750 per diem 760 per diem 760 per diem 833 per diem 833 per diem 750 per diem 750 per diem 750 per diem 675 per diem 600 per diem 2000 per diem 750 per diem 750 per diem 800 per diem 820 per diem 931 per diem 820 per diem 833 per diem 2000 per diem 833 per diem 820 per diem 1800 per diem 812 per diem 750 per diem 750 per diem 750 per diem 750 per diem 1028 per diem 1028 per diem 750 per diem 750 per diem 600 per diem 850 per diem 675 per diem 750 per diem 750 per diem 976 per diem 750 per diem 750 per diem 704 per diem 931 per diem 976 per diem 750 per diem 800 per diem 892.5 per diem 834.7 per diem 931 per diem 976 per diem 976 per diem 921 per diem 921 per diem 800 per diem 815 per diem 658 per diem 658 per diem DISCHARGE CONSULT 513 RC facility inpatient 100 55 85 55 per diem 55 per diem 80 per diem 80 per diem 80 per diem 55 per diem 85 per diem 85 per diem INTENSIVE OUTPATIENT PROGRAM ADOLES PROGRAM 905 RC facility outpatient 500 130.52 130.52 400 254 per diem 245 per diem 234 per diem 245 per diem 225 per diem 254 per diem 182.44 per diem 189 per diem 202.68 per diem 225 per diem 400 per diem 200.57 per diem 254 per diem 175 per diem 175 per diem 130.52 per diem 259 per diem 259 per diem 230 per diem 245 per diem 245 per diem 234 per diem 225 per diem 217 per diem 202.68 per diem 316 per diem 202.7 per diem 180 per diem 180 per diem 269 per diem 303 per diem 225 per diem 197.64 per diem 245 per diem 269 per diem 269 per diem 254 per diem 254 per diem 265 per diem 200 per diem 200 per diem INTENSIVE OUTPATIENT PROGRAM ADULT PROGRAM 905 RC facility outpatient 500 130.52 130.52 400 254 per diem 245 per diem 234 per diem 245 per diem 225 per diem 254 per diem 182.44 per diem 189 per diem 202.68 per diem 225 per diem 400 per diem 200.57 per diem 254 per diem 175 per diem 175 per diem 130.52 per diem 259 per diem 259 per diem 230 per diem 245 per diem 245 per diem 234 per diem 225 per diem 217 per diem 202.68 per diem 316 per diem 202.7 per diem 180 per diem 180 per diem 269 per diem 303 per diem 225 per diem 197.64 per diem 245 per diem 269 per diem 269 per diem 254 per diem 254 per diem 265 per diem 200 per diem 200 per diem INTENSIVE OUTPATIENT PROGRAM ADULT TELEMED 905 RC facility outpatient 500 130.52 130.52 400 254 per diem 245 per diem 234 per diem 245 per diem 225 per diem 254 per diem 182.44 per diem 189 per diem 202.68 per diem 225 per diem 400 per diem 200.57 per diem 254 per diem 175 per diem 175 per diem 130.52 per diem 259 per diem 259 per diem 230 per diem 245 per diem 245 per diem 234 per diem 225 per diem 217 per diem 202.68 per diem 316 per diem 202.7 per diem 180 per diem 180 per diem 269 per diem 303 per diem 225 per diem 197.64 per diem 245 per diem 269 per diem 269 per diem 254 per diem 254 per diem 265 per diem 200 per diem 200 per diem INTENSIVE OUTPATIENT PROGRAM CD PROG 906 RC facility outpatient 500 130.52 130.52 400 254 per diem 245 per diem 234 per diem 245 per diem 225 per diem 254 per diem 182.44 per diem 189 per diem 202.68 per diem 225 per diem 400 per diem 200.57 per diem 175 per diem 175 per diem 130.52 per diem 259 per diem 259 per diem 180 per diem 245 per diem 234 per diem 225 per diem 217 per diem 202.68 per diem 316 per diem 202.7 per diem 180 per diem 180 per diem 269 per diem 303 per diem 225 per diem 245 per diem 269 per diem 269 per diem 254 per diem 254 per diem 265 per diem 200 per diem 181 per diem PARTIAL HOSPITAL PROGRAM ADLT TELEMED 912 RC facility outpatient 700 227.06 211.64 609 497 per diem 470 per diem 451 per diem 470 per diem 469 per diem 497 per diem 211.64 per diem 347 per diem 235.15 per diem 469 per diem 600 per diem 417.05 per diem 490 per diem 300 per diem 300 per diem 227.06 per diem 450 per diem 450 per diem 500 per diem 500 per diem 451 per diem 469 per diem 325 per diem 235.15 per diem 609 per diem 235.15 per diem 300 per diem 300 per diem 490 per diem 465 per diem 420 per diem 425 per diem 229.28 per diem 217.54 per diem 470 per diem 490 per diem 490 per diem 490 per diem 490 per diem 497 per diem 227.06 per diem 425 per diem 333 per diem 333 per diem PARTIAL HOSPITAL PROGRAM ADOLES PROGRAM 912 RC facility outpatient 700 227.06 211.64 609 497 per diem 470 per diem 451 per diem 470 per diem 469 per diem 497 per diem 211.64 per diem 347 per diem 235.15 per diem 469 per diem 600 per diem 417.05 per diem 490 per diem 300 per diem 300 per diem 227.06 per diem 450 per diem 450 per diem 500 per diem 500 per diem 451 per diem 469 per diem 325 per diem 235.15 per diem 609 per diem 235.15 per diem 300 per diem 300 per diem 490 per diem 465 per diem 420 per diem 425 per diem 229.28 per diem 217.54 per diem 470 per diem 490 per diem 490 per diem 490 per diem 490 per diem 497 per diem 227.06 per diem 425 per diem 333 per diem 333 per diem PARTIAL HOSPITAL PROGRAM TRCRE ADOL PSED1 912 RC facility outpatient 700 227.06 211.64 609 497 per diem 470 per diem 451 per diem 470 per diem 469 per diem 497 per diem 211.64 per diem 347 per diem 235.15 per diem 469 per diem 600 per diem 417.05 per diem 490 per diem 300 per diem 300 per diem 227.06 per diem 450 per diem 450 per diem 500 per diem 500 per diem 451 per diem 469 per diem 325 per diem 235.15 per diem 609 per diem 235.15 per diem 300 per diem 300 per diem 490 per diem 465 per diem 420 per diem 425 per diem 229.28 per diem 217.54 per diem 470 per diem 490 per diem 490 per diem 490 per diem 490 per diem 497 per diem 227.06 per diem 425 per diem 333 per diem 333 per diem IND THERAPY 30 MIN 914 RC facility outpatient 245 58 235.15 84.29 per diem 84.29 per diem 235.15 per diem 235.15 per diem 84.29 per diem 58 per diem IND THERAPY 60 MIN 914 RC facility outpatient 295 58 235.15 84.29 per diem 84.29 per diem 235.15 per diem 235.15 per diem 84.29 per diem 58 per diem INTENSIVE OUTPATIENT PROGRAM PROC GRP 1 CD 915 RC facility outpatient 175 600 187.58 600 470 per diem 211.64 per diem 235.15 per diem 417.05 per diem 227.06 per diem 230.82 per diem 325 per diem 235.15 per diem 600 per diem 235.15 per diem 229.28 per diem 187.58 per diem 227.06 per diem 333 per diem INTENSIVE OUTPATIENT PROGRAM PROC GRP 1 PSYC 915 RC facility outpatient 175 600 187.58 600 470 per diem 211.64 per diem 235.15 per diem 417.05 per diem 227.06 per diem 230.82 per diem 325 per diem 235.15 per diem 600 per diem 235.15 per diem 229.28 per diem 187.58 per diem 227.06 per diem 333 per diem