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." "Trustpoint Hospital, LLC" 5/31/2024 2.0.0 "Mufreesboro, Tennessee" 1009 North Thompson Lane license_ 0000000184 | TN Ture description code |1 code|1|type billing_class setting drug_unit_of_measurement drug_type_of_measurement standard_charge | gross standard_charge|discounted_cash modifiers 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 MAN MEDICARE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_AETNA MAN MEDICARE|plan_MANAGED MEDICARE|negotiated_percentage standard_charge|payer_AETNA MAN MEDICARE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_AETNA MAN MEDICARE|plan_MANAGED MEDICARE standard_charge|payer_AETNA MAN MEDICARE|plan_MANAGED MEDICARE |methodology additional_payer_notes |payer_AETNA MAN MEDICARE|plan_MANAGED MEDICARE standard_charge|payer_ALL SAVERS UHC|plan_HMO/PPO|negotiated_dollar standard_charge|payer_ALL SAVERS UHC|plan_HMO/PPO |negotiated_percentage standard_charge|payer_ALL SAVERS UHC|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_ALL SAVERS UHC|plan_HMO/PPO standard_charge|payer_ALL SAVERS UHC|plan_HMO/PPO |methodology additional_payer_notes |payer_ALL SAVERS UHC|plan_HMO/PPO standard_charge|payer_AMERIGROUP|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_AMERIGROUP|plan_MANAGED MEDICAID|negotiated_percentage standard_charge|payer_AMERIGROUP|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_AMERIGROUP|plan_MANAGED MEDICAID standard_charge|payer_AMERIGROUP|plan_MANAGED MEDICAID|methodology additional_payer_notes |payer_AMERIGROUP|plan_MANAGED MEDICAID standard_charge|payer_AMERIGROUP COVERKIDS|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_AMERIGROUP COVERKIDS|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_AMERIGROUP COVERKIDS|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_AMERIGROUP COVERKIDS|plan_MANAGED MEDICAID standard_charge|payer_AMERIGROUP COVERKIDS|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_AMERIGROUP COVERKIDS|plan_MANAGED MEDICAID standard_charge|payer_AMERIVANTAGE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_AMERIVANTAGE|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_AMERIVANTAGE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_AMERIVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_AMERIVANTAGE|plan_MANAGED MEDICARE|methodology additional_payer_notes |payer_AMERIVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_BCBS FEDERAL|plan_BLUE CROSS|negotiated_dollar standard_charge|payer_BCBS FEDERAL|plan_BLUE CROSS|negotiated_percentage standard_charge|payer_BCBS FEDERAL|plan_BLUE CROSS|negotiated_algorithm estimated_amount|payer_BCBS FEDERAL|plan_BLUE CROSS standard_charge|payer_BCBS FEDERAL|plan_BLUE CROSS|methodology additional_payer_notes |payer_BCBS FEDERAL|plan_BLUE CROSS standard_charge|payer_BCBS OF TENNESSEE|plan_BLUE CROSS|negotiated_dollar standard_charge|payer_BCBS OF TENNESSEE|plan_BLUE CROSS|negotiated_percentage standard_charge|payer_BCBS OF TENNESSEE|plan_BLUE CROSS|negotiated_algorithm estimated_amount|payer_BCBS OF TENNESSEE|plan_BLUE CROSS standard_charge|payer_BCBS OF TENNESSEE|plan_BLUE CROSS |methodology additional_payer_notes |payer_BCBS OF TENNESSEE|plan_BLUE CROSS standard_charge|payer_BLUE ADVANTAGE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_BLUE ADVANTAGE|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_BLUE ADVANTAGE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_BLUE ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_BLUE ADVANTAGE|plan_MANAGED MEDICARE|methodology additional_payer_notes |payer_BLUE ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_BLUECARE|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_BLUECARE|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_BLUECARE|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_BLUECARE|plan_MANAGED MEDICAID standard_charge|payer_BLUECARE|plan_MANAGED MEDICAID|methodology additional_payer_notes |payer_BLUECARE|plan_MANAGED MEDICAID standard_charge|payer_BLUECARE COVERKIDS|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_BLUECARE COVERKIDS|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_BLUECARE COVERKIDS|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_BLUECARE COVERKIDS|plan_MANAGED MEDICAID standard_charge|payer_BLUECARE COVERKIDS|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_BLUECARE COVERKIDS|plan_MANAGED MEDICAID standard_charge|payer_BLUECARE PLUS|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_BLUECARE PLUS|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_BLUECARE PLUS|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_BLUECARE PLUS|plan_MANAGED MEDICARE standard_charge|payer_BLUECARE PLUS|plan_MANAGED MEDICARE|methodology additional_payer_notes |payer_BLUECARE PLUS|plan_MANAGED MEDICARE standard_charge|payer_CHAMPVA|plan_VETERANS ADMIN|negotiated_dollar standard_charge|payer_CHAMPVA|plan_VETERANS ADMIN|negotiated_percentage standard_charge|payer_CHAMPVA|plan_VETERANS ADMIN|negotiated_algorithm estimated_amount|payer_CHAMPVA|plan_VETERANS ADMIN standard_charge|payer_CHAMPVA|plan_VETERANS ADMIN |methodology additional_payer_notes |payer_CHAMPVA|plan_VETERANS ADMIN standard_charge|payer_CIGNA|plan_HMO/PPO|negotiated_dollar standard_charge|payer_CIGNA|plan_HMO/PPO|negotiated_percentage standard_charge|payer_CIGNA|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_CIGNA|plan_HMO/PPO standard_charge|payer_CIGNA|plan_HMO/PPO|methodology additional_payer_notes |payer_CIGNA|plan_HMO/PPO standard_charge|payer_HEALTHSPRING ADVANTAGE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_HEALTHSPRING ADVANTAGE|plan_MANAGED MEDICARE|negotiated_percentage standard_charge|payer_HEALTHSPRING ADVANTAGE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_HEALTHSPRING ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_HEALTHSPRING ADVANTAGE|plan_MANAGED MEDICARE|methodology additional_payer_notes |payer_HEALTHSPRING ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_HUMANA|plan_HMO/PPO|negotiated_dollar standard_charge|payer_HUMANA|plan_HMO/PPO |negotiated_percentage standard_charge|payer_HUMANA|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_HUMANA|plan_HMO/PPO standard_charge|payer_HUMANA|plan_HMO/PPO|methodology additional_payer_notes |payer_HUMANA|plan_HMO/PPO standard_charge|payer_HUMANA MEDICARE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_HUMANA MEDICARE|plan_MANAGED MEDICARE|negotiated_percentage standard_charge|payer_HUMANA MEDICARE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_HUMANA MEDICARE|plan_MANAGED MEDICARE standard_charge|payer_HUMANA MEDICARE|plan_MANAGED MEDICARE |methodology additional_payer_notes |payer_HUMANA MEDICARE|plan_MANAGED MEDICARE standard_charge|payer_MEDICARE|plan_MEDICARE|negotiated_dollar standard_charge|payer_MEDICARE|plan_MEDICARE|negotiated_percentage standard_charge|payer_MEDICARE|plan_MEDICARE|negotiated_algorithm estimated_amount|payer_MEDICARE|plan_MEDICARE standard_charge|payer_MEDICARE|plan_MEDICARE|methodology additional_payer_notes |payer_MEDICARE|plan_MEDICARE standard_charge|payer_OPTUM BEHAVIORAL HEALTH|plan_HMO/PPO|negotiated_dollar standard_charge|payer_OPTUM BEHAVIORAL HEALTH|plan_HMO/PPO |negotiated_percentage standard_charge|payer_OPTUM BEHAVIORAL HEALTH|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_OPTUM BEHAVIORAL HEALTH|plan_HMO/PPO standard_charge|payer_OPTUM BEHAVIORAL HEALTH|plan_HMO/PPO |methodology additional_payer_notes |payer_OPTUM BEHAVIORAL HEALTH|plan_HMO/PPO standard_charge|payer_OPTUM OSCAR|plan_HMO/PPO|negotiated_dollar standard_charge|payer_OPTUM OSCAR|plan_HMO/PPO |negotiated_percentage standard_charge|payer_OPTUM OSCAR|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_OPTUM OSCAR|plan_HMO/PPO|plan_HMO/PPO standard_charge|payer_OPTUM OSCAR|plan_HMO/PPO |methodology additional_payer_notes |payer_OPTUM OSCAR|plan_HMO/PPO standard_charge|payer_OXFORD HEALTH PLANS|plan_HMO/PPO|negotiated_dollar standard_charge|payer_OXFORD HEALTH PLANS|plan_HMO/PPO|negotiated_percentage standard_charge|payer_OXFORD HEALTH PLANS|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_OXFORD HEALTH PLANS|plan_HMO/PPO standard_charge|payer_OXFORD HEALTH PLANS|plan_HMO/PPO|methodology additional_payer_notes |payer_OXFORD HEALTH PLANS|plan_HMO/PPO standard_charge|payer_SUREST|plan_HMO/PPO|negotiated_dollar standard_charge|payer_SUREST|plan_HMO/PPO |negotiated_percentage standard_charge|payer_SUREST|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_SUREST|plan_HMO/PPO standard_charge|payer_SUREST|plan_HMO/PPO |methodology additional_payer_notes |payer_SUREST|plan_HMO/PPO standard_charge|payer_TRICARE EAST|plan_TRICARE|negotiated_dollar standard_charge|payer_TRICARE EAST|plan_TRICARE |negotiated_percentage standard_charge|payer_TRICARE EAST|plan_TRICARE|negotiated_algorithm estimated_amount|payer_TRICARE EAST|plan_TRICARE standard_charge|payer_TRICARE EAST|plan_TRICARE|methodology additional_payer_notes |payer_TRICARE EAST|plan_TRICARE standard_charge|payer_UHC ADVANTAGE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_UHC ADVANTAGE|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_UHC ADVANTAGE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_UHC ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_UHC ADVANTAGE|plan_MANAGED MEDICARE |methodology additional_payer_notes |payer_UHC ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_UHC COMMERCIAL|plan_HMO/PPO|negotiated_dollar standard_charge|payer_UHC COMMERCIAL|plan_HMO/PPO |negotiated_percentage standard_charge|payer_UHC COMMERCIAL|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UHC COMMERCIAL|plan_HMO/PPO standard_charge|payer_UHC COMMERCIAL|plan_HMO/PPO|methodology additional_payer_notes |payer_UHC COMMERCIAL|plan_HMO/PPO standard_charge|payer_UHC COMMERICAL|plan_HMO/PPO|negotiated_dollar standard_charge|payer_UHC COMMERICAL|plan_HMO/PPO |negotiated_percentage standard_charge|payer_UHC COMMERICAL|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UHC COMMERICAL|plan_HMO/PPO standard_charge|payer_UHC COMMERICAL|plan_HMO/PPO |methodology additional_payer_notes |payer_UHC COMMERICAL|plan_HMO/PPO standard_charge|payer_UHC COMMUNITY PLAN|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_UHC COMMUNITY PLAN|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_UHC COMMUNITY PLAN|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_UHC COMMUNITY PLAN|plan_MANAGED MEDICAID standard_charge|payer_UHC COMMUNITY PLAN|plan_MANAGED MEDICAID|methodology additional_payer_notes |payer_UHC COMMUNITY PLAN|plan_MANAGED MEDICAID standard_charge|payer_UHC COVERKIDS|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_UHC COVERKIDS|plan_MANAGED MEDICAID|negotiated_percentage standard_charge|payer_UHC COVERKIDS|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_UHC COVERKIDS|plan_MANAGED MEDICAID standard_charge|payer_UHC COVERKIDS|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_UHC COVERKIDS|plan_MANAGED MEDICAID standard_charge|payer_UHC DUAL COMPLETE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_UHC DUAL COMPLETE|plan_MANAGED MEDICARE|negotiated_percentage standard_charge|payer_UHC DUAL COMPLETE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_UHC DUAL COMPLETE|plan_MANAGED MEDICARE standard_charge|payer_UHC DUAL COMPLETE|plan_MANAGED MEDICARE|methodology additional_payer_notes |payer_UHC DUAL COMPLETE|plan_MANAGED MEDICARE standard_charge|payer_UHC SHARED SERVICES|plan_HMO/PPO|negotiated_dollar standard_charge|payer_UHC SHARED SERVICES|plan_HMO/PPO |negotiated_percentage standard_charge|payer_UHC SHARED SERVICES|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UHC SHARED SERVICES|plan_HMO/PPO standard_charge|payer_UHC SHARED SERVICES|plan_HMO/PPO |methodology additional_payer_notes |payer_UHC SHARED SERVICES|plan_HMO/PPO standard_charge|payer_UHC STUDENT RESOURCES|plan_HMO/PPO|negotiated_dollar standard_charge|payer_UHC STUDENT RESOURCES|plan_HMO/PPO|negotiated_percentage standard_charge|payer_UHC STUDENT RESOURCES|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UHC STUDENT RESOURCES|plan_HMO/PPO standard_charge|payer_UHC STUDENT RESOURCES|plan_HMO/PPO |methodology additional_payer_notes |payer_UHC STUDENT RESOURCES|plan_HMO/PPO standard_charge|payer_UMR|plan_HMO/PPO |negotiated_dollar standard_charge|payer_UMR|plan_HMO/PPO |negotiated_percentage standard_charge|payer_UMR|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UMR|plan_HMO/PPO standard_charge|payer_UMR|plan_HMO/PPO|methodology additional_payer_notes |payer_UMR|plan_HMO/PPO standard_charge|payer_UNITED BEHAVIORAL HEALTH|plan_HMO/PPO|negotiated_dollar standard_charge|payer_UNITED BEHAVIORAL HEALTH|plan_HMO/PPO |negotiated_percentage standard_charge|payer_UNITED BEHAVIORAL HEALTH|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UNITED BEHAVIORAL HEALTH|plan_HMO/PPO standard_charge|payer_UNITED BEHAVIORAL HEALTH|plan_HMO/PPO |methodology additional_payer_notes |payer_UNITED BEHAVIORAL HEALTH|plan_HMO/PPO standard_charge|payer_WELLCARE HEALTH PLANS|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_WELLCARE HEALTH PLANS|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_WELLCARE HEALTH PLANS|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_WELLCARE HEALTH PLANS|plan_MANAGED MEDICARE standard_charge|payer_WELLCARE HEALTH PLANS|plan_MANAGED MEDICARE |methodology additional_payer_notes |payer_WELLCARE HEALTH PLANS|plan_MANAGED MEDICARE standard_charge|min standard_charge | max additional_generic_notes R&B REHAB (P)-M/S 118 RC facility inpatient 3996 1350 1030 per diem 1850 per diem 1100 per diem 1071 per diem 1071 per diem 1850 per diem 416.15 per diem 416.15 per diem 1850 per diem 1135 per diem 3197 per diem 1850 per diem 1850 per diem 1100 per diem 1850 per diem 1100 per diem 1100 per diem 1850 per diem 1100 per diem 1100 per diem 1100 per diem 1100 per diem 416.15 3197 R&B ADU - DOWN (SP) 124 RC facility inpatient 2700 900 927 per diem 890 per diem 1000 per diem 800 per diem 800 per diem 890 per diem 1125 per diem 1125 per diem 1125 per diem 725 per diem 725 per diem 890 per diem 890 per diem 1171 per diem 810 per diem 1150 per diem 890 per diem 890 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 899.46 per diem 1265 per diem 1000 per diem 1000 per diem 750 per diem 750 per diem 1265 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 890 per diem 725 1265 R&B DETOX (SP) - M/S 126 RC facility inpatient 2700 900 1000 per diem 800 per diem 800 per diem 890 per diem 1125 per diem 1125 per diem 1125 per diem 725 per diem 725 per diem 890 per diem 1171 per diem 1150 per diem 890 per diem 890 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 1265 per diem 1000 per diem 1000 per diem 750 per diem 750 per diem 1265 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 725 1265 R&B DETOX - ADULT 126 RC facility inpatient 2700 900 1000 per diem 800 per diem 800 per diem 1125 per diem 1125 per diem 1125 per diem 725 per diem 725 per diem 890 per diem 1171 per diem 1150 per diem 890 per diem 890 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 1265 per diem 1000 per diem 1000 per diem 750 per diem 750 per diem 1265 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 725 1265 ECT - INPATIENT ANC 901 RC facility inpatient 1474 750 670 per diem 584 per diem 485 per diem 485 per diem 443.43 per diem 788 per diem 788 per diem 788 per diem 475 per diem 475 per diem 475 per diem 1009 per diem 443 per diem 750 per diem 459.67 per diem 443.43 per diem 584 per diem 584 per diem 584 per diem 584 per diem 406.24 per diem 584 per diem 584 per diem 584 per diem 480 per diem 480 per diem 584 per diem 584 per diem 584 per diem 584 per diem 584 per diem 459.67 per diem 406.24 1009 ECT - OUTPATIENT 901 RC facility outpatient 1474 750 670 per diem 584 per diem 485 per diem 485 per diem 443.43 per diem 788 per diem 788 per diem 788 per diem 475 per diem 475 per diem 475 per diem 1009 per diem 443 per diem 750 per diem 459.67 per diem 443.43 per diem 584 per diem 584 per diem 584 per diem 584 per diem 406.24 per diem 584 per diem 584 per diem 584 per diem 480 per diem 480 per diem 584 per diem 584 per diem 584 per diem 584 per diem 584 per diem 459.67 per diem 406.24 1009 IOP PSYCH ADOL PROG 905 RC facility outpatient 428 200 258 per diem 238 per diem 165 per diem 165 per diem 282 per diem 282 per diem 160 per diem 160 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 238 per diem 238 per diem 238 per diem 238 per diem 243.95 per diem 238 per diem 238 per diem 238 per diem 140 per diem 140 per diem 238 per diem 238 per diem 238 per diem 238 per diem 238 per diem 140 300 IOP PSYCH ADULT PROG 905 RC facility outpatient 428 200 258 per diem 238 per diem 165 per diem 165 per diem 282 per diem 282 per diem 160 per diem 160 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 238 per diem 238 per diem 238 per diem 238 per diem 243.95 per diem 238 per diem 238 per diem 238 per diem 140 per diem 140 per diem 238 per diem 238 per diem 238 per diem 238 per diem 238 per diem 140 300 IOP TELE MED PROGRAM 905 RC facility outpatient 428 200 258 per diem 238 per diem 165 per diem 165 per diem 282 per diem 282 per diem 160 per diem 160 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 238 per diem 238 per diem 238 per diem 238 per diem 243.95 per diem 238 per diem 238 per diem 238 per diem 140 per diem 140 per diem 238 per diem 238 per diem 238 per diem 238 per diem 238 per diem 140 300 PHP PSYCH ADOL PROG 912 RC facility outpatient 810 375 373 per diem 290 per diem 290 per diem 243 per diem 248.13 per diem 546 per diem 450 per diem 245.24 per diem 246.03 per diem 373 per diem 373 per diem 373 per diem 373 per diem 243.95 per diem 373 per diem 373 per diem 373 per diem 250 per diem 250 per diem 373 per diem 373 per diem 373 per diem 373 per diem 373 per diem 243 546 PHP PSYCH ADULT PROG 912 RC facility outpatient 810 375 373 per diem 290 per diem 290 per diem 243 per diem 248.13 per diem 546 per diem 450 per diem 245.24 per diem 246.03 per diem 373 per diem 373 per diem 373 per diem 373 per diem 243.95 per diem 373 per diem 373 per diem 373 per diem 250 per diem 250 per diem 373 per diem 373 per diem 373 per diem 373 per diem 373 per diem 243 546 IOP GROUP 1 915 RC facility outpatient 143 208.72 per diem 208.72 per diem 550 per diem 550 per diem 550 per diem 242 per diem 242 per diem 208 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 208.72 per diem 243.95 per diem 238 per diem 211.39 per diem 208 550 IOP TELEMED GROUP 1 915 RC facility outpatient 143 208.72 per diem 208.72 per diem 550 per diem 550 per diem 550 per diem 242 per diem 242 per diem 208 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 208.72 per diem 243.95 per diem 238 per diem 211.39 per diem 208 550 PHP PSY 915 RC facility outpatient 162 208.72 per diem 208.72 per diem 550 per diem 550 per diem 550 per diem 242 per diem 242 per diem 208 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 208.72 per diem 243.95 per diem 238 per diem 211.39 per diem 208 550 1:1 SVCS ADOL/CHILD 1124 RC facility outpatient 300 300 per diem 300 per diem 300 300