hospital_Delta Specialty Hospital 	last_updated_ 2023-12-31	version_1	"hospital_Memphis, TN"	hospital_address 3000 Getwell Road 		license_ 106 |TN	"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|HMO/PPO]	standard_charge|[payer_AETNA|HMO/PPO] |percent	standard_charge|[payer_AETNA|HMO/PPO] |contracting_method	additional_payer_notes |[payer_AETNA|HMO/PPO]	standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_AETNA MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AETNA MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_AMBETTER|COMMERCIAL]	standard_charge|[payer_AMBETTER|COMMERCIAL] |percent	standard_charge|[payer_AMBETTER|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_AMBETTER|COMMERCIAL]	standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID]	standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID] |percent	standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_AMERIGROUP|MANAGED MEDICAID]	standard_charge|[payer_AMERIVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_AMERIVANTAGE|MANAGED MEDICARE] |percent	standard_charge|[payer_AMERIVANTAGE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AMERIVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_BC FEDERAL|BLUE CROSS]	standard_charge|[payer_BC FEDERAL|BLUE CROSS] |percent	standard_charge|[payer_BC FEDERAL|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BC FEDERAL|BLUE CROSS]	standard_charge|[payer_BC OF TN|BLUE CROSS]	standard_charge|[payer_BC OF TN|BLUE CROSS] |percent	standard_charge|[payer_BC OF TN|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BC OF TN|BLUE CROSS]	standard_charge|[payer_BC OOS|BLUE CROSS]	standard_charge|[payer_BC OOS|BLUE CROSS] |percent	standard_charge|[payer_BC OOS|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BC OOS|BLUE CROSS]	standard_charge|[payer_BEACON HEALTH|HMO/PPO]	standard_charge|[payer_BEACON HEALTH|HMO/PPO] |percent	standard_charge|[payer_BEACON HEALTH|HMO/PPO] |contracting_method	additional_payer_notes |[payer_BEACON HEALTH|HMO/PPO]	standard_charge|[payer_BLUE ADVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_BLUE ADVANTAGE|MANAGED MEDICARE] |percent	standard_charge|[payer_BLUE ADVANTAGE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_BLUE ADVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_BLUECARE PLUS|MANAGED MEDICARE]	standard_charge|[payer_BLUECARE PLUS|MANAGED MEDICARE] |percent	standard_charge|[payer_BLUECARE PLUS|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_BLUECARE PLUS|MANAGED MEDICARE]	standard_charge|[payer_BLUECARE SELECT|MANAGED MEDICAID]	standard_charge|[payer_BLUECARE SELECT|MANAGED MEDICAID] |percent	standard_charge|[payer_BLUECARE SELECT|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_BLUECARE SELECT|MANAGED MEDICAID]	standard_charge|[payer_BLUECARE TNCARE|MANAGED MEDICAID]	standard_charge|[payer_BLUECARE TNCARE|MANAGED MEDICAID] |percent	standard_charge|[payer_BLUECARE TNCARE|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_BLUECARE TNCARE|MANAGED MEDICAID]	standard_charge|[payer_BRIGHT HEALTH PLAN|HMO/PPO]	standard_charge|[payer_BRIGHT HEALTH PLAN|HMO/PPO] |percent	standard_charge|[payer_BRIGHT HEALTH PLAN|HMO/PPO] |contracting_method	additional_payer_notes |[payer_BRIGHT HEALTH PLAN|HMO/PPO]	standard_charge|[payer_CIGNA|HMO/PPO]	standard_charge|[payer_CIGNA|HMO/PPO] |percent	standard_charge|[payer_CIGNA|HMO/PPO] |contracting_method	additional_payer_notes |[payer_CIGNA|HMO/PPO]	standard_charge|[payer_GREAT WEST LIFE|HMO/PPO]	standard_charge|[payer_GREAT WEST LIFE|HMO/PPO] |percent	standard_charge|[payer_GREAT WEST LIFE|HMO/PPO] |contracting_method	additional_payer_notes |[payer_GREAT WEST LIFE|HMO/PPO]	standard_charge|[payer_HEALTHSPRING|MANAGED MEDICARE]	standard_charge|[payer_HEALTHSPRING|MANAGED MEDICARE] |percent	standard_charge|[payer_HEALTHSPRING|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_HEALTHSPRING|MANAGED MEDICARE]	standard_charge|[payer_HUMANA|HMO/PPO]	standard_charge|[payer_HUMANA|HMO/PPO] |percent	standard_charge|[payer_HUMANA|HMO/PPO] |contracting_method	additional_payer_notes |[payer_HUMANA|HMO/PPO]	standard_charge|[payer_MEDICAID ARK|MEDICAID: OUT OF STATE]	standard_charge|[payer_MEDICAID ARK|MEDICAID: OUT OF STATE] |percent	standard_charge|[payer_MEDICAID ARK|MEDICAID: OUT OF STATE] |contracting_method	additional_payer_notes |[payer_MEDICAID ARK|MEDICAID: OUT OF STATE]	standard_charge|[payer_MISC HMO/PPO|HMO/PPO]	standard_charge|[payer_MISC HMO/PPO|HMO/PPO] |percent	standard_charge|[payer_MISC HMO/PPO|HMO/PPO] |contracting_method	additional_payer_notes |[payer_MISC HMO/PPO|HMO/PPO]	standard_charge|[payer_MISC MGD MCAID|MANAGED MEDICAID]	standard_charge|[payer_MISC MGD MCAID|MANAGED MEDICAID] |percent	standard_charge|[payer_MISC MGD MCAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MISC MGD MCAID|MANAGED MEDICAID]	standard_charge|[payer_NAPHCARE INC|LOCAL GOVT]	standard_charge|[payer_NAPHCARE INC|LOCAL GOVT] |percent	standard_charge|[payer_NAPHCARE INC|LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_NAPHCARE INC|LOCAL GOVT]	standard_charge|[payer_NAPHCARE INC MEDICAL|LOCAL GOVT]	standard_charge|[payer_NAPHCARE INC MEDICAL|LOCAL GOVT] |percent	standard_charge|[payer_NAPHCARE INC MEDICAL|LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_NAPHCARE INC MEDICAL|LOCAL GOVT]	standard_charge|[payer_UBH|HMO/PPO]	standard_charge|[payer_UBH|HMO/PPO] |percent	standard_charge|[payer_UBH|HMO/PPO] |contracting_method	additional_payer_notes |[payer_UBH|HMO/PPO]	standard_charge|[payer_UBH MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_UBH MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_UBH MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_UBH MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_UHC MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_UHC MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_UHC MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_UHC MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_UHC TENNCARE|MANAGED MEDICAID]	standard_charge|[payer_UHC TENNCARE|MANAGED MEDICAID] |percent	standard_charge|[payer_UHC TENNCARE|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_UHC TENNCARE|MANAGED MEDICAID]	standard_charge|[payer_UMR|HMO/PPO]	standard_charge|[payer_UMR|HMO/PPO] |percent	standard_charge|[payer_UMR|HMO/PPO] |contracting_method	additional_payer_notes |[payer_UMR|HMO/PPO]	standard_charge|[payer_VA COMM CARE PSYCH|VETERANS ADMIN]	standard_charge|[payer_VA COMM CARE PSYCH|VETERANS ADMIN] |percent	standard_charge|[payer_VA COMM CARE PSYCH|VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_VA COMM CARE PSYCH|VETERANS ADMIN]
ROOM AND BOARD-M/S-SEMI PRIV	121	RC	facility	inpatient				1785.00	950	750	750			  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  		750		per diem				  				  				  				  				  				  	
ROOM AND BOARD BHU PSYCH SEMI P	124	RC	facility	inpatient				1785.00	950	494	1785	950		per diem		950		per diem				  		675		per diem				  		950		per diem		950		per diem		950		per diem		565		per diem		950		per diem		950		per diem		565		per diem		610		per diem		1460.91		per diem		840		per diem		840		per diem				  		1000		per diem		494		per diem		1785		per diem		1785		per diem		750		per diem		750		per diem		817		per diem				  				  		615		per diem		817		per diem				  	
ROOM AND BOARD PSYCH	124	RC	facility	inpatient				1785.00	950	494	1785	950		per diem		950		per diem				  		675		per diem				  		950		per diem		950		per diem		950		per diem		565		per diem		950		per diem		950		per diem		565		per diem		610		per diem		1460.91		per diem		840		per diem		840		per diem				  		1000		per diem		494		per diem		1785		per diem		1785		per diem		750		per diem		750		per diem		817		per diem				  				  		615		per diem		817		per diem				  	
ROOM AND BOARD BHU DETOX SEMI P	126	RC	facility	inpatient				1785.00	950	494	1785	950		per diem		950		per diem				  		675		per diem				  		950		per diem		950		per diem		950		per diem		565		per diem		950		per diem		950		per diem		565		per diem		610		per diem		1233.64		per diem		840		per diem		840		per diem				  		1000		per diem		494		per diem		1785		per diem		1785		per diem		750		per diem				  		817		per diem				  				  		615		per diem		817		per diem				  	
ELECTROCONVULSIVE	901	RC	facility	outpatient				1205.00	0	350	693			  				  				  				  				  				  				  				  		350		per diem				  				  				  		350		per diem				  				  				  		425		per diem				  				  				  				  				  				  				  				  				  		693		per diem				  				  	
INTENSIVE OUTPATIENT	905	RC	facility	outpatient				300.00	150	80	300	250		per diem				  				  		80		per diem		205.2		per diem		275		per diem		275		per diem		275		per diem		130		per diem		275		per diem		275		per diem		130		per diem		135		per diem				  		160		per diem		160		per diem		205.2		per diem				  				  		300		per diem				  				  				  		180		per diem		180		per diem		200		per diem		85		per diem		180		per diem		262.5		per diem	
MH INTENSIVE OUTPATIENT PROGRAM	905	RC	facility	outpatient				300.00	150	80	300	250		per diem				  				  		80		per diem		205.2		per diem		275		per diem		275		per diem		275		per diem		130		per diem		275		per diem		275		per diem		130		per diem		135		per diem				  		160		per diem		160		per diem		205.2		per diem				  				  		300		per diem				  				  				  		180		per diem		180		per diem		200		per diem		85		per diem		180		per diem		262.5		per diem	
SA INTENSIVE OUTPATIENT PROGRAM	906	RC	facility	outpatient				300.00	150	85	352	250		per diem				  				  		100		per diem		205.2		per diem		275		per diem		275		per diem		275		per diem		130		per diem		275		per diem		275		per diem		130		per diem		135		per diem		352		per diem		160		per diem		160		per diem		205.2		per diem				  				  		300		per diem				  				  				  		180		per diem		180		per diem		200		per diem		85		per diem		180		per diem				  	
MH PARTIAL HOSPITAL PROGRAM HALF DAY	912	RC	facility	outpatient				600.00	250	165	600	415		per diem				  				  		250		per diem		237.98		per diem		525		per diem		525		per diem		525		per diem		240		per diem		525		per diem		525		per diem		240		per diem		240		per diem		460		per diem		305		per diem		305		per diem		237.98		per diem		400		per diem				  		600		per diem				  				  				  		252		per diem		252		per diem		272		per diem		165		per diem		252		per diem				  	
SA PARTIAL HOS PROG	912	RC	facility	outpatient				600.00	250	165	600	415		per diem				  				  		250		per diem		237.98		per diem		525		per diem		525		per diem		525		per diem		240		per diem		525		per diem		525		per diem		240		per diem		240		per diem		460		per diem		305		per diem		305		per diem		237.98		per diem		400		per diem				  		600		per diem				  				  				  		252		per diem		252		per diem		272		per diem		165		per diem		252		per diem				  	
MH PARTIAL HOSPITAL PROGRAM FULL DAY	913	RC	facility	outpatient				600.00	250	165	600	415		per diem				  				  		250		per diem		237.98		per diem		525		per diem		525		per diem		525		per diem		240		per diem		525		per diem		525		per diem		240		per diem		240		per diem		460		per diem		305		per diem		305		per diem		237.98		per diem		400		per diem				  		600		per diem				  				  				  		252		per diem		252		per diem		272		per diem		165		per diem		252		per diem				  	
PARTIAL HOSP DAILY	913	RC	facility	outpatient				600.00	250	165	600	415		per diem				  				  		250		per diem		237.98		per diem		525		per diem		525		per diem		525		per diem		240		per diem		525		per diem		525		per diem		240		per diem		240		per diem		460		per diem		305		per diem		305		per diem		237.98		per diem		400		per diem				  		600		per diem				  				  				  		252		per diem		252		per diem		272		per diem		165		per diem		252		per diem				  	
SA PARTIAL HOSPITAL PROGRAM FULL DAY	913	RC	facility	outpatient				600.00	250	165	600	415		per diem				  				  		250		per diem		237.98		per diem		525		per diem		525		per diem		525		per diem		240		per diem		525		per diem		525		per diem		240		per diem		240		per diem		460		per diem		305		per diem		305		per diem		237.98		per diem		400		per diem				  		600		per diem				  				  				  		252		per diem		252		per diem		272		per diem		165		per diem		252		per diem				  	
INITIAL HOSPITAL CARE (50 MIN)	99222	RC	facility	outpatient				200	0	67.37	176.41			  				  		176.41		fee schedule		105.59		fee schedule		120.71		fee schedule				  				  				  				  				  				  		69.86		fee schedule		69.86		fee schedule				  				  				  				  				  				  				  				  				  				  				  		90		fee schedule				  		 67.37 		fee schedule				  				  	
INITIAL HOSPITAL CARE (70 MIN)	99223	RC	facility	outpatient				290	0	99	156.82			  				  				  		156.82		fee schedule				  				  				  				  				  				  				  		99		fee schedule		99		fee schedule				  				  				  				  				  				  				  				  				  				  				  				  				  		 99.14 		fee schedule				  				  	
SUBSEQ CARE (15 MIN)	99231	RC	facility	outpatient				90	0	20.38	20.38			  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  				  		 20.38 		fee schedule				  				  	
SUBSEQ CARE (25 MIN)	99232	RC	facility	outpatient				100	0	34.43	87.22			  				  		87.22		fee schedule		56.34		fee schedule		58.86		fee schedule				  				  				  				  				  				  		34.43		fee schedule		34.43		fee schedule				  				  				  				  				  				  				  				  				  				  				  		73.57		fee schedule				  		 36.52 		fee schedule				  				  	
SUBSEQ CARE (35 MIN)	99233	RC	facility	outpatient				150	0	34.9	93.03			  				  		93.03		fee schedule		56.39		fee schedule		59.89		fee schedule				  				  				  				  				  				  		57.32		fee schedule		57.32		fee schedule				  				  				  				  				  				  				  				  				  				  				  				  				  		 34.90 		fee schedule				  				  	
DISCHARGE DAY MGMT <30 MIN	99238	RC	facility	outpatient				150	0	34.9	93.03			  				  		93.03		fee schedule		56.39		fee schedule		59.89		fee schedule				  				  				  				  				  				  		57.32		fee schedule		57.32		fee schedule				  				  				  				  				  				  				  				  				  				  				  				  				  		 34.90 		fee schedule