"hospital_Riverwoods Behavioral Health, LLC" last_updated_ 2023-12-31 version_1 "hospital_Norcross, Georgia" hospital_address 1 Technology ParkwaySouth license_ 067-690 | GA "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded in this machine-readable file is true, accurate, and complete as of the date indicated in this file" description code |1 code|1|type billing_class setting drug_unit_of_measurement drug_type_of_measurement modifiers standard_charge | gross standard_charge|discounted_cash standard_charge|min standard_charge | max standard_charge|[payer_AARP|COMMERCIAL] standard_charge|[payer_AARP|COMMERCIAL] |percent standard_charge|[payer_AARP|COMMERCIAL] |contracting_method additional_payer_notes |[payer_AARP|COMMERCIAL] standard_charge|[payer_AETNA|HMO/PPO] standard_charge|[payer_AETNA|HMO/PPO] |percent standard_charge|[payer_AETNA|HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA|HMO/PPO] standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AETNA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_ALL SAVERS UHC|HMO/PPO] standard_charge|[payer_ALL SAVERS UHC|HMO/PPO] |percent standard_charge|[payer_ALL SAVERS UHC|HMO/PPO] |contracting_method additional_payer_notes |[payer_ALL SAVERS UHC|HMO/PPO] standard_charge|[payer_ALLIANT HEALTH PLANS|HMO/PPO] standard_charge|[payer_ALLIANT HEALTH PLANS|HMO/PPO] |percent standard_charge|[payer_ALLIANT HEALTH PLANS|HMO/PPO] |contracting_method additional_payer_notes |[payer_ALLIANT HEALTH PLANS|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_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_AMERIGROUP|MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID] |percent standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AMERIGROUP|MANAGED MEDICAID] standard_charge|[payer_BCBS FEDERAL|BLUE CROSS - Adult] standard_charge|[payer_BCBS FEDERAL|BLUE CROSS - Adult] |percent standard_charge|[payer_BCBS FEDERAL|BLUE CROSS - Adult] |contracting_method additional_payer_notes |[payer_BCBS FEDERAL|BLUE CROSS - Adult] standard_charge|[payer_BCBS FEDERAL|BLUE CROSS - Adol] standard_charge|[payer_BCBS FEDERAL|BLUE CROSS - Adol] |percent standard_charge|[payer_BCBS FEDERAL|BLUE CROSS - Adol] |contracting_method additional_payer_notes |[payer_BCBS FEDERAL|BLUE CROSS - Adol] standard_charge|[payer_BCBS GEORGIA|BLUE CROSS] standard_charge|[payer_BCBS GEORGIA|BLUE CROSS] |percent standard_charge|[payer_BCBS GEORGIA|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS GEORGIA|BLUE CROSS] standard_charge|[payer_BCBS GEORGIA PPO|BLUE CROSS] standard_charge|[payer_BCBS GEORGIA PPO|BLUE CROSS] |percent standard_charge|[payer_BCBS GEORGIA PPO|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS GEORGIA PPO|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_BCBS PPO GEORGIA|BLUE CROSS] standard_charge|[payer_BCBS PPO GEORGIA|BLUE CROSS] |percent standard_charge|[payer_BCBS PPO GEORGIA|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS PPO GEORGIA|BLUE CROSS] standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO] standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO] |percent standard_charge|[payer_BEACON HEALTH OPTIONS|HMO/PPO] |contracting_method additional_payer_notes |[payer_BEACON HEALTH OPTIONS|HMO/PPO] standard_charge|[payer_BUSINESS OFFICE MISC|COMMERCIAL] standard_charge|[payer_BUSINESS OFFICE MISC|COMMERCIAL] |percent standard_charge|[payer_BUSINESS OFFICE MISC|COMMERCIAL] |contracting_method additional_payer_notes |[payer_BUSINESS OFFICE MISC|COMMERCIAL] standard_charge|[payer_CARESOURCE MCD - Adults] standard_charge|[payer_CARESOURCE MCD - Adults] |percent standard_charge|[payer_CARESOURCE MCD - Adults] |contracting_method additional_payer_notes |[payer_CARESOURCE MCD - Adults] standard_charge|[payer_CARESOURCE MCD - Adol] standard_charge|[payer_CARESOURCE MCD - Adol] |percent standard_charge|[payer_CARESOURCE MCD - Adol] |contracting_method additional_payer_notes |[payer_CARESOURCE MCD - Adol] standard_charge|[payer_CARESOURCE HMO] standard_charge|[payer_CARESOURCE HMO] |percent standard_charge|[payer_CARESOURCE HMO] |contracting_method additional_payer_notes |[payer_CARESOURCE HMO] 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 HEALTHSPRING MCR|MANAGED MEDICARE] standard_charge|[payer_CIGNA HEALTHSPRING MCR|MANAGED MEDICARE] |percent standard_charge|[payer_CIGNA HEALTHSPRING MCR|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_CIGNA HEALTHSPRING MCR|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_standard_charge|[payer_DBHDD | HMO/PPO]] standard_charge|[payer_standard_charge|[payer_DBHDD | HMO/PPO]] |percent standard_charge|[payer_standard_charge|[payer_DBHDD | HMO/PPO]] |contracting_method additional_payer_notes |[payer_standard_charge|[payer_DBHDD | HMO/PPO]] standard_charge|[payer_DFCS|LOCAL GOVT] standard_charge|[payer_DFCS|LOCAL GOVT] |percent standard_charge|[payer_DFCS|LOCAL GOVT] |contracting_method additional_payer_notes |[payer_DFCS|LOCAL GOVT] standard_charge|[payer_EVERNORTH BEHAVIORAL HEAL|HMO/PPO] standard_charge|[payer_EVERNORTH BEHAVIORAL HEAL|HMO/PPO] |percent standard_charge|[payer_EVERNORTH BEHAVIORAL HEAL|HMO/PPO] |contracting_method additional_payer_notes |[payer_EVERNORTH BEHAVIORAL HEAL|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|MANAGED MEDICARE] standard_charge|[payer_HUMANA GOLD CHOICE|MANAGED MEDICARE] |percent standard_charge|[payer_HUMANA GOLD CHOICE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HUMANA GOLD CHOICE|MANAGED MEDICARE] standard_charge|[payer_KAISER PERMANENTE|HMO/PPO] standard_charge|[payer_KAISER PERMANENTE|HMO/PPO] |percent standard_charge|[payer_KAISER PERMANENTE|HMO/PPO] |contracting_method additional_payer_notes |[payer_KAISER PERMANENTE|HMO/PPO] standard_charge|[payer_KAISER SENIOR ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_KAISER SENIOR ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_KAISER SENIOR ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_KAISER SENIOR ADVANTAGE|MANAGED MEDICARE] 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_MEDICAID 2NDARY TO MCR|MCARE W/MCAID 2NDARY] standard_charge|[payer_MEDICAID 2NDARY TO MCR|MCARE W/MCAID 2NDARY] |percent standard_charge|[payer_MEDICAID 2NDARY TO MCR|MCARE W/MCAID 2NDARY] |contracting_method additional_payer_notes |[payer_MEDICAID 2NDARY TO MCR|MCARE W/MCAID 2NDARY] 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_MISC MGD MCARE|MANAGED MEDICARE] standard_charge|[payer_MISC MGD MCARE|MANAGED MEDICARE] |percent standard_charge|[payer_MISC MGD MCARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_MISC MGD MCARE|MANAGED MEDICARE] standard_charge|[payer_NORTHSIDE ATLANTA|INDUSTRIAL] standard_charge|[payer_NORTHSIDE ATLANTA|INDUSTRIAL] |percent standard_charge|[payer_NORTHSIDE ATLANTA|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_NORTHSIDE ATLANTA|INDUSTRIAL] standard_charge|[payer_NORTHSIDE CHEROKEE|INDUSTRIAL] standard_charge|[payer_NORTHSIDE CHEROKEE|INDUSTRIAL] |percent standard_charge|[payer_NORTHSIDE CHEROKEE|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_NORTHSIDE CHEROKEE|INDUSTRIAL] standard_charge|[payer_NORTHSIDE DULUTH|INDUSTRIAL] standard_charge|[payer_NORTHSIDE DULUTH|INDUSTRIAL] |percent standard_charge|[payer_NORTHSIDE DULUTH|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_NORTHSIDE DULUTH|INDUSTRIAL] standard_charge|[payer_NORTHSIDE FORSYTH|INDUSTRIAL] standard_charge|[payer_NORTHSIDE FORSYTH|INDUSTRIAL] |percent standard_charge|[payer_NORTHSIDE FORSYTH|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_NORTHSIDE FORSYTH|INDUSTRIAL] standard_charge|[payer_NORTHSIDE GWINNETT|INDUSTRIAL] standard_charge|[payer_NORTHSIDE GWINNETT|INDUSTRIAL] |percent standard_charge|[payer_NORTHSIDE GWINNETT|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_NORTHSIDE GWINNETT|INDUSTRIAL] standard_charge|[payer_PEACH STATE MCD|MANAGED MEDICAID] standard_charge|[payer_PEACH STATE MCD|MANAGED MEDICAID] |percent standard_charge|[payer_PEACH STATE MCD|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_PEACH STATE MCD|MANAGED MEDICAID] standard_charge|[payer_PIEDMONT ATHENS|INDUSTRIAL] standard_charge|[payer_PIEDMONT ATHENS|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT ATHENS|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT ATHENS|INDUSTRIAL] standard_charge|[payer_PIEDMONT ATLANTA|INDUSTRIAL] standard_charge|[payer_PIEDMONT ATLANTA|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT ATLANTA|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT ATLANTA|INDUSTRIAL] standard_charge|[payer_PIEDMONT AUGUSTA|INDUSTRIAL] standard_charge|[payer_PIEDMONT AUGUSTA|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT AUGUSTA|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT AUGUSTA|INDUSTRIAL] standard_charge|[payer_PIEDMONT EASTSIDE|INDUSTRIAL] standard_charge|[payer_PIEDMONT EASTSIDE|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT EASTSIDE|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT EASTSIDE|INDUSTRIAL] standard_charge|[payer_PIEDMONT FAYETTE|INDUSTRIAL] standard_charge|[payer_PIEDMONT FAYETTE|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT FAYETTE|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT FAYETTE|INDUSTRIAL] standard_charge|[payer_PIEDMONT HENRY|INDUSTRIAL] standard_charge|[payer_PIEDMONT HENRY|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT HENRY|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT HENRY|INDUSTRIAL] standard_charge|[payer_PIEDMONT MACON|INDUSTRIAL] standard_charge|[payer_PIEDMONT MACON|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT MACON|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT MACON|INDUSTRIAL] standard_charge|[payer_PIEDMONT MOUNTAINSIDE|INDUSTRIAL] standard_charge|[payer_PIEDMONT MOUNTAINSIDE|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT MOUNTAINSIDE|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT MOUNTAINSIDE|INDUSTRIAL] standard_charge|[payer_PIEDMONT NEWNAN|INDUSTRIAL] standard_charge|[payer_PIEDMONT NEWNAN|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT NEWNAN|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT NEWNAN|INDUSTRIAL] standard_charge|[payer_PIEDMONT NEWTON|INDUSTRIAL] standard_charge|[payer_PIEDMONT NEWTON|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT NEWTON|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT NEWTON|INDUSTRIAL] standard_charge|[payer_PIEDMONT ROCKDALE|INDUSTRIAL] standard_charge|[payer_PIEDMONT ROCKDALE|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT ROCKDALE|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT ROCKDALE|INDUSTRIAL] standard_charge|[payer_PIEDMONT WALTON|INDUSTRIAL] standard_charge|[payer_PIEDMONT WALTON|INDUSTRIAL] |percent standard_charge|[payer_PIEDMONT WALTON|INDUSTRIAL] |contracting_method additional_payer_notes |[payer_PIEDMONT WALTON|INDUSTRIAL] standard_charge|[payer_TRICARE|TRICARE] standard_charge|[payer_TRICARE|TRICARE] |percent standard_charge|[payer_TRICARE|TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE|TRICARE] standard_charge|[payer_UHC|HMO/PPO] standard_charge|[payer_UHC|HMO/PPO] |percent standard_charge|[payer_UHC|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC|HMO/PPO] standard_charge|[payer_UHC MEDICARE|MANAGED MEDICARE] standard_charge|[payer_UHC MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_UHC MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UHC MEDICARE|MANAGED MEDICARE] 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_UHC STUDENT SERVICES|HMO/PPO] standard_charge|[payer_UHC STUDENT SERVICES|HMO/PPO] |percent standard_charge|[payer_UHC STUDENT SERVICES|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC STUDENT 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_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_VA TRIWEST|VETERANS ADMIN] standard_charge|[payer_VA TRIWEST|VETERANS ADMIN] |percent standard_charge|[payer_VA TRIWEST|VETERANS ADMIN] |contracting_method additional_payer_notes |[payer_VA TRIWEST|VETERANS ADMIN] standard_charge|[payer_WELLCARE MCR|MANAGED MEDICARE] standard_charge|[payer_WELLCARE MCR|MANAGED MEDICARE] |percent standard_charge|[payer_WELLCARE MCR|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_WELLCARE MCR|MANAGED MEDICARE] ROOM AND BOARD ADOL - PSYCH 2S 124 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 939 per diem 971.25 per diem 2592 per diem 984 per diem 798 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 800 per diem 894 per diem 750 per diem 750 per diem 765 per diem 850 per diem DRG DRG 831 per diem 1100 per diem 840 per diem 750 per diem 831 per diem 1007 per diem DRG DRG 929 per diem DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem ROOM AND BOARD GERIACTRIC - PSYCH 1S 124 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 939 per diem 971.25 per diem 2592 per diem 984 per diem 798 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 800 per diem 894 per diem 750 per diem 750 per diem 765 per diem 850 per diem DRG DRG 831 per diem 1100 per diem 840 per diem 750 per diem 831 per diem 1007 per diem DRG DRG 929 per diem DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem ROOM AND BOARD ADOL - DETOX 2S 126 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 939 per diem 971.25 per diem 2592 per diem 984 per diem 798 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 800 per diem 894 per diem 750 per diem 750 per diem 765 per diem 850 per diem DRG DRG 831 per diem 1100 per diem 840 per diem 750 per diem 831 per diem 1007 per diem DRG DRG 860 per diem DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem ROOM AND BOARD CD-ADULT 1N 126 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 939 per diem 971.25 per diem 2592 per diem 984 per diem 798 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 800 per diem 894 per diem 750 per diem 750 per diem 765 per diem 850 per diem DRG DRG 831 per diem 1100 per diem 840 per diem 750 per diem 831 per diem 1007 per diem DRG DRG 860 per diem DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem ROOM AND BOARD DETOX-ADULT 1N 126 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 939 per diem 971.25 per diem 2592 per diem 984 per diem 798 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 800 per diem 894 per diem 750 per diem 750 per diem 765 per diem 850 per diem DRG DRG 831 per diem 1100 per diem 750 per diem 831 per diem 1007 per diem DRG DRG 860 per diem DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem ROOM AND BOARD GERIACTRIC - DETOX 1S 126 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 939 per diem 971.25 per diem 2592 per diem 984 per diem 798 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 800 per diem 894 per diem 750 per diem 750 per diem 765 per diem 850 per diem DRG DRG 831 per diem 1100 per diem 750 per diem 831 per diem 1007 per diem DRG DRG 860 per diem DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem ROOM AND BOARD ADOL - REHAB 128 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 971.25 per diem 2592 per diem 984 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 750 per diem 750 per diem 765 per diem DRG DRG 831 per diem 980 per diem 750 per diem 776 per diem DRG DRG DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem ROOM AND BOARD ADULT - REHAB 128 RC facility inpatient 2940 750 711 2940 2592 per diem 966 per diem 966 per diem 971.25 per diem 2592 per diem 984 per diem 800 per diem 850 per diem 800 per diem 800 per diem 800 per diem 750 per diem 750 per diem 765 per diem DRG DRG 831 per diem 980 per diem 750 per diem 776 per diem DRG DRG DRG DRG 750 per diem DRG 725 725 up to 5 days 966 per diem DRG 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 725 725 up to 5 days 801 per diem 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 4200 4200 flat rate 963.9 per diem 939 per diem DRG DRG 939 per diem 939 per diem 939 per diem DRG DRG DRG DRG 678 per diem INTENSIVE OUTPATIENT PROGRAM PSYADLT TELEHLTH 905 RC facility outpatient 476 250 158 476 432 per diem 215 per diem 215 per diem 235 per diem 288.75 per diem 432 per diem 225 per diem 193 per diem 225 per diem 240 per diem 225 per diem 225 per diem 225 per diem 225 per diem 214 per diem 350 per diem 150 per diem 150 per diem 217 per diem 217 per diem 265 per diem 310 per diem 180 per diem 432 per diem 215 per diem 203 per diem 249.66 per diem 235 per diem 229 per diem 235 per diem 235 per diem 235 per diem 200 per diem INTENSIVE OUTPATIENT PROGRAM CD-ADULT 906 RC facility outpatient 476 250 158 476 432 per diem 215 per diem 215 per diem 235 per diem 288.75 per diem 432 per diem 225 per diem 193 per diem 225 per diem 240 per diem 225 per diem 225 per diem 225 per diem 225 per diem 214 per diem 600 per diem 150 per diem 150 per diem 275 per diem 217 per diem 217 per diem 265 per diem 310 per diem 180 per diem 432 per diem 215 per diem 203 per diem 249.66 per diem 235 per diem 229 per diem 235 per diem 235 per diem 235 per diem 181 per diem INTENSIVE OUTPATIENT PROGRAM CDADLT TELEHLTH 906 RC facility outpatient 476 250 158 476 432 per diem 215 per diem 215 per diem 235 per diem 288.75 per diem 432 per diem 225 per diem 193 per diem 225 per diem 240 per diem 225 per diem 225 per diem 225 per diem 225 per diem 214 per diem 600 per diem 150 per diem 150 per diem 275 per diem 217 per diem 217 per diem 265 per diem 310 per diem 180 per diem 432 per diem 215 per diem 203 per diem 249.66 per diem 235 per diem 229 per diem 235 per diem 235 per diem 235 per diem 181 per diem PARTIAL HOSPITAL PROGRAM CD-ADULT 912 RC facility outpatient 714 350 262 714 648 per diem 406 per diem 406 per diem 425 per diem 472.5 per diem 648 per diem 443 per diem 348 per diem 425 per diem 425 per diem 425 per diem 425 per diem 425 per diem 383 per diem 600 per diem 280 per diem 275 per diem DRG DRG 409 per diem 500 per diem 409 per diem 371 per diem 560 per diem 560 per diem 380 per diem 648 per diem 249.66 per diem 406 per diem 364 per diem 425 per diem 415 per diem 425 per diem 425 per diem 425 per diem 336 per diem PARTIAL HOSPITAL PROGRAM MH Adult 913 RC facility outpatient 714 350 294 714 648 per diem 406 per diem 406 per diem 425 per diem 472.5 per diem 648 per diem 443 per diem 348 per diem 425 per diem 425 per diem 280 per diem DRG DRG 409 per diem 500 per diem 409 per diem 371 per diem 560 per diem 560 per diem 380 per diem 406 per diem 364 per diem 425 per diem 415 per diem 425 per diem 425 per diem 425 per diem 336 per diem INTENSIVE OUTPATIENT PROGRAM CD PROC GRP 1 915 RC facility outpatient 166 0 262 166 406 per diem 249.66 per diem 284 per diem 284 per diem 249.66 per diem INTENSIVE OUTPATIENT PROGRAM PSYC PROC GRP 1 915 RC facility outpatient 166 0 262 166 406 per diem 249.66 per diem 284 per diem 284 per diem 249.66 per diem PARTIAL HOSPITAL PROGRAM CD EDUC GRP 1 942 RC facility outpatient 150 0 262 150 249.66 per diem 262.143