hospital_name last_updated_on version hospital_location hospital_address license_number|SC "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." "Rebound Behavioral Health, LLC" 5/31/2024 2.0.0 "Lancaster, South Carolina" 134 E. Rebound Road license_ HTL-0912| SC TRUE description code |1 code|1|type setting drug_unit_of_measurement drug_type_of_measurement standard_charge | gross standard_charge|discounted_cash modifiers standard_charge|payer_AARP MEDICARE COMPLETE |plan_ MANAGED MEDICARE|negotiated_dollar standard_charge|payer_AARP MEDICARE COMPLETE |plan_ MANAGED MEDICARE |negotiated_percentage standard_charge|payer_AARP MEDICARE COMPLETE |plan_ MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_AARP MEDICARE COMPLETE |plan_ MANAGED MEDICARE standard_charge|payer_AARP MEDICARE COMPLETE |plan_ MANAGED MEDICARE|methodology additional_payer_notes |payer_AARP MEDICARE COMPLETE |plan_ MANAGED MEDICARE standard_charge|payer_AETNA|plan_MO/PPO|negotiated_dollar standard_charge|payer_AETNA|plan_MO/PPO|negotiated_percentage standard_charge|payer_AETNA|plan_MO/PPO|negotiated_algorithm estimated_amount|payer_AETNA|plan_MO/PPO standard_charge|payer_AETNA|plan_MO/PPO|methodology additional_payer_notes |payer_AETNA|plan_MO/PPO standard_charge|payer_AETNA MEDICARE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_AETNA MEDICARE|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_AETNA MEDICARE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_AETNA MEDICARE|plan_MANAGED MEDICARE standard_charge|payer_AETNA MEDICARE|plan_MANAGED MEDICARE|methodology additional_payer_notes |payer_AETNA MEDICARE|plan_MANAGED MEDICARE 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_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 STATE HEALTH|plan_BLUE CROSS|negotiated_dollar standard_charge|payer_BCBS STATE HEALTH|plan_BLUE CROSS |negotiated_percentage standard_charge|payer_BCBS STATE HEALTH|plan_BLUE CROSS|negotiated_algorithm estimated_amount|payer_BCBS STATE HEALTH|plan_BLUE CROSS standard_charge|payer_BCBS STATE HEALTH|plan_BLUE CROSS|methodology additional_payer_notes |payer_BCBS STATE HEALTH|plan_BLUE CROSS standard_charge|payer_BEACON HEALTH OPTIONS|plan_HMO/PPO|negotiated_dollar standard_charge|payer_BEACON HEALTH OPTIONS|plan_HMO/PPO|negotiated_percentage standard_charge|payer_BEACON HEALTH OPTIONS|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_BEACON HEALTH OPTIONS|plan_HMO/PPO standard_charge|payer_BEACON HEALTH OPTIONS|plan_HMO/PPO|methodology 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|methodology additional_payer_notes |payer_FIRST CHOICE VIP CARE PLU|plan_MANAGED MEDICARE standard_charge|payer_FLORIDA MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_dollar standard_charge|payer_FLORIDA MEDICAID|plan_MEDICAID: OUT OF STATE |negotiated_percentage standard_charge|payer_FLORIDA MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_algorithm estimated_amount|payer_FLORIDA MEDICAID|plan_MEDICAID: OUT OF STATE standard_charge|payer_FLORIDA MEDICAID|plan_MEDICAID: OUT OF STATE|methodology additional_payer_notes |payer_FLORIDA MEDICAID|plan_MEDICAID: OUT OF STATE standard_charge|payer_GEORGIA MEDICAID|plan_EDICAID: OUT OF STATE|negotiated_dollar standard_charge|payer_GEORGIA MEDICAID|plan_EDICAID: OUT OF STATE|negotiated_percentage standard_charge|payer_GEORGIA MEDICAID|plan_EDICAID: OUT OF STATE|negotiated_algorithm estimated_amount|payer_GEORGIA MEDICAID|plan_EDICAID: OUT OF STATE standard_charge|payer_GEORGIA MEDICAID|plan_EDICAID: OUT OF STATE |methodology 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|negotiated_percentage standard_charge|payer_MEDICARE|plan_MEDICARE|negotiated_algorithm estimated_amount|payer_MEDICARE|plan_MEDICARE standard_charge|payer_MEDICARE|plan_MEDICARE|methodology additional_payer_notes |payer_MEDICARE|plan_MEDICARE standard_charge|payer_MERITAIN HEALTH|plan_COMMERCIAL|negotiated_dollar standard_charge|payer_MERITAIN HEALTH|plan_COMMERCIAL|negotiated_percentage standard_charge|payer_MERITAIN HEALTH|plan_COMMERCIAL|negotiated_algorithm estimated_amount|payer_MERITAIN HEALTH|plan_COMMERCIAL standard_charge|payer_MERITAIN HEALTH|plan_COMMERCIAL|methodology additional_payer_notes |payer_MERITAIN HEALTH|plan_COMMERCIAL standard_charge|payer_MOLINA COMMERICAL MARKETP|plan_COMMERCIAL|negotiated_dollar standard_charge|payer_MOLINA COMMERICAL MARKETP|plan_COMMERCIAL |negotiated_percentage standard_charge|payer_MOLINA COMMERICAL MARKETP|plan_COMMERCIAL|negotiated_algorithm estimated_amount|payer_MOLINA COMMERICAL MARKETP|plan_COMMERCIAL standard_charge|payer_MOLINA 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MEDICARE standard_charge|payer_NC MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_dollar standard_charge|payer_NC MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_percentage standard_charge|payer_NC MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_algorithm estimated_amount|payer_NC MEDICAID|plan_MEDICAID: OUT OF STATE standard_charge|payer_NC MEDICAID|plan_MEDICAID: OUT OF STATE |methodology additional_payer_notes |payer_NC MEDICAID|plan_MEDICAID: OUT OF STATE standard_charge|payer_ORANGEBURG MENTAL HEALTH|plan_LOCAL GOVT|negotiated_dollar standard_charge|payer_ORANGEBURG MENTAL HEALTH|plan_LOCAL GOVT |negotiated_percentage standard_charge|payer_ORANGEBURG MENTAL HEALTH|plan_LOCAL GOVT|negotiated_algorithm estimated_amount|payer_ORANGEBURG MENTAL HEALTH|plan_LOCAL GOVT standard_charge|payer_ORANGEBURG MENTAL HEALTH|plan_LOCAL GOVT |methodology additional_payer_notes |payer_ORANGEBURG MENTAL HEALTH|plan_LOCAL GOVT standard_charge|payer_PAI|plan_BLUE CROSS|negotiated_dollar standard_charge|payer_PAI|plan_BLUE CROSS|negotiated_percentage standard_charge|payer_PAI|plan_BLUE CROSS|negotiated_algorithm estimated_amount|payer_PAI|plan_BLUE CROSS standard_charge|payer_PAI|plan_BLUE CROSS |methodology additional_payer_notes |payer_PAI|plan_BLUE CROSS standard_charge|payer_PARTNERS BH|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_PARTNERS BH|plan_MANAGED MEDICAID|negotiated_percentage standard_charge|payer_PARTNERS BH|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_PARTNERS BH|plan_MANAGED MEDICAID standard_charge|payer_PARTNERS BH|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_PARTNERS BH|plan_MANAGED MEDICAID standard_charge|payer_SC DEPT OF MENTAL HEALTH|plan_LOCAL GOVT|negotiated_dollar standard_charge|payer_SC DEPT OF MENTAL HEALTH|plan_LOCAL GOVT|negotiated_percentage standard_charge|payer_SC DEPT OF MENTAL HEALTH|plan_LOCAL GOVT|negotiated_algorithm estimated_amount|payer_SC DEPT OF MENTAL HEALTH|plan_LOCAL GOVT standard_charge|payer_SC DEPT OF MENTAL HEALTH|plan_LOCAL GOVT|methodology additional_payer_notes |payer_SC DEPT OF MENTAL HEALTH|plan_LOCAL GOVT standard_charge|payer_SC MEDICAID|plan_MEDICAID |negotiated_dollar standard_charge|payer_SC MEDICAID|plan_MEDICAID |negotiated_percentage standard_charge|payer_SC MEDICAID|plan_MEDICAID |negotiated_algorithm estimated_amount|payer_SC MEDICAID|plan_MEDICAID standard_charge|payer_SC MEDICAID|plan_MEDICAID |methodology additional_payer_notes |payer_SC MEDICAID|plan_MEDICAID standard_charge|payer_SELECT HEALTH OF SC CAID|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_SELECT HEALTH OF SC CAID|plan_MANAGED MEDICAID|negotiated_percentage standard_charge|payer_SELECT HEALTH OF SC CAID|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_SELECT HEALTH OF SC CAID|plan_MANAGED MEDICAID standard_charge|payer_SELECT HEALTH OF SC CAID|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_SELECT HEALTH OF SC CAID|plan_MANAGED MEDICAID 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_TRICARE FOR LIFE|plan_TRICARE|negotiated_dollar standard_charge|payer_TRICARE FOR LIFE|plan_TRICARE |negotiated_percentage standard_charge|payer_TRICARE FOR LIFE|plan_TRICARE|negotiated_algorithm estimated_amount|payer_TRICARE FOR LIFE|plan_TRICARE|plan_HMO/PPO standard_charge|payer_TRICARE FOR LIFE|plan_TRICARE|methodology additional_payer_notes |payer_TRICARE FOR LIFE|plan_TRICARE standard_charge|payer_TRICARE WEST|plan_TRICARE|negotiated_dollar standard_charge|payer_TRICARE WEST|plan_TRICARE|negotiated_percentage standard_charge|payer_TRICARE WEST|plan_TRICARE|negotiated_algorithm estimated_amount|payer_TRICARE WEST|plan_TRICARE standard_charge|payer_TRICARE WEST|plan_TRICARE|methodology additional_payer_notes |payer_TRICARE WEST|plan_TRICARE standard_charge|payer_UMR|plan_HMO/PPO|negotiated_dollar standard_charge|payer_UMR|plan_HMO/PPO|negotiated_percentage standard_charge|payer_UMR|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UMR|plan_HMO/PPO standard_charge|payer_UMR|plan_HMO/PPO |methodology additional_payer_notes |payer_UMR|plan_HMO/PPO standard_charge|payer_UNICARE MULTIPLAN|plan_COMMERCIAL|negotiated_dollar standard_charge|payer_UNICARE MULTIPLAN|plan_COMMERCIAL |negotiated_percentage standard_charge|payer_UNICARE MULTIPLAN|plan_COMMERCIAL|negotiated_algorithm estimated_amount|payer_UNICARE MULTIPLAN|plan_COMMERCIAL standard_charge|payer_UNICARE MULTIPLAN|plan_COMMERCIAL |methodology additional_payer_notes |payer_UNICARE MULTIPLAN|plan_COMMERCIAL standard_charge|payer_UNITED HEALTHCARE|plan_HMO/PPO|negotiated_dollar standard_charge|payer_UNITED HEALTHCARE|plan_HMO/PPO |negotiated_percentage standard_charge|payer_UNITED HEALTHCARE|plan_HMO/PPO|negotiated_algorithm estimated_amount|payer_UNITED HEALTHCARE|plan_HMO/PPO standard_charge|payer_UNITED HEALTHCARE|plan_HMO/PPO |methodology additional_payer_notes |payer_UNITED HEALTHCARE|plan_HMO/PPO standard_charge|payer_UNITED MEDICARE ADVANTAGE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_UNITED MEDICARE ADVANTAGE|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_UNITED MEDICARE ADVANTAGE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_UNITED MEDICARE ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_UNITED MEDICARE ADVANTAGE|plan_MANAGED MEDICARE |methodology additional_payer_notes |payer_UNITED MEDICARE ADVANTAGE|plan_MANAGED MEDICARE standard_charge|payer_VA CCN OPTUM|plan_VETERANS ADMIN|negotiated_dollar standard_charge|payer_VA CCN OPTUM|plan_VETERANS ADMIN |negotiated_percentage standard_charge|payer_VA CCN OPTUM|plan_VETERANS ADMIN|negotiated_algorithm estimated_amount|payer_VA CCN OPTUM|plan_VETERANS ADMIN standard_charge|payer_VA CCN OPTUM|plan_VETERANS ADMIN |methodology additional_payer_notes |payer_VA CCN OPTUM|plan_VETERANS ADMIN standard_charge|payer_VETERANS AFFAIRS|plan_VETERANS ADMIN|negotiated_dollar standard_charge|payer_VETERANS AFFAIRS|plan_VETERANS ADMIN |negotiated_percentage standard_charge|payer_VETERANS AFFAIRS|plan_VETERANS ADMIN|negotiated_algorithm estimated_amount|payer_VETERANS AFFAIRS|plan_VETERANS ADMIN standard_charge|payer_VETERANS AFFAIRS|plan_VETERANS ADMIN |methodology additional_payer_notes |payer_VETERANS AFFAIRS|plan_VETERANS ADMIN standard_charge|payer_VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_dollar standard_charge|payer_VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE |negotiated_percentage standard_charge|payer_VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_algorithm 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MEDICAID|plan_HMO/PPO standard_charge|payer_WELLCARE MEDICAID|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_WELLCARE MEDICAID|plan_MANAGED MEDICAID standard_charge|payer_WELLCARE MEDICARE|plan_MANAGED MEDICARE|negotiated_dollar standard_charge|payer_WELLCARE MEDICARE|plan_MANAGED MEDICARE |negotiated_percentage standard_charge|payer_WELLCARE MEDICARE|plan_MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_WELLCARE MEDICARE|plan_MANAGED MEDICARE standard_charge|payer_WELLCARE MEDICARE|plan_MANAGED MEDICARE|methodology additional_payer_notes |payer_WELLCARE MEDICARE|plan_MANAGED MEDICARE standard_charge|payer_WEST VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_dollar standard_charge|payer_WEST VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_percentage standard_charge|payer_WEST VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE|negotiated_algorithm estimated_amount|payer_WEST VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE standard_charge|payer_WEST VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE |methodology additional_payer_notes |payer_WEST VIRGINIA MEDICAID|plan_MEDICAID: OUT OF STATE standard_charge|min standard_charge | max additional_generic_notes ROOM AND BOARD ADULT PSYCH 124 RC Inpatient 4000 900 870 per diem 984 per diem 984 per diem 920 per diem 920 per diem 804 per diem 920 per diem 781 per diem 915 per diem 900 per diem 600 per diem 900 per diem 915 per diem 1166 per diem 975 per diem 1275 per diem 915 per diem 464 per diem 600 per diem 920 per diem 547 per diem 600 per diem 842 per diem 842 per diem 895 per diem 895 per diem 861 per diem 464 1275 ROOM AND BOARD ADULT DETOX 126 RC Inpatient 4000 900 870 per diem 984 per diem 984 per diem 920 per diem 920 per diem 804 per diem 920 per diem 781 per diem 915 per diem 900 per diem 600 per diem 900 per diem 915 per diem 1166 per diem 975 per diem 1275 per diem 915 per diem 464 per diem 600 per diem 920 per diem 547 per diem 600 per diem 842 per diem 842 per diem 895 per diem 895 per diem 861 per diem 464 1275 PARTIAL HOSPITAL PROGRAM DAILY PROGRAM-Less Intensive 912 RC Outpatient 900 450 360 per diem 426 per diem 260 per diem 366 per diem 366 per diem 328 per diem 366 per diem 260 per diem 270 per diem 260 per diem 376 per diem 260 per diem 400 per diem 260 per diem 376 per diem 260 per diem 420 per diem 430 per diem 260 per diem 260 per diem 366 per diem 194 per diem 260 per diem 260 per diem 260 per diem 366 per diem 342 per diem 342 per diem 260 per diem 260 per diem 260 per diem 430 430 MOBILE CRISIS RESPONSE PROCESS GRP 1 915 RC Outpatient 225 225 426 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 per diem 260 426 MOBILE CRISIS RESPONSE PSYCH ED GRP 1 942 RC Outpatient 225 225 270 per diem 270 270 PARTIAL HOSPITAL PROGRAM DAILY PROGRAM-Intensive 913 RC Outpatient 225 225 270 per diem 270 270 Initial Eval - No Medical 90791 RC both 434 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 434 Initial Eval - With Medical 90792 RC both 434 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 fee schedule Rates based on patient diagnose 434 434 Initial Hospital Care (30 Min) 99221 RC both 280 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 280 Initial Hospital Care (50 Min) 99222 RC both 294 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 fee schedule Rates based on patient diagnose 294 294 Initial Hospital Care (70 Min) 99223 RC both 350 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 fee schedule Rates based on patient diagnose 350 350 Subseq Care (15 Min) 99231 RC both 168 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 fee schedule Rates based on patient diagnose 168 168 Subseq Care (25 Min) 99232 RC both 196 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 fee schedule Rates based on patient diagnose 196 196 Subseq Care (35 Min) 99233 RC both 280 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 fee schedule Rates based on patient diagnose 280 280 Discharge Day Mgmt <30 Min 99238 RC both 224 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 224 Discharge Day Mgmt >30 Min 99239 RC both 224 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 fee schedule Rates based on patient diagnose 224 224