"hospital_PHC of Michigan, LLC" last_updated_ 2023-12-31 version_1 "hospital_New Baltimore, Michigan" hospital_address 35031 23 Mile Road license_ 1080000024 | MI "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_AETNA - SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_AETNA - SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_AETNA - SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA - SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_AETNA ]|[plan_ HMO/PPO] standard_charge|[payer_AETNA ]|[plan_ HMO/PPO] |percent standard_charge|[payer_AETNA ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA ]|[plan_ HMO/PPO] standard_charge|[payer_AETNA GEHA ]|[plan_ HMO/PPO] standard_charge|[payer_AETNA GEHA ]|[plan_ HMO/PPO] |percent standard_charge|[payer_AETNA GEHA ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA GEHA ]|[plan_ HMO/PPO] standard_charge|[payer_AETNA MEDICARE ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_AETNA MEDICARE ]|[plan_ MANAGED MEDICARE] |percent standard_charge|[payer_AETNA MEDICARE ]|[plan_ MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AETNA MEDICARE ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_AMERIGROUP COMMUNITY CARE ]|[plan_ COMMERCIAL] standard_charge|[payer_AMERIGROUP COMMUNITY CARE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_AMERIGROUP COMMUNITY CARE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_AMERIGROUP COMMUNITY CARE ]|[plan_ COMMERCIAL] standard_charge|[payer_APOSTROPHE ]|[plan_ COMMERCIAL] standard_charge|[payer_APOSTROPHE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_APOSTROPHE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_APOSTROPHE ]|[plan_ COMMERCIAL] standard_charge|[payer_ASR HEALTH BENEFITS ]|[plan_ COMMERCIAL] standard_charge|[payer_ASR HEALTH BENEFITS ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_ASR HEALTH BENEFITS ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_ASR HEALTH BENEFITS ]|[plan_ COMMERCIAL] standard_charge|[payer_BCBS FEDERAL - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS FEDERAL - SIPU ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BCBS FEDERAL - SIPU ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS FEDERAL - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS FEDERAL ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS FEDERAL ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BCBS FEDERAL ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS FEDERAL ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS OOS - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS OOS - SIPU ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BCBS OOS - SIPU ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS OOS - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS OOS ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS OOS ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BCBS OOS ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS OOS ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS PPO MICHIGAN - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS PPO MICHIGAN - SIPU ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BCBS PPO MICHIGAN - SIPU ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS PPO MICHIGAN - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS PPO MICHIGAN ]|[plan_ BLUE CROSS] standard_charge|[payer_BCBS PPO MICHIGAN ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BCBS PPO MICHIGAN ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS PPO MICHIGAN ]|[plan_ BLUE CROSS] standard_charge|[payer_BCN ADVNTGE ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_BCN ADVNTGE ]|[plan_ MANAGED MEDICARE] |percent standard_charge|[payer_BCN ADVNTGE ]|[plan_ MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_BCN ADVNTGE ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS ]|[plan_ COMMERCIAL] standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_BEHAVIORAL HEALTH SYSTEMS ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_BEHAVIORAL HEALTH SYSTEMS ]|[plan_ COMMERCIAL] standard_charge|[payer_BENEFIT ADMIN SYSTEMS ]|[plan_ COMMERCIAL] standard_charge|[payer_BENEFIT ADMIN SYSTEMS ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_BENEFIT ADMIN SYSTEMS ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_BENEFIT ADMIN SYSTEMS ]|[plan_ COMMERCIAL] standard_charge|[payer_BIND ]|[plan_ COMMERCIAL] standard_charge|[payer_BIND ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_BIND ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_BIND ]|[plan_ COMMERCIAL] standard_charge|[payer_BIND-SIPU ]|[plan_ COMMERCIAL] standard_charge|[payer_BIND-SIPU ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_BIND-SIPU ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_BIND-SIPU ]|[plan_ COMMERCIAL] standard_charge|[payer_BLUE CARE NETWORK - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BLUE CARE NETWORK - SIPU ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BLUE CARE NETWORK - SIPU ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BLUE CARE NETWORK - SIPU ]|[plan_ BLUE CROSS] standard_charge|[payer_BLUE CARE NETWORK ]|[plan_ BLUE CROSS] standard_charge|[payer_BLUE CARE NETWORK ]|[plan_ BLUE CROSS] |percent standard_charge|[payer_BLUE CARE NETWORK ]|[plan_ BLUE CROSS] |contracting_method additional_payer_notes |[payer_BLUE CARE NETWORK ]|[plan_ BLUE CROSS] standard_charge|[payer_CARELON BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_CARELON BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |percent standard_charge|[payer_CARELON BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_CARELON BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_CARELON BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_CARELON BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_CARELON BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_CARELON BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_CENTURY HEALTHCARE ]|[plan_ COMMERCIAL] standard_charge|[payer_CENTURY HEALTHCARE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_CENTURY HEALTHCARE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_CENTURY HEALTHCARE ]|[plan_ COMMERCIAL] standard_charge|[payer_CIGNA - SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_CIGNA - SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_CIGNA - SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_CIGNA - SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_CIGNA ]|[plan_ HMO/PPO] standard_charge|[payer_CIGNA ]|[plan_ HMO/PPO] |percent standard_charge|[payer_CIGNA ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_CIGNA ]|[plan_ HMO/PPO] standard_charge|[payer_CIGNA BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_CIGNA BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |percent standard_charge|[payer_CIGNA BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_CIGNA BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_CLAIMCHOICE ]|[plan_ HMO/PPO] standard_charge|[payer_CLAIMCHOICE ]|[plan_ HMO/PPO] |percent standard_charge|[payer_CLAIMCHOICE ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_CLAIMCHOICE ]|[plan_ HMO/PPO] standard_charge|[payer_CMH ALLEGAN COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH ALLEGAN COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH ALLEGAN COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH ALLEGAN COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH ALLEGAN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH ALLEGAN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH ALLEGAN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH ALLEGAN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH AUSABLE VALLEY COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH AUSABLE VALLEY COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH AUSABLE VALLEY COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH AUSABLE VALLEY COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH AUSABLE-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH AUSABLE-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH AUSABLE-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH AUSABLE-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BARRY COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BARRY COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BARRY COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BARRY COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BARRY COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BARRY COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BARRY COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BARRY COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BAY ARENAC - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BAY ARENAC - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BAY ARENAC - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BAY ARENAC - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BAY ARENAC COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BAY ARENAC COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BAY ARENAC COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BAY ARENAC COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BERRIEN - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BERRIEN - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BERRIEN - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BERRIEN - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BERRIEN CO/RIVERWOOD ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BERRIEN CO/RIVERWOOD ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BERRIEN CO/RIVERWOOD ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BERRIEN CO/RIVERWOOD ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BRANCH COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BRANCH COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BRANCH COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BRANCH COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BRANCH COUNTY- SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH BRANCH COUNTY- SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH BRANCH COUNTY- SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH BRANCH COUNTY- SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CALHOUN COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CALHOUN COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CALHOUN COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CALHOUN COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CALHOUN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CALHOUN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CALHOUN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CALHOUN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CASS COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CASS COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CASS COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CASS COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CASS COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CASS COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CASS COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CASS COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CEI - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CEI - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CEI - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CEI - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CEI ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CEI ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CEI ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CEI ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CENTRAL MICHIGAN ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CENTRAL MICHIGAN ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CENTRAL MICHIGAN ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CENTRAL MICHIGAN ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CENTRAL MICHIGAN-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CENTRAL MICHIGAN-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CENTRAL MICHIGAN-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CENTRAL MICHIGAN-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CHIPPEWA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH CHIPPEWA COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH CHIPPEWA COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH CHIPPEWA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH COPPER COUNTRY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH COPPER COUNTRY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH COPPER COUNTRY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH COPPER COUNTRY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GENESEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GENESEE COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH GENESEE COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH GENESEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GENESEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GENESEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH GENESEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH GENESEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GRATIOT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GRATIOT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH GRATIOT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH GRATIOT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GRATIOT COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH GRATIOT COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH GRATIOT COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH GRATIOT COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH HURON BEHAVIORAL HLTH ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH HURON BEHAVIORAL HLTH ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH HURON BEHAVIORAL HLTH ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH HURON BEHAVIORAL HLTH ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH HURON BEHAVIORAL-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH HURON BEHAVIORAL-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH HURON BEHAVIORAL-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH HURON BEHAVIORAL-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH IONIA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH IONIA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH IONIA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH IONIA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH IONIA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH IONIA COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH IONIA COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH IONIA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KALAMAZOO - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KALAMAZOO - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH KALAMAZOO - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH KALAMAZOO - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KALAMAZOO ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KALAMAZOO ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH KALAMAZOO ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH KALAMAZOO ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KENT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KENT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH KENT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH KENT COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KENT COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH KENT COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH KENT COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH KENT COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LAKE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LAKE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH LAKE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH LAKE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LAKE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LAKE COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH LAKE COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH LAKE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LAPEER COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LAPEER COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH LAPEER COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH LAPEER COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LENAWEE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LENAWEE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH LENAWEE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH LENAWEE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LENAWEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LENAWEE COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH LENAWEE COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH LENAWEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LIVINGSTON COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH LIVINGSTON COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH LIVINGSTON COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH LIVINGSTON COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MACOMB COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MACOMB COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MACOMB COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MACOMB COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MACOMB COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MACOMB COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MACOMB COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MACOMB COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MANISTEE BENZIE CTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MANISTEE BENZIE CTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MANISTEE BENZIE CTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MANISTEE BENZIE CTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MANISTEE BENZIE-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MANISTEE BENZIE-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MANISTEE BENZIE-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MANISTEE BENZIE-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MASON COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MASON COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MASON COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MASON COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MASON COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MASON COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MASON COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MASON COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MENOMINEE - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MENOMINEE - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MENOMINEE - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MENOMINEE - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MENOMINEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MENOMINEE COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MENOMINEE COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MENOMINEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONROE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONROE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MONROE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MONROE COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONROE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONROE COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MONROE COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MONROE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONTCALM COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONTCALM COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MONTCALM COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MONTCALM COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONTCALM-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MONTCALM-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MONTCALM-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MONTCALM-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MUSKEGON - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MUSKEGON - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MUSKEGON - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MUSKEGON - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MUSKEGON / HEALTHWEST ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH MUSKEGON / HEALTHWEST ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH MUSKEGON / HEALTHWEST ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH MUSKEGON / HEALTHWEST ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NEWAYGO - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NEWAYGO - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NEWAYGO - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NEWAYGO - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NEWAYGO COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NEWAYGO COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NEWAYGO COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NEWAYGO COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTH COUNTRY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTH COUNTRY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NORTH COUNTRY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NORTH COUNTRY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTH COUNTRY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTH COUNTRY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NORTH COUNTRY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NORTH COUNTRY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHEAST MI- SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHEAST MI- SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NORTHEAST MI- SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NORTHEAST MI- SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHEAST MICHIGAN ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHEAST MICHIGAN ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NORTHEAST MICHIGAN ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NORTHEAST MICHIGAN ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHERN LAKES ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHERN LAKES ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NORTHERN LAKES ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NORTHERN LAKES ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHERN LAKES-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH NORTHERN LAKES-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH NORTHERN LAKES-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH NORTHERN LAKES-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OAKLAND COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OAKLAND COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH OAKLAND COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH OAKLAND COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OAKLAND COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OAKLAND COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH OAKLAND COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH OAKLAND COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OCEANA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OCEANA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH OCEANA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH OCEANA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OCEANA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OCEANA COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH OCEANA COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH OCEANA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OTTAWA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OTTAWA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH OTTAWA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH OTTAWA COUNTY - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OTTAWA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH OTTAWA COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH OTTAWA COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH OTTAWA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAGINAW COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAGINAW COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SAGINAW COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SAGINAW COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAGINAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAGINAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SAGINAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SAGINAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAINT CLAIR COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAINT CLAIR COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SAINT CLAIR COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SAINT CLAIR COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAINT CLAIR-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SAINT CLAIR-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SAINT CLAIR-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SAINT CLAIR-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SANILAC COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SANILAC COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SANILAC COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SANILAC COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SANILAC-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SANILAC-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SANILAC-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SANILAC-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SHIAWASEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SHIAWASEE COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SHIAWASEE COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SHIAWASEE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SHIAWASEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH SHIAWASEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH SHIAWASEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH SHIAWASEE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH ST JOSEPH COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH ST JOSEPH COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH ST JOSEPH COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH ST JOSEPH COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH ST JOSEPH COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH ST JOSEPH COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH ST JOSEPH COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH ST JOSEPH COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH TUSCOLA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH TUSCOLA COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH TUSCOLA COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH TUSCOLA COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH TUSCOLA COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH TUSCOLA COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH TUSCOLA COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH TUSCOLA COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH VANBUREN COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH VANBUREN COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH VANBUREN COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH VANBUREN COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH VANBUREN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH VANBUREN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH VANBUREN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH VANBUREN COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WASHTENAW COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WASHTENAW COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH WASHTENAW COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH WASHTENAW COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WASHTENAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WASHTENAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH WASHTENAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH WASHTENAW COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WAYNE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WAYNE COUNTY ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH WAYNE COUNTY ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH WAYNE COUNTY ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WAYNE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_CMH WAYNE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_CMH WAYNE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_CMH WAYNE COUNTY-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_COMMUNITY CARE ASSOC INC ]|[plan_ HMO/PPO] standard_charge|[payer_COMMUNITY CARE ASSOC INC ]|[plan_ HMO/PPO] |percent standard_charge|[payer_COMMUNITY CARE ASSOC INC ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_COMMUNITY CARE ASSOC INC ]|[plan_ HMO/PPO] standard_charge|[payer_COMMUNITY CARE ASSOC-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_COMMUNITY CARE ASSOC-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_COMMUNITY CARE ASSOC-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_COMMUNITY CARE ASSOC-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_COMPSYCH CORPORATION ]|[plan_ HMO/PPO] standard_charge|[payer_COMPSYCH CORPORATION ]|[plan_ HMO/PPO] |percent standard_charge|[payer_COMPSYCH CORPORATION ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_COMPSYCH CORPORATION ]|[plan_ HMO/PPO] standard_charge|[payer_CORE SOURCE ]|[plan_ COMMERCIAL] standard_charge|[payer_CORE SOURCE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_CORE SOURCE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_CORE SOURCE ]|[plan_ COMMERCIAL] standard_charge|[payer_CORE SOURCE ]|[plan_ HMO/PPO] standard_charge|[payer_CORE SOURCE ]|[plan_ HMO/PPO] |percent standard_charge|[payer_CORE SOURCE ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_CORE SOURCE ]|[plan_ HMO/PPO] standard_charge|[payer_DHS ]|[plan_ COMMERCIAL] standard_charge|[payer_DHS ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_DHS ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_DHS ]|[plan_ COMMERCIAL] standard_charge|[payer_FIRST CHOICE HEALTH ]|[plan_ COMMERCIAL] standard_charge|[payer_FIRST CHOICE HEALTH ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_FIRST CHOICE HEALTH ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_FIRST CHOICE HEALTH ]|[plan_ COMMERCIAL] standard_charge|[payer_FRONT PATH ]|[plan_ COMMERCIAL] standard_charge|[payer_FRONT PATH ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_FRONT PATH ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_FRONT PATH ]|[plan_ COMMERCIAL] standard_charge|[payer_GLOBAL CARE ]|[plan_ COMMERCIAL] standard_charge|[payer_GLOBAL CARE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_GLOBAL CARE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_GLOBAL CARE ]|[plan_ COMMERCIAL] standard_charge|[payer_GLOBAL CARE-SIPU ]|[plan_ COMMERCIAL] standard_charge|[payer_GLOBAL CARE-SIPU ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_GLOBAL CARE-SIPU ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_GLOBAL CARE-SIPU ]|[plan_ COMMERCIAL] standard_charge|[payer_GPA ]|[plan_ COMMERCIAL] standard_charge|[payer_GPA ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_GPA ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_GPA ]|[plan_ COMMERCIAL] standard_charge|[payer_HAP PPO ]|[plan_ HMO/PPO] standard_charge|[payer_HAP PPO ]|[plan_ HMO/PPO] |percent standard_charge|[payer_HAP PPO ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_HAP PPO ]|[plan_ HMO/PPO] standard_charge|[payer_HAP PPO-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_HAP PPO-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_HAP PPO-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_HAP PPO-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_HAP SENIOR PLUS ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_HAP SENIOR PLUS ]|[plan_ MANAGED MEDICARE] |percent standard_charge|[payer_HAP SENIOR PLUS ]|[plan_ MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HAP SENIOR PLUS ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_HEALTH COST SOLUTIONS ]|[plan_ COMMERCIAL] standard_charge|[payer_HEALTH COST SOLUTIONS ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_HEALTH COST SOLUTIONS ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_HEALTH COST SOLUTIONS ]|[plan_ COMMERCIAL] standard_charge|[payer_HEALTH EZ ]|[plan_ COMMERCIAL] standard_charge|[payer_HEALTH EZ ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_HEALTH EZ ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_HEALTH EZ ]|[plan_ COMMERCIAL] standard_charge|[payer_HMA LLC ]|[plan_ COMMERCIAL] standard_charge|[payer_HMA LLC ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_HMA LLC ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_HMA LLC ]|[plan_ COMMERCIAL] standard_charge|[payer_HOPE NOT HANDCUFFS ]|[plan_ SELF PAY] standard_charge|[payer_HOPE NOT HANDCUFFS ]|[plan_ SELF PAY] |percent standard_charge|[payer_HOPE NOT HANDCUFFS ]|[plan_ SELF PAY] |contracting_method additional_payer_notes |[payer_HOPE NOT HANDCUFFS ]|[plan_ SELF PAY] standard_charge|[payer_HUMANA - SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_HUMANA - SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_HUMANA - SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_HUMANA - SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_HUMANA ]|[plan_ HMO/PPO] standard_charge|[payer_HUMANA ]|[plan_ HMO/PPO] |percent standard_charge|[payer_HUMANA ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_HUMANA ]|[plan_ HMO/PPO] standard_charge|[payer_HURON VALLEY PACE ]|[plan_ COMMERCIAL] standard_charge|[payer_HURON VALLEY PACE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_HURON VALLEY PACE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_HURON VALLEY PACE ]|[plan_ COMMERCIAL] standard_charge|[payer_KAISER PERMANENTE ]|[plan_ COMMERCIAL] standard_charge|[payer_KAISER PERMANENTE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_KAISER PERMANENTE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_KAISER PERMANENTE ]|[plan_ COMMERCIAL] standard_charge|[payer_KEY BENEFIT ADMINISTRATOR ]|[plan_ HMO/PPO] standard_charge|[payer_KEY BENEFIT ADMINISTRATOR ]|[plan_ HMO/PPO] |percent standard_charge|[payer_KEY BENEFIT ADMINISTRATOR ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_KEY BENEFIT ADMINISTRATOR ]|[plan_ HMO/PPO] standard_charge|[payer_LIFEWAYS ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_LIFEWAYS ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_LIFEWAYS ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_LIFEWAYS ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_LIFEWAYS-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_LIFEWAYS-SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_LIFEWAYS-SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_LIFEWAYS-SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_LUCENT HEALTH ]|[plan_ COMMERCIAL] standard_charge|[payer_LUCENT HEALTH ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_LUCENT HEALTH ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_LUCENT HEALTH ]|[plan_ COMMERCIAL] standard_charge|[payer_MAGELLAN BEHAVIORAL HLTH ]|[plan_ COMMERCIAL] standard_charge|[payer_MAGELLAN BEHAVIORAL HLTH ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_MAGELLAN BEHAVIORAL HLTH ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_MAGELLAN BEHAVIORAL HLTH ]|[plan_ COMMERCIAL] standard_charge|[payer_MCLAREN POS HEALTH PLAN ]|[plan_ HMO/PPO] standard_charge|[payer_MCLAREN POS HEALTH PLAN ]|[plan_ HMO/PPO] |percent standard_charge|[payer_MCLAREN POS HEALTH PLAN ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_MCLAREN POS HEALTH PLAN ]|[plan_ HMO/PPO] standard_charge|[payer_MEDI-CAL ]|[plan_ MEDICAID: OUT OF STATE] standard_charge|[payer_MEDI-CAL ]|[plan_ MEDICAID: OUT OF STATE] |percent standard_charge|[payer_MEDI-CAL ]|[plan_ MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_MEDI-CAL ]|[plan_ MEDICAID: OUT OF STATE] standard_charge|[payer_MEDICAL MUTUAL ]|[plan_ COMMERCIAL] standard_charge|[payer_MEDICAL MUTUAL ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_MEDICAL MUTUAL ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_MEDICAL MUTUAL ]|[plan_ COMMERCIAL] standard_charge|[payer_MERITAIN HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_MERITAIN HEALTH ]|[plan_ HMO/PPO] |percent standard_charge|[payer_MERITAIN HEALTH ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_MERITAIN HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_MERITAIN HEALTH-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_MERITAIN HEALTH-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_MERITAIN HEALTH-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_MERITAIN HEALTH-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_MI HEALTHLINK - DWMHA ]|[plan_ LOCAL GOVT] standard_charge|[payer_MI HEALTHLINK - DWMHA ]|[plan_ LOCAL GOVT] |percent standard_charge|[payer_MI HEALTHLINK - DWMHA ]|[plan_ LOCAL GOVT] |contracting_method additional_payer_notes |[payer_MI HEALTHLINK - DWMHA ]|[plan_ LOCAL GOVT] standard_charge|[payer_MI HEALTHLINK - MACOMB ]|[plan_ LOCAL GOVT] standard_charge|[payer_MI HEALTHLINK - MACOMB ]|[plan_ LOCAL GOVT] |percent standard_charge|[payer_MI HEALTHLINK - MACOMB ]|[plan_ LOCAL GOVT] |contracting_method additional_payer_notes |[payer_MI HEALTHLINK - MACOMB ]|[plan_ LOCAL GOVT] standard_charge|[payer_MIHEALTH LINK - SWMBH ]|[plan_ LOCAL GOVT] standard_charge|[payer_MIHEALTH LINK - SWMBH ]|[plan_ LOCAL GOVT] |percent standard_charge|[payer_MIHEALTH LINK - SWMBH ]|[plan_ LOCAL GOVT] |contracting_method additional_payer_notes |[payer_MIHEALTH LINK - SWMBH ]|[plan_ LOCAL GOVT] standard_charge|[payer_NATIONAL GENERAL INSURANC ]|[plan_ COMMERCIAL] standard_charge|[payer_NATIONAL GENERAL INSURANC ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_NATIONAL GENERAL INSURANC ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_NATIONAL GENERAL INSURANC ]|[plan_ COMMERCIAL] standard_charge|[payer_OOS MEDICAID ]|[plan_ MEDICAID: OUT OF STATE] standard_charge|[payer_OOS MEDICAID ]|[plan_ MEDICAID: OUT OF STATE] |percent standard_charge|[payer_OOS MEDICAID ]|[plan_ MEDICAID: OUT OF STATE] |contracting_method additional_payer_notes |[payer_OOS MEDICAID ]|[plan_ MEDICAID: OUT OF STATE] standard_charge|[payer_OPTUM BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_OPTUM BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |percent standard_charge|[payer_OPTUM BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_OPTUM BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_OPTUM BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_OPTUM BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_OPTUM BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_OPTUM BEHAVIORAL-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_PATHWAYS - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_PATHWAYS - SIPU ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_PATHWAYS - SIPU ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_PATHWAYS - SIPU ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_PATHWAYS ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_PATHWAYS ]|[plan_ MANAGED MEDICAID] |percent standard_charge|[payer_PATHWAYS ]|[plan_ MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_PATHWAYS ]|[plan_ MANAGED MEDICAID] standard_charge|[payer_PHYSICIANS HEALTH PLAN ]|[plan_ COMMERCIAL] standard_charge|[payer_PHYSICIANS HEALTH PLAN ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_PHYSICIANS HEALTH PLAN ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_PHYSICIANS HEALTH PLAN ]|[plan_ COMMERCIAL] standard_charge|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] |percent standard_charge|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_PRIORITY HEALTH-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_PRIORITY HEALTH-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_PRIORITY HEALTH-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_PRIORITY HEALTH-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_SECUREONE BENEFIT ADMIN ]|[plan_ COMMERCIAL] standard_charge|[payer_SECUREONE BENEFIT ADMIN ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_SECUREONE BENEFIT ADMIN ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_SECUREONE BENEFIT ADMIN ]|[plan_ COMMERCIAL] standard_charge|[payer_SISCO ]|[plan_ HMO/PPO] standard_charge|[payer_SISCO ]|[plan_ HMO/PPO] |percent standard_charge|[payer_SISCO ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_SISCO ]|[plan_ HMO/PPO] standard_charge|[payer_SISCO-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_SISCO-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_SISCO-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_SISCO-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_SPARROW PHYSICIAN HEALTH ]|[plan_ COMMERCIAL] standard_charge|[payer_SPARROW PHYSICIAN HEALTH ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_SPARROW PHYSICIAN HEALTH ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_SPARROW PHYSICIAN HEALTH ]|[plan_ COMMERCIAL] standard_charge|[payer_STATE FARM INSURANCE ]|[plan_ COMMERCIAL] standard_charge|[payer_STATE FARM INSURANCE ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_STATE FARM INSURANCE ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_STATE FARM INSURANCE ]|[plan_ COMMERCIAL] standard_charge|[payer_TOGETHER WITH CCHP ]|[plan_ COMMERCIAL] standard_charge|[payer_TOGETHER WITH CCHP ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_TOGETHER WITH CCHP ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_TOGETHER WITH CCHP ]|[plan_ COMMERCIAL] standard_charge|[payer_TRICARE EAST ]|[plan_ TRICARE] standard_charge|[payer_TRICARE EAST ]|[plan_ TRICARE] |percent standard_charge|[payer_TRICARE EAST ]|[plan_ TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE EAST ]|[plan_ TRICARE] standard_charge|[payer_TRICARE EAST-SIPU ]|[plan_ TRICARE] standard_charge|[payer_TRICARE EAST-SIPU ]|[plan_ TRICARE] |percent standard_charge|[payer_TRICARE EAST-SIPU ]|[plan_ TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE EAST-SIPU ]|[plan_ TRICARE] standard_charge|[payer_TRICARE WEST ]|[plan_ TRICARE] standard_charge|[payer_TRICARE WEST ]|[plan_ TRICARE] |percent standard_charge|[payer_TRICARE WEST ]|[plan_ TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE WEST ]|[plan_ TRICARE] standard_charge|[payer_TRICARE WEST-SIPU ]|[plan_ TRICARE] standard_charge|[payer_TRICARE WEST-SIPU ]|[plan_ TRICARE] |percent standard_charge|[payer_TRICARE WEST-SIPU ]|[plan_ TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE WEST-SIPU ]|[plan_ TRICARE] standard_charge|[payer_TUFTS HEALTH PLAN ]|[plan_ COMMERCIAL] standard_charge|[payer_TUFTS HEALTH PLAN ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_TUFTS HEALTH PLAN ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_TUFTS HEALTH PLAN ]|[plan_ COMMERCIAL] standard_charge|[payer_UHC HEALTHSCOPE ]|[plan_ HMO/PPO] standard_charge|[payer_UHC HEALTHSCOPE ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UHC HEALTHSCOPE ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC HEALTHSCOPE ]|[plan_ HMO/PPO] standard_charge|[payer_UHC HEALTHSCOPE-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UHC HEALTHSCOPE-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UHC HEALTHSCOPE-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC HEALTHSCOPE-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UHC STUDENT RESOURCES ]|[plan_ HMO/PPO] standard_charge|[payer_UHC STUDENT RESOURCES ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UHC STUDENT RESOURCES ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC STUDENT RESOURCES ]|[plan_ HMO/PPO] standard_charge|[payer_ULTRA BENEFITS ]|[plan_ COMMERCIAL] standard_charge|[payer_ULTRA BENEFITS ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_ULTRA BENEFITS ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_ULTRA BENEFITS ]|[plan_ COMMERCIAL] standard_charge|[payer_UMR ]|[plan_ HMO/PPO] standard_charge|[payer_UMR ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UMR ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UMR ]|[plan_ HMO/PPO] standard_charge|[payer_UMR-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UMR-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UMR-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UMR-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UNITED BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED BEHAVIORAL HEALTH ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HC SHARED SVCS ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HC SHARED SVCS ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UNITED HC SHARED SVCS ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED HC SHARED SVCS ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HC SHARED-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HC SHARED-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UNITED HC SHARED-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED HC SHARED-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTH ONE ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTH ONE ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UNITED HEALTH ONE ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED HEALTH ONE ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTH ONE-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTH ONE-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UNITED HEALTH ONE-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED HEALTH ONE-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTHCARE ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTHCARE ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UNITED HEALTHCARE ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED HEALTHCARE ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTHCARE-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UNITED HEALTHCARE-SIPU ]|[plan_ HMO/PPO] |percent standard_charge|[payer_UNITED HEALTHCARE-SIPU ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED HEALTHCARE-SIPU ]|[plan_ HMO/PPO] standard_charge|[payer_UNITEDHEALTHCARE MR HMO ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_UNITEDHEALTHCARE MR HMO ]|[plan_ MANAGED MEDICARE] |percent standard_charge|[payer_UNITEDHEALTHCARE MR HMO ]|[plan_ MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UNITEDHEALTHCARE MR HMO ]|[plan_ MANAGED MEDICARE] standard_charge|[payer_VARIPRO ]|[plan_ HMO/PPO] standard_charge|[payer_VARIPRO ]|[plan_ HMO/PPO] |percent standard_charge|[payer_VARIPRO ]|[plan_ HMO/PPO] |contracting_method additional_payer_notes |[payer_VARIPRO ]|[plan_ HMO/PPO] standard_charge|[payer_WEB TPA ]|[plan_ COMMERCIAL] standard_charge|[payer_WEB TPA ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_WEB TPA ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_WEB TPA ]|[plan_ COMMERCIAL] standard_charge|[payer_WESTERN AND SOUTHERN INS ]|[plan_ COMMERCIAL] standard_charge|[payer_WESTERN AND SOUTHERN INS ]|[plan_ COMMERCIAL] |percent standard_charge|[payer_WESTERN AND SOUTHERN INS ]|[plan_ COMMERCIAL] |contracting_method additional_payer_notes |[payer_WESTERN AND SOUTHERN INS ]|[plan_ COMMERCIAL] PSYCH ROOM AND BOARD SPECIALITY AUTISM ADOLESCENTS 100 RC facility inpatient 3300 800 667 3300 1300 per diem 1450 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 1300 per diem 1300 per diem 1463 per diem 1463 per diem 667 per diem 3300 per diem 1200 per diem 1350 per diem 1350 per diem 1260 per diem 1300 per diem 1260 per diem 1260 per diem 1260 per diem 1260 per diem 1350 per diem 1230 per diem 2700 per diem 2700 per diem 1300 per diem 1300 per diem 3300 per diem 1200 per diem 1260 per diem 1200 per diem 1200 per diem 3300 per diem 1200 per diem 1200 per diem 3300 per diem 1312 per diem 1200 per diem 1350 per diem 1350 per diem 1200 per diem 1360 per diem 1200 per diem 1200 per diem 1350 per diem 1350 per diem 1312 per diem 1312 per diem 1312 per diem 1350 per diem 1200 per diem 1200 per diem 1200 per diem 1275 per diem 3300 per diem 3300 per diem 1275 per diem 1275 per diem 1260 per diem 3300 per diem 1260 per diem 1200 per diem 1225 per diem 1200 per diem 3300 per diem 3300 per diem 3300 per diem 1450 per diem 1300 per diem 1236 per diem 3300 per diem 3300 per diem 1300 per diem 850 per diem 3300 per diem 1300 per diem 1300 per diem 1350 per diem 1350 per diem 1236 per diem 1300 per diem 3300 per diem per diem 1076 per diem 993 per diem 3300 per diem 1300 per diem 1300 per diem 1300 per diem 1300 per diem 2600 per diem 1300 per diem 1300 per diem 1300 per diem 1300 per diem 1300 per diem 1300 per diem PSYCH ROOM AND BOARD ADULT UNIT 1 124 RC facility inpatient 2700 800 636 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 880 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 900 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 667 per diem 1000 per diem 668 per diem 636 per diem 770 per diem 700 per diem 800 per diem 800 per diem per diem 827 per diem 830 per diem 827 per diem 827 per diem 827 per diem 827 per diem 819 per diem 780 per diem 1800 per diem 1800 per diem 775 per diem 850 per diem 700 per diem 675 per diem 827 per diem 700 per diem 700 per diem 734 per diem 728 per diem 728 per diem 725 per diem 757 per diem 700 per diem 900 per diem 900 per diem 728 per diem 975 per diem 700 per diem 860 per diem 757 per diem 757 per diem 757 per diem 800 per diem 700 per diem 700 per diem 700 per diem 800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 788 per diem 746 per diem 827 per diem 728 per diem 683 per diem 683 per diem 850 per diem 997 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 880 per diem 880 per diem 2700 per diem 770 per diem 2700 per diem 1050 per diem 850 per diem 2700 per diem 770 per diem 803 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 2700 per diem 770 per diem 785 per diem 850 per diem 750 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 2700 per diem 916 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 1076 per diem 1076 per diem 993 per diem 2700 per diem 856 per diem 856 per diem 856 per diem 770 per diem 856 per diem 856 per diem 1712 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 917 per diem 770 per diem 2700 per diem 2700 per diem PSYCH ROOM AND BOARD ADULT UNIT 2 124 RC facility inpatient 2700 800 636 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 880 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 900 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 667 per diem 1000 per diem 668 per diem 636 per diem 770 per diem 700 per diem 800 per diem 800 per diem per diem 827 per diem 830 per diem 827 per diem 827 per diem 827 per diem 827 per diem 819 per diem 780 per diem 1800 per diem 1800 per diem 775 per diem 850 per diem 700 per diem 675 per diem 827 per diem 700 per diem 700 per diem 734 per diem 728 per diem 728 per diem 725 per diem 757 per diem 700 per diem 900 per diem 900 per diem 728 per diem 975 per diem 700 per diem 860 per diem 757 per diem 757 per diem 757 per diem 800 per diem 700 per diem 700 per diem 700 per diem 800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 788 per diem 746 per diem 827 per diem 728 per diem 683 per diem 683 per diem 850 per diem 997 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 880 per diem 880 per diem 2700 per diem 770 per diem 2700 per diem 1050 per diem 850 per diem 2700 per diem 770 per diem 803 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 2700 per diem 770 per diem 785 per diem 850 per diem 750 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 2700 per diem 916 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 1076 per diem 1076 per diem 993 per diem 2700 per diem 856 per diem 856 per diem 856 per diem 770 per diem 856 per diem 856 per diem 1712 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 917 per diem 770 per diem 2700 per diem 2700 per diem PSYCH ROOM AND BOARD ADULT UNIT 3 124 RC facility inpatient 2700 800 636 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 880 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 900 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 667 per diem 1000 per diem 668 per diem 636 per diem 770 per diem 700 per diem 800 per diem 800 per diem per diem 827 per diem 830 per diem 827 per diem 827 per diem 827 per diem 827 per diem 819 per diem 780 per diem 1800 per diem 1800 per diem 775 per diem 850 per diem 700 per diem 675 per diem 827 per diem 700 per diem 700 per diem 734 per diem 728 per diem 728 per diem 725 per diem 757 per diem 700 per diem 900 per diem 900 per diem 728 per diem 975 per diem 700 per diem 860 per diem 757 per diem 757 per diem 757 per diem 800 per diem 700 per diem 700 per diem 700 per diem 800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 788 per diem 746 per diem 827 per diem 728 per diem 683 per diem 683 per diem 850 per diem 997 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 880 per diem 880 per diem 2700 per diem 770 per diem 2700 per diem 1050 per diem 850 per diem 2700 per diem 770 per diem 803 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 2700 per diem 770 per diem 785 per diem 850 per diem 750 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 2700 per diem 916 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 1076 per diem 1076 per diem 993 per diem 2700 per diem 856 per diem 856 per diem 856 per diem 770 per diem 856 per diem 856 per diem 1712 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 917 per diem 770 per diem 2700 per diem 2700 per diem PSYCH ROOM AND BOARD ADOLESCENTS 1 124 RC facility inpatient 2700 800 636 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 880 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 900 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 667 per diem 1000 per diem 668 per diem 636 per diem 770 per diem 700 per diem 800 per diem 800 per diem per diem 827 per diem 830 per diem 827 per diem 827 per diem 827 per diem 827 per diem 819 per diem 780 per diem 1800 per diem 1800 per diem 775 per diem 850 per diem 700 per diem 675 per diem 827 per diem 700 per diem 700 per diem 734 per diem 728 per diem 728 per diem 725 per diem 757 per diem 700 per diem 900 per diem 900 per diem 728 per diem 975 per diem 700 per diem 860 per diem 757 per diem 757 per diem 757 per diem 800 per diem 700 per diem 700 per diem 700 per diem 800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 788 per diem 746 per diem 827 per diem 728 per diem 683 per diem 683 per diem 850 per diem 997 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 880 per diem 880 per diem 2700 per diem 770 per diem 2700 per diem 1050 per diem 850 per diem 2700 per diem 770 per diem 803 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 2700 per diem 770 per diem 785 per diem 850 per diem 750 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 2700 per diem 916 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 1076 per diem 1076 per diem 993 per diem 2700 per diem 856 per diem 856 per diem 856 per diem 770 per diem 856 per diem 856 per diem 1712 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 917 per diem 770 per diem 2700 per diem 2700 per diem PSYCH ROOM AND BOARD ADOLESCENTS 2 124 RC facility inpatient 2700 800 636 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 880 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 900 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 667 per diem 1000 per diem 668 per diem 636 per diem 770 per diem 700 per diem 800 per diem 800 per diem per diem 827 per diem 830 per diem 827 per diem 827 per diem 827 per diem 827 per diem 819 per diem 780 per diem 1800 per diem 1800 per diem 775 per diem 850 per diem 700 per diem 675 per diem 827 per diem 700 per diem 700 per diem 734 per diem 728 per diem 728 per diem 725 per diem 757 per diem 700 per diem 900 per diem 900 per diem 728 per diem 975 per diem 700 per diem 860 per diem 757 per diem 757 per diem 757 per diem 800 per diem 700 per diem 700 per diem 700 per diem 800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 788 per diem 746 per diem 827 per diem 728 per diem 683 per diem 683 per diem 850 per diem 997 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 880 per diem 880 per diem 2700 per diem 770 per diem 2700 per diem 1050 per diem 850 per diem 2700 per diem 770 per diem 803 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 2700 per diem 770 per diem 785 per diem 850 per diem 750 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 2700 per diem 916 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 1076 per diem 1076 per diem 993 per diem 2700 per diem 856 per diem 856 per diem 856 per diem 770 per diem 856 per diem 856 per diem 1712 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 917 per diem 770 per diem 2700 per diem 2700 per diem PYSCH ROOM AND BOARD OLDER ADULT 124 RC facility inpatient 2700 800 636 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 880 per diem 1279 per diem 1279 per diem 1279 per diem 1279 per diem 900 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 667 per diem 1000 per diem 668 per diem 636 per diem 770 per diem 700 per diem 800 per diem 800 per diem per diem 827 per diem 830 per diem 827 per diem 827 per diem 827 per diem 827 per diem 819 per diem 780 per diem 1800 per diem 1800 per diem 775 per diem 850 per diem 700 per diem 675 per diem 827 per diem 700 per diem 700 per diem 734 per diem 728 per diem 728 per diem 725 per diem 757 per diem 700 per diem 900 per diem 900 per diem 728 per diem 975 per diem 700 per diem 860 per diem 757 per diem 757 per diem 757 per diem 800 per diem 700 per diem 700 per diem 700 per diem 800 per diem 750 per diem 750 per diem 750 per diem 750 per diem 788 per diem 746 per diem 827 per diem 728 per diem 683 per diem 683 per diem 850 per diem 997 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 2700 per diem 880 per diem 880 per diem 2700 per diem 770 per diem 2700 per diem 1050 per diem 850 per diem 2700 per diem 770 per diem 803 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 2700 per diem 770 per diem 785 per diem 850 per diem 750 per diem 2700 per diem 2700 per diem 856 per diem 856 per diem 900 per diem 900 per diem 2700 per diem 916 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 1076 per diem 1076 per diem 993 per diem 2700 per diem 856 per diem 856 per diem 856 per diem 770 per diem 856 per diem 856 per diem 1712 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 856 per diem 917 per diem 770 per diem 2700 per diem 2700 per diem CHEMICAL DEPENDENCY DETOX ROOM AND BOARD 126 RC facility inpatient 2700 800 568 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 700 per diem 1233 per diem 1233 per diem 1233 per diem 773 per diem 2700 per diem 2700 per diem 867 per diem 773 per diem 667 per diem 596 per diem 568 per diem 770 per diem 850 per diem 997 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 700 per diem 700 per diem 2700 per diem 770 per diem 2700 per diem 700 per diem 1150 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 770 per diem 2700 per diem 867 per diem 2700 per diem 695 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 1076 per diem 993 per diem 2700 per diem 867 per diem 867 per diem 770 per diem 867 per diem 867 per diem 867 per diem 867 per diem 867 per diem 929 per diem 770 per diem 2700 per diem 2700 per diem CHEMICAL DEPENDENCY REHAB ROOM AND BOARD 128 RC facility inpatient 2700 800 455 2700 per diem 770 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 600 per diem 1233 per diem 1233 per diem 1233 per diem 773 per diem 2700 per diem 2700 per diem 867 per diem 773 per diem 562 per diem 478 per diem 455 per diem 770 per diem 850 per diem 917 per diem 770 per diem 770 per diem 2700 per diem 2700 per diem 2700 per diem 600 per diem 600 per diem 2700 per diem 770 per diem 2700 per diem 700 per diem 950 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 800 per diem 2700 per diem 770 per diem 2700 per diem 867 per diem 2700 per diem 561 per diem 2700 per diem 770 per diem 2700 per diem 2700 per diem 1076 per diem 993 per diem 2700 per diem 867 per diem 867 per diem 770 per diem 867 per diem 867 per diem 867 per diem 867 per diem 867 per diem 929 per diem 770 per diem 2700 per diem 2700 per diem