hospital_name	last_updated_on	version	hospital_location	hospital_address	license_number|MI	"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														
"BCA of Detroit, LLC"	5/31/2024	2.0.0	"Detroit, Michigan"	15000 Gratiot Avenue	license_1080000052 | MI	TRUE																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																																														
description 	code |1	code|1|type	billing_class	setting	drug_unit_of_measurement	drug_type_of_measurement	modifiers	standard_charge | gross	standard_charge|discounted_cash	standard_charge|min	standard_charge | max	standard_charge|[payer_AETNA LIFE AND CAUSAULTY ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_AETNA LIFE AND CAUSAULTY ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_AETNA LIFE AND CAUSAULTY ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_AETNA LIFE AND CAUSAULTY ]|[plan_ HMO/PPO] 	standard_charge|[payer_AETNA LIFE AND CAUSAULTY ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_AETNA LIFE AND CAUSAULTY ]|[Plan_ HMO/PPO]	standard_charge|[payer_ASR HEALTH BEN CIGNA ]|[plan_  COMMERCIAL]|negotiated_dollar	standard_charge|[payer_ASR HEALTH BEN CIGNA ]|[plan_  COMMERCIAL] |negotiated_percentage	standard_charge|[payer_ASR HEALTH BEN CIGNA ]|[plan_  COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_ASR HEALTH BEN CIGNA ]|[plan_  COMMERCIAL] 	standard_charge|[payer_ASR HEALTH BEN CIGNA ]|[plan_  COMMERCIAL] |methodology	additional_payer_notes |[payer_ASR HEALTH BEN CIGNA ]|[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 MAGELLAN ]|[plan_  BLUE CROSS]|negotiated_dollar	standard_charge|[payer_BCBS MAGELLAN ]|[plan_  BLUE CROSS] |negotiated_percentage	standard_charge|[payer_BCBS MAGELLAN ]|[plan_  BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_BCBS MAGELLAN ]|[plan_  BLUE CROSS] 	standard_charge|[payer_BCBS MAGELLAN ]|[plan_  BLUE CROSS] |methodology	additional_payer_notes |[payer_BCBS MAGELLAN ]|[Plan_  BLUE CROSS]	standard_charge|[payer_BCBS OF MICHIGAN ]|[plan_  BLUE CROSS]|negotiated_dollar	standard_charge|[payer_BCBS OF MICHIGAN ]|[plan_  BLUE CROSS] |negotiated_percentage	standard_charge|[payer_BCBS OF MICHIGAN ]|[plan_  BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_BCBS OF MICHIGAN ]|[plan_  BLUE CROSS] 	standard_charge|[payer_BCBS OF MICHIGAN ]|[plan_  BLUE CROSS] |methodology	additional_payer_notes |[payer_BCBS OF MICHIGAN ]|[Plan_  BLUE CROSS]	standard_charge|[payer_BCBS OUT OF STATE  ]|[plan_ BLUE CROSS]|negotiated_dollar	standard_charge|[payer_BCBS OUT OF STATE  ]|[plan_ BLUE CROSS] |negotiated_percentage	standard_charge|[payer_BCBS OUT OF STATE  ]|[plan_ BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_BCBS OUT OF STATE  ]|[plan_ BLUE CROSS] 	standard_charge|[payer_BCBS OUT OF STATE  ]|[plan_ BLUE CROSS] |methodology	additional_payer_notes |[payer_BCBS OUT OF STATE  ]|[Plan_ BLUE CROSS]	standard_charge|[payer_BCBS SOM ]|[plan_ BLUE CROSS]|negotiated_dollar	standard_charge|[payer_BCBS SOM ]|[plan_ BLUE CROSS] |negotiated_percentage	standard_charge|[payer_BCBS SOM ]|[plan_ BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_BCBS SOM ]|[plan_ BLUE CROSS] 	standard_charge|[payer_BCBS SOM ]|[plan_ BLUE CROSS] |methodology	additional_payer_notes |[payer_BCBS SOM ]|[Plan_ BLUE CROSS]	standard_charge|[payer_BCN ]|[plan_  HMO/PPO]|negotiated_dollar	standard_charge|[payer_BCN ]|[plan_  HMO/PPO] |negotiated_percentage	standard_charge|[payer_BCN ]|[plan_  HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_BCN ]|[plan_  HMO/PPO] 	standard_charge|[payer_BCN ]|[plan_  HMO/PPO] |methodology	additional_payer_notes |[payer_BCN ]|[Plan_  HMO/PPO]	standard_charge|[payer_BCN MANAGED MEDICARE ]|[plan_  MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_BCN MANAGED MEDICARE ]|[plan_  MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_BCN MANAGED MEDICARE ]|[plan_  MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_BCN MANAGED MEDICARE ]|[plan_  MANAGED MEDICARE] 	standard_charge|[payer_BCN MANAGED MEDICARE ]|[plan_  MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_BCN MANAGED MEDICARE ]|[Plan_  MANAGED MEDICARE]	standard_charge|[payer_BEACON VO BCBS ]|[plan_ BLUE CROSS]|negotiated_dollar	standard_charge|[payer_BEACON VO BCBS ]|[plan_ BLUE CROSS] |negotiated_percentage	standard_charge|[payer_BEACON VO BCBS ]|[plan_ BLUE CROSS] |negotiated_algorithm	estimated_amount|[payer_BEACON VO BCBS ]|[plan_ BLUE CROSS] 	standard_charge|[payer_BEACON VO BCBS ]|[plan_ BLUE CROSS] |methodology	additional_payer_notes |[payer_BEACON VO BCBS ]|[Plan_ BLUE CROSS]	standard_charge|[payer_BEACON VO COMM  ]|[plan_  HMO/PPO]|negotiated_dollar	standard_charge|[payer_BEACON VO COMM  ]|[plan_  HMO/PPO] |negotiated_percentage	standard_charge|[payer_BEACON VO COMM  ]|[plan_  HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_BEACON VO COMM  ]|[plan_  HMO/PPO] 	standard_charge|[payer_BEACON VO COMM  ]|[plan_  HMO/PPO] |methodology	additional_payer_notes |[payer_BEACON VO COMM  ]|[Plan_  HMO/PPO]	standard_charge|[payer_BEACON/TOTAL HEALTH CARE ]|[plan_  HMO/PPO]|negotiated_dollar	standard_charge|[payer_BEACON/TOTAL HEALTH CARE ]|[plan_  HMO/PPO] |negotiated_percentage	standard_charge|[payer_BEACON/TOTAL HEALTH CARE ]|[plan_  HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_BEACON/TOTAL HEALTH CARE ]|[plan_  HMO/PPO] 	standard_charge|[payer_BEACON/TOTAL HEALTH CARE ]|[plan_  HMO/PPO] |methodology	additional_payer_notes |[payer_BEACON/TOTAL HEALTH CARE ]|[Plan_  HMO/PPO]	standard_charge|[payer_CENTRAL MI CMH ]|[plan_  MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_CENTRAL MI CMH ]|[plan_  MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_CENTRAL MI CMH ]|[plan_  MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_CENTRAL MI CMH ]|[plan_  MANAGED MEDICAID] 	standard_charge|[payer_CENTRAL MI CMH ]|[plan_  MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_CENTRAL MI CMH ]|[Plan_  MANAGED MEDICAID]	standard_charge|[payer_CHAMPVA ]|[plan_  COMMERCIAL]|negotiated_dollar	standard_charge|[payer_CHAMPVA ]|[plan_  COMMERCIAL] |negotiated_percentage	standard_charge|[payer_CHAMPVA ]|[plan_  COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_CHAMPVA ]|[plan_  COMMERCIAL] 	standard_charge|[payer_CHAMPVA ]|[plan_  COMMERCIAL] |methodology	additional_payer_notes |[payer_CHAMPVA ]|[Plan_  COMMERCIAL]	standard_charge|[payer_CIGNA ]|[plan_  HMO/PPO]|negotiated_dollar	standard_charge|[payer_CIGNA ]|[plan_  HMO/PPO] |negotiated_percentage	standard_charge|[payer_CIGNA ]|[plan_  HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_CIGNA ]|[plan_  HMO/PPO] 	standard_charge|[payer_CIGNA ]|[plan_  HMO/PPO] |methodology	additional_payer_notes |[payer_CIGNA ]|[Plan_  HMO/PPO]	standard_charge|[payer_COFINITY  ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_COFINITY  ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_COFINITY  ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_COFINITY  ]|[plan_ HMO/PPO] 	standard_charge|[payer_COFINITY  ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_COFINITY  ]|[Plan_ HMO/PPO]	standard_charge|[payer_COMPSYCH ]|[plan_  HMO/PPO]|negotiated_dollar	standard_charge|[payer_COMPSYCH ]|[plan_  HMO/PPO] |negotiated_percentage	standard_charge|[payer_COMPSYCH ]|[plan_  HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_COMPSYCH ]|[plan_  HMO/PPO] 	standard_charge|[payer_COMPSYCH ]|[plan_  HMO/PPO] |methodology	additional_payer_notes |[payer_COMPSYCH ]|[Plan_  HMO/PPO]	standard_charge|[payer_CYPRESS BENEFITS ADMIN ]|[plan_ COMMERCIAL]|negotiated_dollar	standard_charge|[payer_CYPRESS BENEFITS ADMIN ]|[plan_ COMMERCIAL] |negotiated_percentage	standard_charge|[payer_CYPRESS BENEFITS ADMIN ]|[plan_ COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_CYPRESS BENEFITS ADMIN ]|[plan_ COMMERCIAL] 	standard_charge|[payer_CYPRESS BENEFITS ADMIN ]|[plan_ COMMERCIAL] |methodology	additional_payer_notes |[payer_CYPRESS BENEFITS ADMIN ]|[Plan_ COMMERCIAL]	standard_charge|[payer_DWIHN ]|[plan_  MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_DWIHN ]|[plan_  MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_DWIHN ]|[plan_  MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_DWIHN ]|[plan_  MANAGED MEDICAID] 	standard_charge|[payer_DWIHN ]|[plan_  MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_DWIHN ]|[Plan_  MANAGED MEDICAID]	standard_charge|[payer_GENESEE CMH ]|[plan_  MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_GENESEE CMH ]|[plan_  MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_GENESEE CMH ]|[plan_  MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_GENESEE CMH ]|[plan_  MANAGED MEDICAID] 	standard_charge|[payer_GENESEE CMH ]|[plan_  MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_GENESEE CMH ]|[Plan_  MANAGED MEDICAID]	standard_charge|[payer_GPA ]|[plan_  COMMERCIAL]|negotiated_dollar	standard_charge|[payer_GPA ]|[plan_  COMMERCIAL] |negotiated_percentage	standard_charge|[payer_GPA ]|[plan_  COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_GPA ]|[plan_  COMMERCIAL] 	standard_charge|[payer_GPA ]|[plan_  COMMERCIAL] |methodology	additional_payer_notes |[payer_GPA ]|[Plan_  COMMERCIAL]	standard_charge|[payer_HAP  ADOL ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_HAP  ADOL ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_HAP  ADOL ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_HAP  ADOL ]|[plan_ HMO/PPO] 	standard_charge|[payer_HAP  ADOL ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_HAP  ADOL ]|[Plan_ HMO/PPO]	standard_charge|[payer_HAP ADULT ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_HAP ADULT ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_HAP ADULT ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_HAP ADULT ]|[plan_ HMO/PPO] 	standard_charge|[payer_HAP ADULT ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_HAP ADULT ]|[Plan_ HMO/PPO]	standard_charge|[payer_HAP DD ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_HAP DD ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_HAP DD ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_HAP DD ]|[plan_ HMO/PPO] 	standard_charge|[payer_HAP DD ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_HAP DD ]|[Plan_ HMO/PPO]	standard_charge|[payer_HAP SENIOR PLUS MNGD MCR ]|[plan_ MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_HAP SENIOR PLUS MNGD MCR ]|[plan_ MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_HAP SENIOR PLUS MNGD MCR ]|[plan_ MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_HAP SENIOR PLUS MNGD MCR ]|[plan_ MANAGED MEDICARE] 	standard_charge|[payer_HAP SENIOR PLUS MNGD MCR ]|[plan_ MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_HAP SENIOR PLUS MNGD MCR ]|[Plan_ MANAGED MEDICARE]	standard_charge|[payer_HEALTH CHOICE ]|[plan_ COMMERCIAL]|negotiated_dollar	standard_charge|[payer_HEALTH CHOICE ]|[plan_ COMMERCIAL] |negotiated_percentage	standard_charge|[payer_HEALTH CHOICE ]|[plan_ COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_HEALTH CHOICE ]|[plan_ COMMERCIAL] 	standard_charge|[payer_HEALTH CHOICE ]|[plan_ COMMERCIAL] |methodology	additional_payer_notes |[payer_HEALTH CHOICE ]|[Plan_ COMMERCIAL]	standard_charge|[payer_HEALTH PLUS ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_HEALTH PLUS ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_HEALTH PLUS ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_HEALTH PLUS ]|[plan_ HMO/PPO] 	standard_charge|[payer_HEALTH PLUS ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_HEALTH PLUS ]|[Plan_ HMO/PPO]	standard_charge|[payer_HFN INC ]|[plan_ COMMERCIAL]|negotiated_dollar	standard_charge|[payer_HFN INC ]|[plan_ COMMERCIAL] |negotiated_percentage	standard_charge|[payer_HFN INC ]|[plan_ COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_HFN INC ]|[plan_ COMMERCIAL] 	standard_charge|[payer_HFN INC ]|[plan_ COMMERCIAL] |methodology	additional_payer_notes |[payer_HFN INC ]|[Plan_ COMMERCIAL]	standard_charge|[payer_HUMANA LIFESYNCH ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_HUMANA LIFESYNCH ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_HUMANA LIFESYNCH ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_HUMANA LIFESYNCH ]|[plan_ HMO/PPO] 	standard_charge|[payer_HUMANA LIFESYNCH ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_HUMANA LIFESYNCH ]|[Plan_ HMO/PPO]	standard_charge|[payer_LONGEVITY MI ]|[plan_ COMMERCIAL]|negotiated_dollar	standard_charge|[payer_LONGEVITY MI ]|[plan_ COMMERCIAL] |negotiated_percentage	standard_charge|[payer_LONGEVITY MI ]|[plan_ COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_LONGEVITY MI ]|[plan_ COMMERCIAL] 	standard_charge|[payer_LONGEVITY MI ]|[plan_ COMMERCIAL] |methodology	additional_payer_notes |[payer_LONGEVITY MI ]|[Plan_ COMMERCIAL]	standard_charge|[payer_MCLAREN HEALTH PLAN ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_MCLAREN HEALTH PLAN ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_MCLAREN HEALTH PLAN ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_MCLAREN HEALTH PLAN ]|[plan_ HMO/PPO] 	standard_charge|[payer_MCLAREN HEALTH PLAN ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_MCLAREN HEALTH PLAN ]|[Plan_ HMO/PPO]	standard_charge|[payer_MERITAIN HEALTH AETNA ]|[plan_ COMMERCIAL]|negotiated_dollar	standard_charge|[payer_MERITAIN HEALTH AETNA ]|[plan_ COMMERCIAL] |negotiated_percentage	standard_charge|[payer_MERITAIN HEALTH AETNA ]|[plan_ COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_MERITAIN HEALTH AETNA ]|[plan_ COMMERCIAL] 	standard_charge|[payer_MERITAIN HEALTH AETNA ]|[plan_ COMMERCIAL] |methodology	additional_payer_notes |[payer_MERITAIN HEALTH AETNA ]|[Plan_ COMMERCIAL]	standard_charge|[payer_MHL MACOMB REGION 9 ]|[plan_ MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_MHL MACOMB REGION 9 ]|[plan_ MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_MHL MACOMB REGION 9 ]|[plan_ MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_MHL MACOMB REGION 9 ]|[plan_ MANAGED MEDICARE] 	standard_charge|[payer_MHL MACOMB REGION 9 ]|[plan_ MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_MHL MACOMB REGION 9 ]|[Plan_ MANAGED MEDICARE]	standard_charge|[payer_MHL SW REGION 4 ]|[plan_ MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_MHL SW REGION 4 ]|[plan_ MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_MHL SW REGION 4 ]|[plan_ MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_MHL SW REGION 4 ]|[plan_ MANAGED MEDICARE] 	standard_charge|[payer_MHL SW REGION 4 ]|[plan_ MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_MHL SW REGION 4 ]|[Plan_ MANAGED MEDICARE]	standard_charge|[payer_MHL WAYNE REGION 7 ]|[plan_ MANAGED MEDICARE]|negotiated_dollar	standard_charge|[payer_MHL WAYNE REGION 7 ]|[plan_ MANAGED MEDICARE] |negotiated_percentage	standard_charge|[payer_MHL WAYNE REGION 7 ]|[plan_ MANAGED MEDICARE] |negotiated_algorithm	estimated_amount|[payer_MHL WAYNE REGION 7 ]|[plan_ MANAGED MEDICARE] 	standard_charge|[payer_MHL WAYNE REGION 7 ]|[plan_ MANAGED MEDICARE] |methodology	additional_payer_notes |[payer_MHL WAYNE REGION 7 ]|[Plan_ MANAGED MEDICARE]	standard_charge|[payer_NORTHERN LAKES CMH ]|[plan_ MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_NORTHERN LAKES CMH ]|[plan_ MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_NORTHERN LAKES CMH ]|[plan_ MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_NORTHERN LAKES CMH ]|[plan_ MANAGED MEDICAID] 	standard_charge|[payer_NORTHERN LAKES CMH ]|[plan_ MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_NORTHERN LAKES CMH ]|[Plan_ MANAGED MEDICAID]	standard_charge|[payer_OXFORD HEALTH ]|[plan_  COMMERCIAL]|negotiated_dollar	standard_charge|[payer_OXFORD HEALTH ]|[plan_  COMMERCIAL] |negotiated_percentage	standard_charge|[payer_OXFORD HEALTH ]|[plan_  COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_OXFORD HEALTH ]|[plan_  COMMERCIAL] 	standard_charge|[payer_OXFORD HEALTH ]|[plan_  COMMERCIAL] |methodology	additional_payer_notes |[payer_OXFORD HEALTH ]|[Plan_  COMMERCIAL]	standard_charge|[payer_PHYSICIAN HEALTH PLAN ]|[plan_ COMMERCIAL]|negotiated_dollar	standard_charge|[payer_PHYSICIAN HEALTH PLAN ]|[plan_ COMMERCIAL] |negotiated_percentage	standard_charge|[payer_PHYSICIAN HEALTH PLAN ]|[plan_ COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_PHYSICIAN HEALTH PLAN ]|[plan_ COMMERCIAL] 	standard_charge|[payer_PHYSICIAN HEALTH PLAN ]|[plan_ COMMERCIAL] |methodology	additional_payer_notes |[payer_PHYSICIAN HEALTH PLAN ]|[Plan_ COMMERCIAL]	standard_charge|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] 	standard_charge|[payer_PRIORITY HEALTH ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_PRIORITY HEALTH ]|[Plan_ HMO/PPO]	standard_charge|[payer_TRICARE ]|[plan_ TRICARE]|negotiated_dollar	standard_charge|[payer_TRICARE ]|[plan_ TRICARE] |negotiated_percentage	standard_charge|[payer_TRICARE ]|[plan_ TRICARE] |negotiated_algorithm	estimated_amount|[payer_TRICARE ]|[plan_ TRICARE] 	standard_charge|[payer_TRICARE ]|[plan_ TRICARE] |methodology	additional_payer_notes |[payer_TRICARE ]|[Plan_ TRICARE]	standard_charge|[payer_UBH ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_UBH ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_UBH ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_UBH ]|[plan_ HMO/PPO] 	standard_charge|[payer_UBH ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_UBH ]|[Plan_ HMO/PPO]	standard_charge|[payer_UBH KIDS/GERO ]|[plan_ HMO/PPO]|negotiated_dollar	standard_charge|[payer_UBH KIDS/GERO ]|[plan_ HMO/PPO] |negotiated_percentage	standard_charge|[payer_UBH KIDS/GERO ]|[plan_ HMO/PPO] |negotiated_algorithm	estimated_amount|[payer_UBH KIDS/GERO ]|[plan_ HMO/PPO] 	standard_charge|[payer_UBH KIDS/GERO ]|[plan_ HMO/PPO] |methodology	additional_payer_notes |[payer_UBH KIDS/GERO ]|[Plan_ HMO/PPO]	standard_charge|[payer_UMR ]|[plan_ COMMERCIAL]|negotiated_dollar	standard_charge|[payer_UMR ]|[plan_ COMMERCIAL] |negotiated_percentage	standard_charge|[payer_UMR ]|[plan_ COMMERCIAL] |negotiated_algorithm	estimated_amount|[payer_UMR ]|[plan_ COMMERCIAL] 	standard_charge|[payer_UMR ]|[plan_ COMMERCIAL] |methodology	additional_payer_notes |[payer_UMR ]|[Plan_ COMMERCIAL]	standard_charge|[payer_WAYNE COUNTY MCD UNASSIGN ]|[plan_ MANAGED MEDICAID]|negotiated_dollar	standard_charge|[payer_WAYNE COUNTY MCD UNASSIGN ]|[plan_ MANAGED MEDICAID] |negotiated_percentage	standard_charge|[payer_WAYNE COUNTY MCD UNASSIGN ]|[plan_ MANAGED MEDICAID] |negotiated_algorithm	estimated_amount|[payer_WAYNE COUNTY MCD UNASSIGN ]|[plan_ MANAGED MEDICAID] 	standard_charge|[payer_WAYNE COUNTY MCD UNASSIGN ]|[plan_ MANAGED MEDICAID] |methodology	additional_payer_notes |[payer_WAYNE COUNTY MCD UNASSIGN ]|[Plan_ MANAGED MEDICAID]	standard_charge|[payer_WAYNE UNASSIGN PENDING ]|[plan_ PENDING MEDICAID]|negotiated_dollar	standard_charge|[payer_WAYNE UNASSIGN PENDING ]|[plan_ PENDING MEDICAID] |negotiated_percentage	standard_charge|[payer_WAYNE UNASSIGN PENDING ]|[plan_ PENDING MEDICAID] |negotiated_algorithm	estimated_amount|[payer_WAYNE UNASSIGN PENDING ]|[plan_ PENDING MEDICAID] 	standard_charge|[payer_WAYNE UNASSIGN PENDING ]|[plan_ PENDING MEDICAID] |methodology	additional_payer_notes |[payer_WAYNE UNASSIGN PENDING ]|[Plan_ PENDING MEDICAID]	standard_charge|[payer_ALLEGAN COUNTY ADOL]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_ALLEGAN COUNTY ADOL]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_ALLEGAN COUNTY ADOL]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_ALLEGAN COUNTY ADOL]|[plan_ MANAGED MCD] 	standard_charge|[payer_ALLEGAN COUNTY ADOL]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_ALLEGAN COUNTY ADOL]|[Plan_ MANAGED MCD]	standard_charge|[payer_ALLEGAN COUNTY ADULT ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_ALLEGAN COUNTY ADULT ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_ALLEGAN COUNTY ADULT ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_ALLEGAN COUNTY ADULT ]|[plan_ MANAGED MCD] 	standard_charge|[payer_ALLEGAN COUNTY ADULT ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_ALLEGAN COUNTY ADULT ]|[Plan_ MANAGED MCD]	standard_charge|[payer_AUSABLE VALLEY ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_AUSABLE VALLEY ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_AUSABLE VALLEY ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_AUSABLE VALLEY ]|[plan_ MANAGED MCD] 	standard_charge|[payer_AUSABLE VALLEY ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_AUSABLE VALLEY ]|[Plan_ MANAGED MCD]	standard_charge|[payer_BARRY COUNTY CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_BARRY COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_BARRY COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_BARRY COUNTY CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_BARRY COUNTY CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_BARRY COUNTY CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_BARRY COUNTY PENDING MCD ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_BARRY COUNTY PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_BARRY COUNTY PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_BARRY COUNTY PENDING MCD ]|[plan_ MANAGED MCD] 	standard_charge|[payer_BARRY COUNTY PENDING MCD ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_BARRY COUNTY PENDING MCD ]|[Plan_ MANAGED MCD]	standard_charge|[payer_BAY ARENAC CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_BAY ARENAC CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_BAY ARENAC CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_BAY ARENAC CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_BAY ARENAC CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_BAY ARENAC CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_BERRIEN CMH ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_BERRIEN CMH ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_BERRIEN CMH ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_BERRIEN CMH ]|[plan_MANAGED MCD] 	standard_charge|[payer_BERRIEN CMH ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_BERRIEN CMH ]|[Plan_MANAGED MCD]	standard_charge|[payer_BRANCH CMH ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_BRANCH CMH ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_BRANCH CMH ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_BRANCH CMH ]|[plan_MANAGED MCD] 	standard_charge|[payer_BRANCH CMH ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_BRANCH CMH ]|[Plan_MANAGED MCD]	standard_charge|[payer_BRANCH PENDING MCD ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_BRANCH PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_BRANCH PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_BRANCH PENDING MCD ]|[plan_ MANAGED MCD] 	standard_charge|[payer_BRANCH PENDING MCD ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_BRANCH PENDING MCD ]|[Plan_ MANAGED MCD]	standard_charge|[payer_CASS COUNTY CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_CASS COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_CASS COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_CASS COUNTY CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_CASS COUNTY CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_CASS COUNTY CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_CENTRA WELLNESS ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_CENTRA WELLNESS ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_CENTRA WELLNESS ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_CENTRA WELLNESS ]|[plan_ MANAGED MCD] 	standard_charge|[payer_CENTRA WELLNESS ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_CENTRA WELLNESS ]|[Plan_ MANAGED MCD]	standard_charge|[payer_CLINTON-EATON-INGHAM ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_CLINTON-EATON-INGHAM ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_CLINTON-EATON-INGHAM ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_CLINTON-EATON-INGHAM ]|[plan_ MANAGED MCD] 	standard_charge|[payer_CLINTON-EATON-INGHAM ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_CLINTON-EATON-INGHAM ]|[Plan_ MANAGED MCD]	standard_charge|[payer_CLINTON-EATON-INGHAM PEND ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_CLINTON-EATON-INGHAM PEND ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_CLINTON-EATON-INGHAM PEND ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_CLINTON-EATON-INGHAM PEND ]|[plan_ MANAGED MCD] 	standard_charge|[payer_CLINTON-EATON-INGHAM PEND ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_CLINTON-EATON-INGHAM PEND ]|[Plan_ MANAGED MCD]	standard_charge|[payer_COMMUNITY CARE ASSOCIATES ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_COMMUNITY CARE ASSOCIATES ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_COMMUNITY CARE ASSOCIATES ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_COMMUNITY CARE ASSOCIATES ]|[plan_MANAGED MCD] 	standard_charge|[payer_COMMUNITY CARE ASSOCIATES ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_COMMUNITY CARE ASSOCIATES ]|[Plan_MANAGED MCD]	standard_charge|[payer_DWIHN DD]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_DWIHN DD]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_DWIHN DD]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_DWIHN DD]|[plan_ MANAGED MCD] 	standard_charge|[payer_DWIHN DD]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_DWIHN DD]|[Plan_ MANAGED MCD]	standard_charge|[payer_DWIHN DD PENDING ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_DWIHN DD PENDING ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_DWIHN DD PENDING ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_DWIHN DD PENDING ]|[plan_ MANAGED MCD] 	standard_charge|[payer_DWIHN DD PENDING ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_DWIHN DD PENDING ]|[Plan_ MANAGED MCD]	standard_charge|[payer_DWIHN PENDING ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_DWIHN PENDING ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_DWIHN PENDING ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_DWIHN PENDING ]|[plan_ MANAGED MCD] 	standard_charge|[payer_DWIHN PENDING ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_DWIHN PENDING ]|[Plan_ MANAGED MCD]	standard_charge|[payer_GENESEE CMH PENDING MCD ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_GENESEE CMH PENDING MCD ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_GENESEE CMH PENDING MCD ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_GENESEE CMH PENDING MCD ]|[plan_MANAGED MCD] 	standard_charge|[payer_GENESEE CMH PENDING MCD ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_GENESEE CMH PENDING MCD ]|[Plan_MANAGED MCD]	standard_charge|[payer_GRATIOT COUNTY CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_GRATIOT COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_GRATIOT COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_GRATIOT COUNTY CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_GRATIOT COUNTY CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_GRATIOT COUNTY CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_HURON COUNTY CMH ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_HURON COUNTY CMH ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_HURON COUNTY CMH ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_HURON COUNTY CMH ]|[plan_MANAGED MCD] 	standard_charge|[payer_HURON COUNTY CMH ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_HURON COUNTY CMH ]|[Plan_MANAGED MCD]	standard_charge|[payer_IONIA COUNTY ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_IONIA COUNTY ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_IONIA COUNTY ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_IONIA COUNTY ]|[plan_ MANAGED MCD] 	standard_charge|[payer_IONIA COUNTY ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_IONIA COUNTY ]|[Plan_ MANAGED MCD]	standard_charge|[payer_KALAMZOO COUNTY CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_KALAMZOO COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_KALAMZOO COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_KALAMZOO COUNTY CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_KALAMZOO COUNTY CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_KALAMZOO COUNTY CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_KENT COUNTY ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_KENT COUNTY ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_KENT COUNTY ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_KENT COUNTY ]|[plan_ MANAGED MCD] 	standard_charge|[payer_KENT COUNTY ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_KENT COUNTY ]|[Plan_ MANAGED MCD]	standard_charge|[payer_KENT COUNTY ADOLESCENT ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_KENT COUNTY ADOLESCENT ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_KENT COUNTY ADOLESCENT ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_KENT COUNTY ADOLESCENT ]|[plan_ MANAGED MCD] 	standard_charge|[payer_KENT COUNTY ADOLESCENT ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_KENT COUNTY ADOLESCENT ]|[Plan_ MANAGED MCD]	standard_charge|[payer_KENT COUNTY ADULT PENDING ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_KENT COUNTY ADULT PENDING ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_KENT COUNTY ADULT PENDING ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_KENT COUNTY ADULT PENDING ]|[plan_MANAGED MCD] 	standard_charge|[payer_KENT COUNTY ADULT PENDING ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_KENT COUNTY ADULT PENDING ]|[Plan_MANAGED MCD]	standard_charge|[payer_LAPEER ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_LAPEER ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_LAPEER ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_LAPEER ]|[plan_ MANAGED MCD] 	standard_charge|[payer_LAPEER ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_LAPEER ]|[Plan_ MANAGED MCD]	standard_charge|[payer_LENAWEE COUNTY ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_LENAWEE COUNTY ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_LENAWEE COUNTY ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_LENAWEE COUNTY ]|[plan_MANAGED MCD] 	standard_charge|[payer_LENAWEE COUNTY ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_LENAWEE COUNTY ]|[Plan_MANAGED MCD]	standard_charge|[payer_LENAWEE COUNTY PENDING ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_LENAWEE COUNTY PENDING ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_LENAWEE COUNTY PENDING ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_LENAWEE COUNTY PENDING ]|[plan_ MANAGED MCD] 	standard_charge|[payer_LENAWEE COUNTY PENDING ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_LENAWEE COUNTY PENDING ]|[Plan_ MANAGED MCD]	standard_charge|[payer_LIFEWAYS ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_LIFEWAYS ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_LIFEWAYS ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_LIFEWAYS ]|[plan_MANAGED MCD] 	standard_charge|[payer_LIFEWAYS ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_LIFEWAYS ]|[Plan_MANAGED MCD]	standard_charge|[payer_LIFEWAYS PENDING MCD ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_LIFEWAYS PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_LIFEWAYS PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_LIFEWAYS PENDING MCD ]|[plan_ MANAGED MCD] 	standard_charge|[payer_LIFEWAYS PENDING MCD ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_LIFEWAYS PENDING MCD ]|[Plan_ MANAGED MCD]	standard_charge|[payer_LIVINGSTON COUNTY ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_LIVINGSTON COUNTY ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_LIVINGSTON COUNTY ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_LIVINGSTON COUNTY ]|[plan_ MANAGED MCD] 	standard_charge|[payer_LIVINGSTON COUNTY ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_LIVINGSTON COUNTY ]|[Plan_ MANAGED MCD]	standard_charge|[payer_LIVINGSTON PENDING MCD]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_LIVINGSTON PENDING MCD]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_LIVINGSTON PENDING MCD]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_LIVINGSTON PENDING MCD]|[plan_ MANAGED MCD] 	standard_charge|[payer_LIVINGSTON PENDING MCD]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_LIVINGSTON PENDING MCD]|[Plan_ MANAGED MCD]	standard_charge|[payer_MACOMB COUNTY]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MACOMB COUNTY]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MACOMB COUNTY]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MACOMB COUNTY]|[plan_ MANAGED MCD] 	standard_charge|[payer_MACOMB COUNTY]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_MACOMB COUNTY]|[Plan_ MANAGED MCD]	standard_charge|[payer_MACOMB PENDING MCD ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MACOMB PENDING MCD ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MACOMB PENDING MCD ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MACOMB PENDING MCD ]|[plan_MANAGED MCD] 	standard_charge|[payer_MACOMB PENDING MCD ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_MACOMB PENDING MCD ]|[Plan_MANAGED MCD]	standard_charge|[payer_MASON COUNTY CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MASON COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MASON COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MASON COUNTY CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_MASON COUNTY CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_MASON COUNTY CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_MASON COUNTY CMH  ADOL]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MASON COUNTY CMH  ADOL]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MASON COUNTY CMH  ADOL]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MASON COUNTY CMH  ADOL]|[plan_ MANAGED MCD] 	standard_charge|[payer_MASON COUNTY CMH  ADOL]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_MASON COUNTY CMH  ADOL]|[Plan_ MANAGED MCD]	standard_charge|[payer_MONROE COUNTY ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MONROE COUNTY ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MONROE COUNTY ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MONROE COUNTY ]|[plan_MANAGED MCD] 	standard_charge|[payer_MONROE COUNTY ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_MONROE COUNTY ]|[Plan_MANAGED MCD]	standard_charge|[payer_MONROE PENDING MCD ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MONROE PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MONROE PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MONROE PENDING MCD ]|[plan_ MANAGED MCD] 	standard_charge|[payer_MONROE PENDING MCD ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_MONROE PENDING MCD ]|[Plan_ MANAGED MCD]	standard_charge|[payer_MONTCALM CARE NETWORK ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MONTCALM CARE NETWORK ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MONTCALM CARE NETWORK ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MONTCALM CARE NETWORK ]|[plan_ MANAGED MCD] 	standard_charge|[payer_MONTCALM CARE NETWORK ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_MONTCALM CARE NETWORK ]|[Plan_ MANAGED MCD]	standard_charge|[payer_MUSKEGON CMH ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_MUSKEGON CMH ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_MUSKEGON CMH ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_MUSKEGON CMH ]|[plan_MANAGED MCD] 	standard_charge|[payer_MUSKEGON CMH ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_MUSKEGON CMH ]|[Plan_MANAGED MCD]	standard_charge|[payer_NEWAYGO ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_NEWAYGO ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_NEWAYGO ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_NEWAYGO ]|[plan_MANAGED MCD] 	standard_charge|[payer_NEWAYGO ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_NEWAYGO ]|[Plan_MANAGED MCD]	standard_charge|[payer_NORTH CARE NETWORK ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_NORTH CARE NETWORK ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_NORTH CARE NETWORK ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_NORTH CARE NETWORK ]|[plan_ MANAGED MCD] 	standard_charge|[payer_NORTH CARE NETWORK ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_NORTH CARE NETWORK ]|[Plan_ MANAGED MCD]	standard_charge|[payer_NORTH COUNTRY ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_NORTH COUNTRY ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_NORTH COUNTRY ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_NORTH COUNTRY ]|[plan_MANAGED MCD] 	standard_charge|[payer_NORTH COUNTRY ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_NORTH COUNTRY ]|[Plan_MANAGED MCD]	standard_charge|[payer_NORTHEAST MI MHA ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_NORTHEAST MI MHA ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_NORTHEAST MI MHA ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_NORTHEAST MI MHA ]|[plan_ MANAGED MCD] 	standard_charge|[payer_NORTHEAST MI MHA ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_NORTHEAST MI MHA ]|[Plan_ MANAGED MCD]	standard_charge|[payer_OAKLAND MEDICAID ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_OAKLAND MEDICAID ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_OAKLAND MEDICAID ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_OAKLAND MEDICAID ]|[plan_ MANAGED MCD] 	standard_charge|[payer_OAKLAND MEDICAID ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_OAKLAND MEDICAID ]|[Plan_ MANAGED MCD]	standard_charge|[payer_OAKLAND PENDING MCD ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_OAKLAND PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_OAKLAND PENDING MCD ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_OAKLAND PENDING MCD ]|[plan_ MANAGED MCD] 	standard_charge|[payer_OAKLAND PENDING MCD ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_OAKLAND PENDING MCD ]|[Plan_ MANAGED MCD]	standard_charge|[payer_OCEANA ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_OCEANA ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_OCEANA ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_OCEANA ]|[plan_ MANAGED MCD] 	standard_charge|[payer_OCEANA ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_OCEANA ]|[Plan_ MANAGED MCD]	standard_charge|[payer_OTTAWA COUNTY ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_OTTAWA COUNTY ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_OTTAWA COUNTY ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_OTTAWA COUNTY ]|[plan_ MANAGED MCD] 	standard_charge|[payer_OTTAWA COUNTY ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_OTTAWA COUNTY ]|[Plan_ MANAGED MCD]	standard_charge|[payer_PINES BEHAVIORAL HEALTH]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_PINES BEHAVIORAL HEALTH]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_PINES BEHAVIORAL HEALTH]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_PINES BEHAVIORAL HEALTH]|[plan_ MANAGED MCD] 	standard_charge|[payer_PINES BEHAVIORAL HEALTH]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_PINES BEHAVIORAL HEALTH]|[Plan_ MANAGED MCD]	standard_charge|[payer_SAGINAW CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SAGINAW CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SAGINAW CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SAGINAW CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_SAGINAW CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_SAGINAW CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_SAGINAW PENDING MCD ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SAGINAW PENDING MCD ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SAGINAW PENDING MCD ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SAGINAW PENDING MCD ]|[plan_MANAGED MCD] 	standard_charge|[payer_SAGINAW PENDING MCD ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_SAGINAW PENDING MCD ]|[Plan_MANAGED MCD]	standard_charge|[payer_SANILAC COUNTY CMH ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SANILAC COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SANILAC COUNTY CMH ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SANILAC COUNTY CMH ]|[plan_ MANAGED MCD] 	standard_charge|[payer_SANILAC COUNTY CMH ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_SANILAC COUNTY CMH ]|[Plan_ MANAGED MCD]	standard_charge|[payer_SHIAWASSEE ADOL ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SHIAWASSEE ADOL ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SHIAWASSEE ADOL ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SHIAWASSEE ADOL ]|[plan_ MANAGED MCD] 	standard_charge|[payer_SHIAWASSEE ADOL ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_SHIAWASSEE ADOL ]|[Plan_ MANAGED MCD]	standard_charge|[payer_SHIAWASSEE ADULT ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SHIAWASSEE ADULT ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SHIAWASSEE ADULT ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SHIAWASSEE ADULT ]|[plan_ MANAGED MCD] 	standard_charge|[payer_SHIAWASSEE ADULT ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_SHIAWASSEE ADULT ]|[Plan_ MANAGED MCD]	standard_charge|[payer_SHIAWASSEE PENDING ADOL ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SHIAWASSEE PENDING ADOL ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SHIAWASSEE PENDING ADOL ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SHIAWASSEE PENDING ADOL ]|[plan_ MANAGED MCD] 	standard_charge|[payer_SHIAWASSEE PENDING ADOL ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_SHIAWASSEE PENDING ADOL ]|[Plan_ MANAGED MCD]	standard_charge|[payer_SHIAWASSEE PENDING ADULT ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SHIAWASSEE PENDING ADULT ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SHIAWASSEE PENDING ADULT ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SHIAWASSEE PENDING ADULT ]|[plan_ MANAGED MCD] 	standard_charge|[payer_SHIAWASSEE PENDING ADULT ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_SHIAWASSEE PENDING ADULT ]|[Plan_ MANAGED MCD]	standard_charge|[payer_ST CLAIR COUNTY ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_ST CLAIR COUNTY ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_ST CLAIR COUNTY ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_ST CLAIR COUNTY ]|[plan_MANAGED MCD] 	standard_charge|[payer_ST CLAIR COUNTY ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_ST CLAIR COUNTY ]|[Plan_MANAGED MCD]	standard_charge|[payer_ST JOSEPH COUNTY ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_ST JOSEPH COUNTY ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_ST JOSEPH COUNTY ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_ST JOSEPH COUNTY ]|[plan_MANAGED MCD] 	standard_charge|[payer_ST JOSEPH COUNTY ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_ST JOSEPH COUNTY ]|[Plan_MANAGED MCD]	standard_charge|[payer_SUMMIT POINTE ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_SUMMIT POINTE ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_SUMMIT POINTE ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_SUMMIT POINTE ]|[plan_MANAGED MCD] 	standard_charge|[payer_SUMMIT POINTE ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_SUMMIT POINTE ]|[Plan_MANAGED MCD]	standard_charge|[payer_TUSCOLA COUNTY ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_TUSCOLA COUNTY ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_TUSCOLA COUNTY ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_TUSCOLA COUNTY ]|[plan_MANAGED MCD] 	standard_charge|[payer_TUSCOLA COUNTY ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_TUSCOLA COUNTY ]|[Plan_MANAGED MCD]	standard_charge|[payer_VAN BUREN CMH ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_VAN BUREN CMH ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_VAN BUREN CMH ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_VAN BUREN CMH ]|[plan_MANAGED MCD] 	standard_charge|[payer_VAN BUREN CMH ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_VAN BUREN CMH ]|[Plan_MANAGED MCD]	standard_charge|[payer_WASHTENAW ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_WASHTENAW ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_WASHTENAW ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_WASHTENAW ]|[plan_MANAGED MCD] 	standard_charge|[payer_WASHTENAW ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_WASHTENAW ]|[Plan_MANAGED MCD]	standard_charge|[payer_WEST MICHIGAN CMH ]|[plan_MANAGED MCD]|negotiated_dollar	standard_charge|[payer_WEST MICHIGAN CMH ]|[plan_MANAGED MCD] |negotiated_percentage	standard_charge|[payer_WEST MICHIGAN CMH ]|[plan_MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_WEST MICHIGAN CMH ]|[plan_MANAGED MCD] 	standard_charge|[payer_WEST MICHIGAN CMH ]|[plan_MANAGED MCD] |methodology	additional_payer_notes |[payer_WEST MICHIGAN CMH ]|[Plan_MANAGED MCD]	standard_charge|[payer_WEST MICHIGAN CMH   ADOL ]|[plan_ MANAGED MCD]|negotiated_dollar	standard_charge|[payer_WEST MICHIGAN CMH   ADOL ]|[plan_ MANAGED MCD] |negotiated_percentage	standard_charge|[payer_WEST MICHIGAN CMH   ADOL ]|[plan_ MANAGED MCD] |negotiated_algorithm	estimated_amount|[payer_WEST MICHIGAN CMH   ADOL ]|[plan_ MANAGED MCD] 	standard_charge|[payer_WEST MICHIGAN CMH   ADOL ]|[plan_ MANAGED MCD] |methodology	additional_payer_notes |[payer_WEST MICHIGAN CMH   ADOL ]|[Plan_ MANAGED MCD]	standard_charge|[payer_ASCENSION COMPLETE ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_ASCENSION COMPLETE ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_ASCENSION COMPLETE ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_ASCENSION COMPLETE ]|[plan_MANAGED MCR] 	standard_charge|[payer_ASCENSION COMPLETE ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_ASCENSION COMPLETE ]|[Plan_MANAGED MCR]	standard_charge|[payer_BCBS MEDICARE ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_BCBS MEDICARE ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_BCBS MEDICARE ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_BCBS MEDICARE ]|[plan_MANAGED MCR] 	standard_charge|[payer_BCBS MEDICARE ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_BCBS MEDICARE ]|[Plan_MANAGED MCR]	standard_charge|[payer_BUCKEYE COMMUNITY HEALTH ]|[plan_ MANAGED MCR]|negotiated_dollar	standard_charge|[payer_BUCKEYE COMMUNITY HEALTH ]|[plan_ MANAGED MCR] |negotiated_percentage	standard_charge|[payer_BUCKEYE COMMUNITY HEALTH ]|[plan_ MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_BUCKEYE COMMUNITY HEALTH ]|[plan_ MANAGED MCR] 	standard_charge|[payer_BUCKEYE COMMUNITY HEALTH ]|[plan_ MANAGED MCR] |methodology	additional_payer_notes |[payer_BUCKEYE COMMUNITY HEALTH ]|[Plan_ MANAGED MCR]	standard_charge|[payer_HAP MIDWEST MNGD MEDICARE ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_HAP MIDWEST MNGD MEDICARE ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_HAP MIDWEST MNGD MEDICARE ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_HAP MIDWEST MNGD MEDICARE ]|[plan_MANAGED MCR] 	standard_charge|[payer_HAP MIDWEST MNGD MEDICARE ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_HAP MIDWEST MNGD MEDICARE ]|[Plan_MANAGED MCR]	standard_charge|[payer_HEALTH PLUS MCR ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_HEALTH PLUS MCR ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_HEALTH PLUS MCR ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_HEALTH PLUS MCR ]|[plan_MANAGED MCR] 	standard_charge|[payer_HEALTH PLUS MCR ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_HEALTH PLUS MCR ]|[Plan_MANAGED MCR]	standard_charge|[payer_HEALTHSPRING CIGNA ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_HEALTHSPRING CIGNA ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_HEALTHSPRING CIGNA ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_HEALTHSPRING CIGNA ]|[plan_MANAGED MCR] 	standard_charge|[payer_HEALTHSPRING CIGNA ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_HEALTHSPRING CIGNA ]|[Plan_MANAGED MCR]	standard_charge|[payer_HUMANA MEDICARE ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_HUMANA MEDICARE ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_HUMANA MEDICARE ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_HUMANA MEDICARE ]|[plan_MANAGED MCR] 	standard_charge|[payer_HUMANA MEDICARE ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_HUMANA MEDICARE ]|[Plan_MANAGED MCR]	standard_charge|[payer_KEYSTONE FIRST VIP CHOICE ]|[plan_ MANAGED MCR]|negotiated_dollar	standard_charge|[payer_KEYSTONE FIRST VIP CHOICE ]|[plan_ MANAGED MCR] |negotiated_percentage	standard_charge|[payer_KEYSTONE FIRST VIP CHOICE ]|[plan_ MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_KEYSTONE FIRST VIP CHOICE ]|[plan_ MANAGED MCR] 	standard_charge|[payer_KEYSTONE FIRST VIP CHOICE ]|[plan_ MANAGED MCR] |methodology	additional_payer_notes |[payer_KEYSTONE FIRST VIP CHOICE ]|[Plan_ MANAGED MCR]	standard_charge|[payer_MCLAREN ADVANTAGE SNP ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_MCLAREN ADVANTAGE SNP ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_MCLAREN ADVANTAGE SNP ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_MCLAREN ADVANTAGE SNP ]|[plan_MANAGED MCR] 	standard_charge|[payer_MCLAREN ADVANTAGE SNP ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_MCLAREN ADVANTAGE SNP ]|[Plan_MANAGED MCR]	standard_charge|[payer_MEDICARE ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_MEDICARE ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_MEDICARE ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_MEDICARE ]|[plan_MANAGED MCR] 	standard_charge|[payer_MEDICARE ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_MEDICARE ]|[Plan_MANAGED MCR]	standard_charge|[payer_MERIDIAN MEDICARE ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_MERIDIAN MEDICARE ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_MERIDIAN MEDICARE ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_MERIDIAN MEDICARE ]|[plan_MANAGED MCR] 	standard_charge|[payer_MERIDIAN MEDICARE ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_MERIDIAN MEDICARE ]|[Plan_MANAGED MCR]	standard_charge|[payer_MOLINA MEDICARE ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_MOLINA MEDICARE ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_MOLINA MEDICARE ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_MOLINA MEDICARE ]|[plan_MANAGED MCR] 	standard_charge|[payer_MOLINA MEDICARE ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_MOLINA MEDICARE ]|[Plan_MANAGED MCR]	standard_charge|[payer_PRIORITY HEALTH MGD MCR ]|[plan_ MANAGED MCR]|negotiated_dollar	standard_charge|[payer_PRIORITY HEALTH MGD MCR ]|[plan_ MANAGED MCR] |negotiated_percentage	standard_charge|[payer_PRIORITY HEALTH MGD MCR ]|[plan_ MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_PRIORITY HEALTH MGD MCR ]|[plan_ MANAGED MCR] 	standard_charge|[payer_PRIORITY HEALTH MGD MCR ]|[plan_ MANAGED MCR] |methodology	additional_payer_notes |[payer_PRIORITY HEALTH MGD MCR ]|[Plan_ MANAGED MCR]	standard_charge|[payer_UHC MEDICARE ADV ]|[plan_MANAGED MCR]|negotiated_dollar	standard_charge|[payer_UHC MEDICARE ADV ]|[plan_MANAGED MCR] |negotiated_percentage	standard_charge|[payer_UHC MEDICARE ADV ]|[plan_MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_UHC MEDICARE ADV ]|[plan_MANAGED MCR] 	standard_charge|[payer_UHC MEDICARE ADV ]|[plan_MANAGED MCR] |methodology	additional_payer_notes |[payer_UHC MEDICARE ADV ]|[Plan_MANAGED MCR]	standard_charge|[payer_WELLCARE MGD MEDICARE ]|[plan_ MANAGED MCR]|negotiated_dollar	standard_charge|[payer_WELLCARE MGD MEDICARE ]|[plan_ MANAGED MCR] |negotiated_percentage	standard_charge|[payer_WELLCARE MGD MEDICARE ]|[plan_ MANAGED MCR] |negotiated_algorithm	estimated_amount|[payer_WELLCARE MGD MEDICARE ]|[plan_ MANAGED MCR] 	standard_charge|[payer_WELLCARE MGD MEDICARE ]|[plan_ MANAGED MCR] |methodology	additional_payer_notes |[payer_WELLCARE MGD MEDICARE ]|[Plan_ MANAGED MCR]	additional_generic_notes
ADOL PSYCH	124	RC	facility 	inpatient				2700		619	1129	800				per diem		626				per diem		1129				per diem		800				per diem		1129				per diem		1129				per diem		641				per diem		893				per diem		893				per diem		776				per diem		776				per diem		619				per diem		834				per diem		717				per diem		748				per diem		651				per diem		997				per diem		750				per diem		683				per diem		845				per diem		750				per diem		770				per diem		770				per diem		877				per diem		770				per diem		750				per diem		700				per diem		750				per diem		1050				per diem		650				per diem		890				per diem		752				per diem		850				per diem		870				per diem		800				per diem		785				per diem		750				per diem		651				per diem		946				per diem		717				per diem		927				per diem		992				per diem		700				per diem		683				per diem		683				per diem																																																																																																																																																																																																																																																																																																																																																																																																						other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis	
ADULT PSYCH	124	RC	facility 	inpatient				2700		619	1129	800				per diem		626				per diem		1129				per diem		800				per diem		1129				per diem		1129				per diem		641				per diem		893				per diem		893				per diem		776				per diem		776				per diem		619				per diem		834				per diem		717				per diem		748				per diem		651				per diem		997				per diem		750				per diem		683				per diem		845				per diem		750				per diem		770				per diem		770				per diem		877				per diem		770				per diem		750				per diem		700				per diem		750				per diem		1050				per diem		650				per diem		890				per diem		752				per diem		850				per diem		870				per diem		800				per diem		785				per diem		750				per diem		651				per diem		946				per diem		717				per diem		927				per diem		992				per diem		700				per diem		683				per diem		683				per diem																																																																																																																																																																																																																																																																																																																																																																																																						other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis	
GERIATRIC PSYCH	124	RC	facility 	inpatient				2700		619	1129	800				per diem		626				per diem		1129				per diem		800				per diem		1129				per diem		1129				per diem		641				per diem		893				per diem		893				per diem		776				per diem		776				per diem		619				per diem		834				per diem		717				per diem		748				per diem		651				per diem		997				per diem		750				per diem		683				per diem		845				per diem		750				per diem		770				per diem		770				per diem		877				per diem		770				per diem		750				per diem		700				per diem		750				per diem		1050				per diem		650				per diem		890				per diem		752				per diem		850				per diem		870				per diem		800				per diem		785				per diem		750				per diem		651				per diem		946				per diem		717				per diem		927				per diem		992				per diem		700				per diem		683				per diem		683				per diem																																																																																																																																																																																																																																																																																																																																																																																																						other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis					other	based on diagnosis	
ADOL PSYCH	100	RC	facility 	inpatient				2700	850	683	956																																																																																																																																																																																																																																																																															858				per diem		849.5				per diem		785				per diem		865				per diem		865				per diem		803				per diem		865				per diem		865				per diem		865				per diem		865				per diem		785				per diem		930.94				per diem		930.94				per diem		900				per diem		818				per diem		818				per diem		683				per diem		845				per diem		893.5				per diem		837				per diem		883				per diem		865				per diem		849.5				per diem		858				per diem		849.5				per diem		721				per diem		817.44				per diem		817.44				per diem		843				per diem		843				per diem		786				per diem		786				per diem		725				per diem		725				per diem		849.5				per diem		858				per diem		786				per diem		786				per diem		823.4				per diem		858				per diem		861				per diem		956				per diem		785				per diem		740				per diem		700				per diem		700				per diem		858				per diem		858				per diem		831				per diem		800				per diem		800				per diem		750				per diem		897.6				per diem		880.65				per diem		897.6				per diem		880.65				per diem		794				per diem		865				per diem		865				per diem		832.3				per diem		865				per diem		786				per diem		849.5				per diem		858				per diem																																																																																												
DD PSYCH	100	RC	facility 	inpatient				2700	850	683	956																																																																																																																																																																																																																																																																															858				per diem		849.5				per diem		785				per diem		865				per diem		865				per diem		803				per diem		865				per diem		865				per diem		865				per diem		865				per diem		785				per diem		930.94				per diem		930.94				per diem		900				per diem		818				per diem		818				per diem		683				per diem		845				per diem		893.5				per diem		837				per diem		883				per diem		865				per diem		849.5				per diem		858				per diem		849.5				per diem		721				per diem		817.44				per diem		817.44				per diem		843				per diem		843				per diem		786				per diem		786				per diem		725				per diem		725				per diem		849.5				per diem		858				per diem		786				per diem		786				per diem		823.4				per diem		849.5				per diem		861				per diem		956				per diem		785				per diem		740				per diem		700				per diem		700				per diem		849.5				per diem		849.5				per diem		831				per diem		800				per diem		800				per diem		750				per diem		897.6				per diem		880.65				per diem		897.6				per diem		880.65				per diem		794				per diem		865				per diem		865				per diem		832.3				per diem		865				per diem		786				per diem		849.5				per diem		858				per diem																																																																																												
GERIATRIC PSYCH	100	RC	facility 	inpatient				2700	850	683	956																																																																																																																																																																																																																																																																															858				per diem		849.5				per diem		785				per diem		865				per diem		865				per diem		803				per diem		865				per diem		865				per diem		865				per diem		865				per diem		785				per diem		930.94				per diem		930.94				per diem		900				per diem		818				per diem		818				per diem		683				per diem		845				per diem		893.5				per diem		837				per diem		883				per diem		865				per diem		849.5				per diem		858				per diem		849.5				per diem		721				per diem		817.44				per diem		817.44				per diem		843				per diem		843				per diem		786				per diem		786				per diem		725				per diem		725				per diem		849.5				per diem		858				per diem		786				per diem		786				per diem		823.4				per diem		849.5				per diem		861				per diem		956				per diem		785				per diem		740				per diem		700				per diem		700				per diem		849.5				per diem		849.5				per diem		831				per diem		800				per diem		800				per diem		750				per diem		897.6				per diem		880.65				per diem		897.6				per diem		880.65				per diem		794				per diem		865				per diem		865				per diem		832.3				per diem		865				per diem		786				per diem		849.5				per diem		858				per diem