facility
tax_id
update_date
version
allegiance-behavioral-health-center-of-plainview2018713944/1/20231.0.0
SERVICE DESCRIPTIONCATEGORYBILLING MSDRG | CPT | HCPCSITEM/SERVICE DESCRIPTIONBILLING REVENUE CODEGROSS CHARGESBCBS of Texas (Commercial)REIMBURSEMENT METHODBeacon Health OptionsREIMBURSEMENT METHODCigna Behavioral Health (Commercial)REIMBURSEMENT METHODMedicare (Traditional)REIMBURSEMENT METHODOptum (United Healthcare/United Behavioral Health)REIMBURSEMENT METHODTriWest (VCP)REIMBURSEMENT METHODVantage Health PlanREIMBURSEMENT METHODWellcare (Harmony Health Plan)REIMBURSEMENT METHODZellis PPODe-Identified Minimum Negotiated RateDe-Identified Maximum Negotiated RateDISCOUNTED CASH PRICE
InpatientInpatient Psychiatric ServicesInpatient Psychiatric ServiceN/ABase Rate700Per Diem600Per Diem750Per Diem865.63Per Diem750Per Diem865.63Per Diem900Per Diem865.63Per Diem750$575.00$900.00900
OutpatientIntensive Outpatient Services90853Group Psychotherapy915N/A200Per Diem130Per Diem170Per Diem195Per Diem150Per Diem195Per Diem250Per Diem0Per Diem250$110.00$300.00175