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." "Bronson-Acadia Joint Ventere, LLC" 5/31/2024 2.0.0 "Battle Creek, Michigan" 5550 Glenn Cross Road license_ 1080000005 | MI 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_AETNA]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_AETNA]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_AETNA]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_AETNA]|[plan_COMMERCIAL] standard_charge|[payer_AETNA]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_AETNA]|[Plan_COMMERCIAL] standard_charge|[payer_AETNA BTTR HLTH MCARE]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_AETNA BTTR HLTH MCARE]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_AETNA BTTR HLTH MCARE]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_AETNA BTTR HLTH MCARE]|[plan_COMMERCIAL] standard_charge|[payer_AETNA BTTR HLTH MCARE]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_AETNA BTTR HLTH MCARE]|[Plan_COMMERCIAL] standard_charge|[payer_AETNA MEDICARE]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_AETNA MEDICARE]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_AETNA MEDICARE]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_AETNA MEDICARE]|[plan_COMMERCIAL] standard_charge|[payer_AETNA MEDICARE]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_AETNA MEDICARE]|[Plan_COMMERCIAL] standard_charge|[payer_AMBETTER]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_AMBETTER]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_AMBETTER]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_AMBETTER]|[plan_COMMERCIAL] standard_charge|[payer_AMBETTER]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_AMBETTER]|[Plan_COMMERCIAL] standard_charge|[payer_AMERIHEALTH CARITAS]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_AMERIHEALTH CARITAS]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_AMERIHEALTH CARITAS]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_AMERIHEALTH CARITAS]|[plan_COMMERCIAL] standard_charge|[payer_AMERIHEALTH CARITAS]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_AMERIHEALTH CARITAS]|[Plan_COMMERCIAL] standard_charge|[payer_AUXIANT]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_AUXIANT]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_AUXIANT]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_AUXIANT]|[plan_COMMERCIAL] standard_charge|[payer_AUXIANT]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_AUXIANT]|[Plan_COMMERCIAL] 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 MEDICARE PLUS]|[plan_MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_BCBS MEDICARE PLUS]|[plan_MANAGED MEDICARE] |negotiated_percentage standard_charge|[payer_BCBS MEDICARE PLUS]|[plan_MANAGED MEDICARE] |negotiated_algorithm estimated_amount|[payer_BCBS MEDICARE PLUS]|[plan_MANAGED MEDICARE] standard_charge|[payer_BCBS MEDICARE PLUS]|[plan_MANAGED MEDICARE] |methodology additional_payer_notes |[payer_BCBS MEDICARE PLUS]|[Plan_MANAGED MEDICARE] standard_charge|[payer_BCBS MICHIGAN]|[plan_BLUE CROSS]|negotiated_dollar standard_charge|[payer_BCBS MICHIGAN]|[plan_BLUE CROSS] |negotiated_percentage standard_charge|[payer_BCBS MICHIGAN]|[plan_BLUE CROSS] |negotiated_algorithm estimated_amount|[payer_BCBS MICHIGAN]|[plan_BLUE CROSS] standard_charge|[payer_BCBS MICHIGAN]|[plan_BLUE CROSS] |methodology additional_payer_notes |[payer_BCBS MICHIGAN]|[Plan_BLUE CROSS] standard_charge|[payer_BCBS OOS]|[plan_BLUE CROSS]|negotiated_dollar standard_charge|[payer_BCBS OOS]|[plan_BLUE CROSS] |negotiated_percentage standard_charge|[payer_BCBS OOS]|[plan_BLUE CROSS] |negotiated_algorithm estimated_amount|[payer_BCBS OOS]|[plan_BLUE CROSS] standard_charge|[payer_BCBS OOS]|[plan_BLUE CROSS] |methodology additional_payer_notes |[payer_BCBS OOS]|[Plan_BLUE CROSS] standard_charge|[payer_BCN ADVANTAGE]|[plan_MANAGED MEDICARE]|negotiated_dollar standard_charge|[payer_BCN ADVANTAGE]|[plan_MANAGED MEDICARE] |negotiated_percentage standard_charge|[payer_BCN ADVANTAGE]|[plan_MANAGED MEDICARE] |negotiated_algorithm estimated_amount|[payer_BCN ADVANTAGE]|[plan_MANAGED MEDICARE] standard_charge|[payer_BCN ADVANTAGE]|[plan_MANAGED MEDICARE] |methodology additional_payer_notes |[payer_BCN ADVANTAGE]|[Plan_MANAGED MEDICARE] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEM]|[plan_HMO/PPO]|negotiated_dollar standard_charge|[payer_BEHAVIORAL HEALTH SYSTEM]|[plan_HMO/PPO] |negotiated_percentage standard_charge|[payer_BEHAVIORAL HEALTH SYSTEM]|[plan_HMO/PPO] |negotiated_algorithm estimated_amount|[payer_BEHAVIORAL HEALTH SYSTEM]|[plan_HMO/PPO] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEM]|[plan_HMO/PPO] |methodology additional_payer_notes |[payer_BEHAVIORAL HEALTH SYSTEM]|[Plan_HMO/PPO] standard_charge|[payer_BLUE CARE NETWORK]|[plan_BLUE CROSS]|negotiated_dollar standard_charge|[payer_BLUE CARE NETWORK]|[plan_BLUE CROSS] |negotiated_percentage standard_charge|[payer_BLUE CARE NETWORK]|[plan_BLUE CROSS] |negotiated_algorithm estimated_amount|[payer_BLUE CARE NETWORK]|[plan_BLUE CROSS] standard_charge|[payer_BLUE CARE NETWORK]|[plan_BLUE CROSS] |methodology additional_payer_notes |[payer_BLUE CARE NETWORK]|[Plan_BLUE CROSS] standard_charge|[payer_CARELON BEHAVIORAL HEALTH]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CARELON BEHAVIORAL HEALTH]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CARELON BEHAVIORAL HEALTH]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CARELON BEHAVIORAL HEALTH]|[plan_COMMERCIAL] standard_charge|[payer_CARELON BEHAVIORAL HEALTH]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CARELON BEHAVIORAL HEALTH]|[Plan_COMMERCIAL] standard_charge|[payer_CIGNA]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CIGNA]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CIGNA]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CIGNA]|[plan_COMMERCIAL] standard_charge|[payer_CIGNA]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CIGNA]|[Plan_COMMERCIAL] standard_charge|[payer_CIGNA HEALTHSPRING]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CIGNA HEALTHSPRING]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CIGNA HEALTHSPRING]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CIGNA HEALTHSPRING]|[plan_COMMERCIAL] standard_charge|[payer_CIGNA HEALTHSPRING]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CIGNA HEALTHSPRING]|[Plan_COMMERCIAL] standard_charge|[payer_CMH ALLEGAN COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH ALLEGAN COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH ALLEGAN COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH ALLEGAN COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH ALLEGAN COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH ALLEGAN COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH BARRY COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH BARRY COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH BARRY COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH BARRY COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH BARRY COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH BARRY COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH BERRIEN COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH BERRIEN COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH BERRIEN COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH BERRIEN COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH BERRIEN COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH BERRIEN COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH BRANCH COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH BRANCH COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH BRANCH COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH BRANCH COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH BRANCH COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH BRANCH COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH CALHOUN COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH CALHOUN COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH CALHOUN COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH CALHOUN COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH CALHOUN COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH CALHOUN COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH CASS COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH CASS COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH CASS COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH CASS COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH CASS COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH CASS COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH CLINTON INGHAM EATON]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH CLINTON INGHAM EATON]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH CLINTON INGHAM EATON]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH CLINTON INGHAM EATON]|[plan_COMMERCIAL] standard_charge|[payer_CMH CLINTON INGHAM EATON]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH CLINTON INGHAM EATON]|[Plan_COMMERCIAL] standard_charge|[payer_CMH COPPER COUNTRY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH COPPER COUNTRY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH COPPER COUNTRY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH COPPER COUNTRY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH COPPER COUNTRY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH COPPER COUNTRY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH HIAWATHA]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH HIAWATHA]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH HIAWATHA]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH HIAWATHA]|[plan_COMMERCIAL] standard_charge|[payer_CMH HIAWATHA]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH HIAWATHA]|[Plan_COMMERCIAL] standard_charge|[payer_CMH IONIA INGHAM EATON]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH IONIA INGHAM EATON]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH IONIA INGHAM EATON]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH IONIA INGHAM EATON]|[plan_COMMERCIAL] standard_charge|[payer_CMH IONIA INGHAM EATON]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH IONIA INGHAM EATON]|[Plan_COMMERCIAL] standard_charge|[payer_CMH ISABELLA COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH ISABELLA COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH ISABELLA COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH ISABELLA COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH ISABELLA COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH ISABELLA COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH KALAMAZOO]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH KALAMAZOO]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH KALAMAZOO]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH KALAMAZOO]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH KALAMAZOO]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH KALAMAZOO]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH KENT COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH KENT COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH KENT COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH KENT COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH KENT COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH KENT COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH LAKE COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH LAKE COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH LAKE COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH LAKE COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH LAKE COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH LAKE COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH MASON COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH MASON COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH MASON COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH MASON COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH MASON COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH MASON COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH MONTCALM]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH MONTCALM]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH MONTCALM]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH MONTCALM]|[plan_COMMERCIAL] standard_charge|[payer_CMH MONTCALM]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH MONTCALM]|[Plan_COMMERCIAL] standard_charge|[payer_CMH MUSKEGON COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH MUSKEGON COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH MUSKEGON COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH MUSKEGON COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH MUSKEGON COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH MUSKEGON COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH NEWAYGO COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH NEWAYGO COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH NEWAYGO COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH NEWAYGO COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH NEWAYGO COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH NEWAYGO COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH OCEANA]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH OCEANA]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH OCEANA]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH OCEANA]|[plan_COMMERCIAL] standard_charge|[payer_CMH OCEANA]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH OCEANA]|[Plan_COMMERCIAL] standard_charge|[payer_CMH OTTAWA COUNTY]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH OTTAWA COUNTY]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH OTTAWA COUNTY]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH OTTAWA COUNTY]|[plan_COMMERCIAL] standard_charge|[payer_CMH OTTAWA COUNTY]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH OTTAWA COUNTY]|[Plan_COMMERCIAL] standard_charge|[payer_CMH SAGINAW COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH SAGINAW COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH SAGINAW COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH SAGINAW COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH SAGINAW COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH SAGINAW COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH ST JOSEPH COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH ST JOSEPH COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH ST JOSEPH COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH ST JOSEPH COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH ST JOSEPH COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH ST JOSEPH COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH VAN BUREN COUNTY]|[plan_MANAGED MEDICAID]|negotiated_dollar standard_charge|[payer_CMH VAN BUREN COUNTY]|[plan_MANAGED MEDICAID] |negotiated_percentage standard_charge|[payer_CMH VAN BUREN COUNTY]|[plan_MANAGED MEDICAID] |negotiated_algorithm estimated_amount|[payer_CMH VAN BUREN COUNTY]|[plan_MANAGED MEDICAID] standard_charge|[payer_CMH VAN BUREN COUNTY]|[plan_MANAGED MEDICAID] |methodology additional_payer_notes |[payer_CMH VAN BUREN COUNTY]|[Plan_MANAGED MEDICAID] standard_charge|[payer_CMH WASHTENAW]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_CMH WASHTENAW]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_CMH WASHTENAW]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_CMH WASHTENAW]|[plan_COMMERCIAL] standard_charge|[payer_CMH WASHTENAW]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_CMH WASHTENAW]|[Plan_COMMERCIAL] standard_charge|[payer_COMPSYCH]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_COMPSYCH]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_COMPSYCH]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_COMPSYCH]|[plan_COMMERCIAL] standard_charge|[payer_COMPSYCH]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_COMPSYCH]|[Plan_COMMERCIAL] standard_charge|[payer_HAP PPO]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_HAP PPO]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_HAP PPO]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_HAP PPO]|[plan_COMMERCIAL] standard_charge|[payer_HAP PPO]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_HAP PPO]|[Plan_COMMERCIAL] standard_charge|[payer_HAP SENIOR PLUS]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_HAP SENIOR PLUS]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_HAP SENIOR PLUS]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_HAP SENIOR PLUS]|[plan_COMMERCIAL] standard_charge|[payer_HAP SENIOR PLUS]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_HAP SENIOR PLUS]|[Plan_COMMERCIAL] standard_charge|[payer_HEALTHSMART BENEFIT SOLUT]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_HEALTHSMART BENEFIT SOLUT]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_HEALTHSMART BENEFIT SOLUT]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_HEALTHSMART BENEFIT SOLUT]|[plan_COMMERCIAL] standard_charge|[payer_HEALTHSMART BENEFIT SOLUT]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_HEALTHSMART BENEFIT SOLUT]|[Plan_COMMERCIAL] standard_charge|[payer_HUMANA]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_HUMANA]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_HUMANA]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_HUMANA]|[plan_COMMERCIAL] standard_charge|[payer_HUMANA]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_HUMANA]|[Plan_COMMERCIAL] standard_charge|[payer_MAGELLAN BEHAVIORAL]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_MAGELLAN BEHAVIORAL]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_MAGELLAN BEHAVIORAL]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_MAGELLAN BEHAVIORAL]|[plan_COMMERCIAL] standard_charge|[payer_MAGELLAN BEHAVIORAL]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_MAGELLAN BEHAVIORAL]|[Plan_COMMERCIAL] standard_charge|[payer_MCLAREN HMO]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_MCLAREN HMO]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_MCLAREN HMO]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_MCLAREN HMO]|[plan_COMMERCIAL] standard_charge|[payer_MCLAREN HMO]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_MCLAREN HMO]|[Plan_COMMERCIAL] standard_charge|[payer_MERIDIAN COMPLETE]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_MERIDIAN COMPLETE]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_MERIDIAN COMPLETE]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_MERIDIAN COMPLETE]|[plan_COMMERCIAL] standard_charge|[payer_MERIDIAN COMPLETE]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_MERIDIAN COMPLETE]|[Plan_COMMERCIAL] standard_charge|[payer_MOLINA HEALTHCARE MI]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_MOLINA HEALTHCARE MI]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_MOLINA HEALTHCARE MI]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_MOLINA HEALTHCARE MI]|[plan_COMMERCIAL] standard_charge|[payer_MOLINA HEALTHCARE MI]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_MOLINA HEALTHCARE MI]|[Plan_COMMERCIAL] standard_charge|[payer_MOLINA MEDICARE]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_MOLINA MEDICARE]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_MOLINA MEDICARE]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_MOLINA MEDICARE]|[plan_COMMERCIAL] standard_charge|[payer_MOLINA MEDICARE]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_MOLINA MEDICARE]|[Plan_COMMERCIAL] standard_charge|[payer_PRIORITY HEALTH]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_PRIORITY HEALTH]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_PRIORITY HEALTH]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_PRIORITY HEALTH]|[plan_COMMERCIAL] standard_charge|[payer_PRIORITY HEALTH]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_PRIORITY HEALTH]|[Plan_COMMERCIAL] 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]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_UHC]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_UHC]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_UHC]|[plan_COMMERCIAL] standard_charge|[payer_UHC]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_UHC]|[Plan_COMMERCIAL] standard_charge|[payer_UHC DUAL COMPLETE]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_UHC DUAL COMPLETE]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_UHC DUAL COMPLETE]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_UHC DUAL COMPLETE]|[plan_COMMERCIAL] standard_charge|[payer_UHC DUAL COMPLETE]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_UHC DUAL COMPLETE]|[Plan_COMMERCIAL] standard_charge|[payer_UHC MEDICARE]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_UHC MEDICARE]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_UHC MEDICARE]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_UHC MEDICARE]|[plan_COMMERCIAL] standard_charge|[payer_UHC MEDICARE]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_UHC MEDICARE]|[Plan_COMMERCIAL] standard_charge|[payer_UMR]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_UMR]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_UMR]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_UMR]|[plan_COMMERCIAL] standard_charge|[payer_UMR]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_UMR]|[Plan_COMMERCIAL] standard_charge|[payer_WELLCARE MCARE]|[plan_COMMERCIAL]|negotiated_dollar standard_charge|[payer_WELLCARE MCARE]|[plan_COMMERCIAL] |negotiated_percentage standard_charge|[payer_WELLCARE MCARE]|[plan_COMMERCIAL] |negotiated_algorithm estimated_amount|[payer_WELLCARE MCARE]|[plan_COMMERCIAL] standard_charge|[payer_WELLCARE MCARE]|[plan_COMMERCIAL] |methodology additional_payer_notes |[payer_WELLCARE MCARE]|[Plan_COMMERCIAL] additional_generic_notes ROOM AND BOARD DEV DISABILITY 100 RC facility inpatient 2500 1250 717 2500 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2034 per diem 2500 per diem 2034 per diem 2034 per diem 2500 per diem 1550 per diem 2034 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 717 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem ROOM AND BOARD PSYCH ADULT 1 100 RC facility inpatient 2500 1250 717 2500 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2034 per diem 2500 per diem 2034 per diem 2034 per diem 2500 per diem 1550 per diem 2034 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 717 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem ROOM AND BOARD PSYCH ADULT 2 100 RC facility inpatient 2500 1250 717 2500 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2034 per diem 2500 per diem 2034 per diem 2034 per diem 2500 per diem 1550 per diem 2034 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 717 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem ROOM AND BOARD PSYCH OLDER ADLT 100 RC facility inpatient 2500 1250 717 2500 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2034 per diem 2500 per diem 2034 per diem 2034 per diem 2500 per diem 1550 per diem 2034 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 1250 per diem 1250 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 717 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem 2500 per diem