{
  "hospital_name": "SBH-El Paso, LLC",
  "location_name": [
    "SBH-El Paso, LLC"
  ],
  "hospital_address": [
    "5045, 5055, and 5065 McNutt Road, Santa Teresa, NM 88008"
  ],
  "type_2_npi": [
    "1053652438"
  ],
  "license_information": {
    "license_number": "141",
    "state": "NM"
  },
  "last_updated_on": "2026-03-31",
  "version": "3.0",
  "attestation": {
    "attestation": "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",
    "confirm_attestation": true,
    "attester_name": "Angela Paisley-Rich"
  },
  "standard_charge_information": [
    {
      "description": "Telehealth PHP Psych Adult Daily",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 793.57,
          "discounted_cash_price": 793.57,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "BCBS TX",
              "plan_name": "All Plans",
              "negotiated_rate": 440.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 390.0
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "OPTUM HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 677.88
            },
            {
              "payer_name": "UBH MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UBH MEDICARE MANAGED TX",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "UHC EXCHANGE",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UHC/SUREST",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UMR/HEALTHSCOPE",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL SHARED SERVICES",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            }
          ],
          "minimum": 390.0,
          "maximum": 793.57
        }
      ]
    },
    {
      "description": "PHP Daily Adult",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 793.57,
          "discounted_cash_price": 350.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "ACCESS ADMIN - ADVANTAGE",
              "plan_name": "All Plans",
              "negotiated_rate": 194.0
            },
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 484.0
            },
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 418.0
            },
            {
              "payer_name": "AETNA MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 376.0
            },
            {
              "payer_name": "Ambetter Superior Health Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "AMERIGRP TX MEDICAID",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "ASSURANT HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "BAS HEALTH PLANS",
              "plan_name": "All Plans",
              "negotiated_rate": 126.0
            },
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "BCBS MEDICARE ADVANTAGE HMO",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "BCBS TX",
              "plan_name": "All Plans",
              "negotiated_rate": 440.0
            },
            {
              "payer_name": "BEACON HEALTH OPTIONS",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "BLUE CROSS NEW MEXICO",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 414.0
            },
            {
              "payer_name": "Cigna Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 390.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 414.0
            },
            {
              "payer_name": "CIGNA HEALTHSPRING M/C Replacement",
              "plan_name": "All Plans",
              "negotiated_rate": 160.0
            },
            {
              "payer_name": "COMPSYCH",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "CORE SOURCE",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "EBC",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "EL PASO HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "El Paso Health Chip",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "GEHA",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "GPA",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "HCC MEDICAL INSURANCE SERVICES",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "HUMANA COMMERCIAL PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 190.0
            },
            {
              "payer_name": "HUMANA GO CHOICE",
              "plan_name": "All Plans",
              "negotiated_rate": 110.0
            },
            {
              "payer_name": "MAGELLAN BEHAVIORAL",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "MERITAIN HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "MHBP",
              "plan_name": "All Plans",
              "negotiated_rate": 268.0
            },
            {
              "payer_name": "MHN",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "MOLINA HEALTHCARE OF NM MC Managed",
              "plan_name": "All Plans",
              "negotiated_rate": 147.75
            },
            {
              "payer_name": "MOLINA MARKETPLACE",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Point Comfort Underwriters",
              "plan_name": "All Plans",
              "negotiated_rate": 475.0
            },
            {
              "payer_name": "PREFERRED ADMINISTRATORS",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "PRESBYTERIAN HEALTH PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 475.0
            },
            {
              "payer_name": "PRESBYTERIAN MEDICARE REPLACEMENT",
              "plan_name": "All Plans",
              "negotiated_rate": 475.0
            },
            {
              "payer_name": "SUPERIOR HEALTHPLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 503.5
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "UHC EXCHANGE",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UMR/HEALTHSCOPE",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "United Healthcare AZ Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "UNITEDHEALTH MILITARY",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            },
            {
              "payer_name": "VALUE OPTIONS COMM",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Western Sky Centene - Centennial",
              "plan_name": "All Plans",
              "negotiated_rate": 691.36
            },
            {
              "payer_name": "YSLETA DEL SUR PUEBLO",
              "plan_name": "All Plans",
              "negotiated_rate": 300.0
            }
          ],
          "minimum": 34.18,
          "maximum": 793.57
        }
      ]
    },
    {
      "description": "Tri/Medi Adult PHP-5 units",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 224.74,
          "discounted_cash_price": 224.74,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 75.2
            },
            {
              "payer_name": "ALLWELL WSCC MEDICARE",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "AMERIGROUP OF TX MEDICARE",
              "plan_name": "All Plans",
              "negotiated_rate": 40.0
            },
            {
              "payer_name": "BCBS MEDICARE ADVANTAGE HMO",
              "plan_name": "All Plans",
              "negotiated_rate": 70.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 78.0
            },
            {
              "payer_name": "HUMANA GO CHOICE",
              "plan_name": "All Plans",
              "negotiated_rate": 224.74
            },
            {
              "payer_name": "LOVELACE MEDICARE PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "MHN",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            },
            {
              "payer_name": "MOLINA HEALTHCARE OF NM MC Managed",
              "plan_name": "All Plans",
              "negotiated_rate": 29.55
            },
            {
              "payer_name": "MOLINA HEALTHCARE OF TX MEDICARE",
              "plan_name": "All Plans",
              "negotiated_rate": 31.12
            },
            {
              "payer_name": "PRESBYTERIAN MEDICARE REPLACEMENT",
              "plan_name": "All Plans",
              "negotiated_rate": 90.0
            },
            {
              "payer_name": "TRICARE FOR LIFE",
              "plan_name": "All Plans",
              "negotiated_rate": 50.04
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 50.32
            },
            {
              "payer_name": "UBH MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 80.4
            },
            {
              "payer_name": "UNITEDHEALTH MILITARY",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            },
            {
              "payer_name": "WELLCARE HEALTH PLAN MEDICARE ADV",
              "plan_name": "All Plans",
              "negotiated_rate": 220.0
            },
            {
              "payer_name": "WELLPOINT",
              "plan_name": "All Plans",
              "negotiated_rate": 36.0
            }
          ],
          "minimum": 29.55,
          "maximum": 224.74
        }
      ]
    },
    {
      "description": "PHP Daily Child/Adol",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 793.57,
          "discounted_cash_price": 350.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "ACCESS ADMIN - ADVANTAGE",
              "plan_name": "All Plans",
              "negotiated_rate": 194.0
            },
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 484.0
            },
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 418.0
            },
            {
              "payer_name": "AETNA MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 376.0
            },
            {
              "payer_name": "AMERIGRP TX MEDICAID",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "ASSURANT HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "BAS HEALTH PLANS",
              "plan_name": "All Plans",
              "negotiated_rate": 126.0
            },
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "BCBS OF ILLINOIS MEDICAID",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "BCBS TX",
              "plan_name": "All Plans",
              "negotiated_rate": 440.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "BLUE CROSS NEW MEXICO",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "CARELON BEHAVIORAL",
              "plan_name": "All Plans",
              "negotiated_rate": 500.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 414.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 414.0
            },
            {
              "payer_name": "CIGNA HEALTHSPRING M/C Replacement",
              "plan_name": "All Plans",
              "negotiated_rate": 160.0
            },
            {
              "payer_name": "EBC",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "EL PASO HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "El Paso Health Chip",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "GEHA",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "HCC MEDICAL INSURANCE SERVICES",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "HUMANA COMMERCIAL PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 190.0
            },
            {
              "payer_name": "HUMANA GO CHOICE",
              "plan_name": "All Plans",
              "negotiated_rate": 110.0
            },
            {
              "payer_name": "MAGELLAN BEHAVIORAL",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "MHBP",
              "plan_name": "All Plans",
              "negotiated_rate": 268.0
            },
            {
              "payer_name": "MHN",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "MOLINA HEALTHCARE OF NM MC Managed",
              "plan_name": "All Plans",
              "negotiated_rate": 147.75
            },
            {
              "payer_name": "MOLINA HEALTHCARE OF TX MEDICAID",
              "plan_name": "All Plans",
              "negotiated_rate": 196.65
            },
            {
              "payer_name": "MOLINA MARKETPLACE",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "OPTUM HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "Point Comfort Underwriters",
              "plan_name": "All Plans",
              "negotiated_rate": 475.0
            },
            {
              "payer_name": "PREFERRED ADMINISTRATORS",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "PRESBYTERIAN HEALTH PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 475.0
            },
            {
              "payer_name": "SUPERIOR HEALTH PLAN TX STAR",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "SUPERIOR HEALTHPLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "TEXAS MEDICAID HEALTHCARE",
              "plan_name": "All Plans",
              "negotiated_rate": 196.0
            },
            {
              "payer_name": "The J.P. Farley Corporation",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 503.5
            },
            {
              "payer_name": "TRUE HEALTH NM",
              "plan_name": "All Plans",
              "negotiated_rate": 251.64
            },
            {
              "payer_name": "TX UHC DUAL COMPLETE MEDICARE",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UBH MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UBH MEDICARE MANAGED TX",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 793.57
            },
            {
              "payer_name": "UHC EXCHANGE",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UHC/SUREST",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UMR/HEALTHSCOPE",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL SHARED SERVICES",
              "plan_name": "All Plans",
              "negotiated_rate": 402.0
            },
            {
              "payer_name": "UNITEDHEALTH MILITARY",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            },
            {
              "payer_name": "VALUE OPTIONS COMM",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Western Sky Centene - Centennial",
              "plan_name": "All Plans",
              "negotiated_rate": 691.36
            },
            {
              "payer_name": "YSLETA DEL SUR PUEBLO",
              "plan_name": "All Plans",
              "negotiated_rate": 300.0
            },
            {
              "payer_name": "Zuni Medical Center",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            }
          ],
          "minimum": 34.18,
          "maximum": 793.57
        }
      ]
    },
    {
      "description": "Tri/Medi Child/Adol PHP-5 unit",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 50.04,
          "discounted_cash_price": 50.04,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "MHN",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            },
            {
              "payer_name": "TRICARE FOR LIFE",
              "plan_name": "All Plans",
              "negotiated_rate": 50.04
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 44.95
            },
            {
              "payer_name": "UNITEDHEALTH MILITARY",
              "plan_name": "All Plans",
              "negotiated_rate": 34.18
            }
          ],
          "minimum": 34.18,
          "maximum": 50.04
        }
      ]
    },
    {
      "description": "Adol Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "H0015",
          "type": "HCPCS"
        }
      ],
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        {
          "setting": "outpatient",
          "gross_charge": 378.1,
          "discounted_cash_price": 378.1,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 237.0
            },
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "AETNA MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "ASSURANT HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 100.0
            },
            {
              "payer_name": "BAS HEALTH PLANS",
              "plan_name": "All Plans",
              "negotiated_rate": 117.0
            },
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 169.0
            },
            {
              "payer_name": "BCBS MEDICARE ADVANTAGE HMO",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 315.0
            },
            {
              "payer_name": "BLUE CROSS NEW MEXICO",
              "plan_name": "All Plans",
              "negotiated_rate": 315.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 204.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            },
            {
              "payer_name": "Cigna Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 204.0
            },
            {
              "payer_name": "Cigna Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 204.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            },
            {
              "payer_name": "EL PASO HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 120.0
            },
            {
              "payer_name": "El Paso Health Chip",
              "plan_name": "All Plans",
              "negotiated_rate": 120.0
            },
            {
              "payer_name": "GEHA",
              "plan_name": "All Plans",
              "negotiated_rate": 144.0
            },
            {
              "payer_name": "MAGELLAN BEHAVIORAL",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "MHBP",
              "plan_name": "All Plans",
              "negotiated_rate": 144.0
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 275.44
            },
            {
              "payer_name": "MOLINA HEALTHCARE OF TX MEDICAID",
              "plan_name": "All Plans",
              "negotiated_rate": 131.1
            },
            {
              "payer_name": "MOLINA MARKETPLACE",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "OPTUM HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "Point Comfort Underwriters",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "PREFERRED ADMINISTRATORS",
              "plan_name": "All Plans",
              "negotiated_rate": 120.0
            },
            {
              "payer_name": "PRESBYTERIAN HEALTH PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 310.0
            },
            {
              "payer_name": "SUPERIOR HEALTH PLAN TX STAR",
              "plan_name": "All Plans",
              "negotiated_rate": 140.0
            },
            {
              "payer_name": "SUPERIOR HEALTHPLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 140.0
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 378.1
            },
            {
              "payer_name": "TX UHC DUAL COMPLETE MEDICARE",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UBH MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UBH MEDICARE MANAGED TX",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UHC EXCHANGE",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UHC/SUREST",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UMR/HEALTHSCOPE",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL SHARED SERVICES",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            }
          ],
          "minimum": 100.0,
          "maximum": 378.1
        }
      ]
    },
    {
      "description": "Tri/Medi Adol IOP - 3 unit",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 43.34,
          "discounted_cash_price": 43.34,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "MHN",
              "plan_name": "All Plans",
              "negotiated_rate": 43.34
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 32.5
            },
            {
              "payer_name": "UNITEDHEALTH MILITARY",
              "plan_name": "All Plans",
              "negotiated_rate": 43.34
            }
          ],
          "minimum": 32.5,
          "maximum": 43.34
        }
      ]
    },
    {
      "description": "Adult CD IOP 3 hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 315.0,
          "discounted_cash_price": 315.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 237.0
            },
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "AETNA MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "ASSURANT HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 100.0
            },
            {
              "payer_name": "BAS HEALTH PLANS",
              "plan_name": "All Plans",
              "negotiated_rate": 117.0
            },
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 169.0
            },
            {
              "payer_name": "BCBS MEDICARE ADVANTAGE HMO",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 315.0
            },
            {
              "payer_name": "BLUE CROSS NEW MEXICO",
              "plan_name": "All Plans",
              "negotiated_rate": 315.0
            },
            {
              "payer_name": "El Paso Health Chip",
              "plan_name": "All Plans",
              "negotiated_rate": 120.0
            },
            {
              "payer_name": "HUMANA GO CHOICE",
              "plan_name": "All Plans",
              "negotiated_rate": 60.97
            },
            {
              "payer_name": "MHBP",
              "plan_name": "All Plans",
              "negotiated_rate": 144.0
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            },
            {
              "payer_name": "PREFERRED ADMINISTRATORS",
              "plan_name": "All Plans",
              "negotiated_rate": 120.0
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 100.0
            },
            {
              "payer_name": "UHC EXCHANGE",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            }
          ],
          "minimum": 60.97,
          "maximum": 315.0
        }
      ]
    },
    {
      "description": "Adult Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
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        {
          "setting": "outpatient",
          "gross_charge": 378.1,
          "discounted_cash_price": 257.86,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 237.0
            },
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "AETNA MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 180.0
            },
            {
              "payer_name": "ASSURANT HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 100.0
            },
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 169.0
            },
            {
              "payer_name": "BCBS MEDICARE ADVANTAGE HMO",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "BLUE CROSS FEDERAL",
              "plan_name": "All Plans",
              "negotiated_rate": 315.0
            },
            {
              "payer_name": "BLUE CROSS NEW MEXICO",
              "plan_name": "All Plans",
              "negotiated_rate": 315.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 204.0
            },
            {
              "payer_name": "CIGNA BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 204.0
            },
            {
              "payer_name": "Cigna Behavioral Health/Optum",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            },
            {
              "payer_name": "COMPSYCH",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "El Paso Health Chip",
              "plan_name": "All Plans",
              "negotiated_rate": 120.0
            },
            {
              "payer_name": "HUMANA COMMERCIAL PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 190.0
            },
            {
              "payer_name": "HUMANA GO CHOICE",
              "plan_name": "All Plans",
              "negotiated_rate": 60.97
            },
            {
              "payer_name": "MHBP",
              "plan_name": "All Plans",
              "negotiated_rate": 144.0
            },
            {
              "payer_name": "MHN",
              "plan_name": "All Plans",
              "negotiated_rate": 149.37
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 275.44
            },
            {
              "payer_name": "MOLINA MARKETPLACE",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "OPTUM HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "Point Comfort Underwriters",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 100.0
            },
            {
              "payer_name": "PRESBYTERIAN HEALTH PLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 310.0
            },
            {
              "payer_name": "SUPERIOR HEALTHPLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 140.0
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 378.1
            },
            {
              "payer_name": "TX UHC DUAL COMPLETE MEDICARE",
              "plan_name": "All Plans",
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            },
            {
              "payer_name": "UBH MEDICARE MANAGED",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UBH MEDICARE MANAGED TX",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 251.36
            },
            {
              "payer_name": "UHC EXCHANGE",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UHC/SUREST",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UMR/HEALTHSCOPE",
              "plan_name": "All Plans",
              "negotiated_rate": 144.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UNITED BEHAVIORAL SHARED SERVICES",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "UNITEDHEALTH MILITARY",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "VALUE OPTIONS COMM",
              "plan_name": "All Plans",
              "negotiated_rate": 100.0
            }
          ],
          "minimum": 60.97,
          "maximum": 378.1
        }
      ]
    },
    {
      "description": "Tri/Medi Adult IOP - 3 unit",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 216.0,
          "discounted_cash_price": 216.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "ALLWELL WSCC MEDICARE",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Triwest Tricare",
              "plan_name": "All Plans",
              "negotiated_rate": 72.3
            },
            {
              "payer_name": "UHC EXCHANGE",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 216.0
            },
            {
              "payer_name": "WELLPOINT",
              "plan_name": "All Plans",
              "negotiated_rate": 33.33
            }
          ],
          "minimum": 33.33,
          "maximum": 216.0
        }
      ]
    },
    {
      "description": "ACT 15 min face to face",
      "code_information": [
        {
          "code": "H0039",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "gross_charge": 79.5,
          "discounted_cash_price": 79.5,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "BHSD",
              "plan_name": "All Plans",
              "negotiated_rate": 61.11
            },
            {
              "payer_name": "Blue Cross Blue Shield CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "Western Sky Centene - Centennial",
              "plan_name": "All Plans",
              "negotiated_rate": 67.9
            },
            {
              "payer_name": "WSCC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 64.86
            }
          ],
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          "maximum": 79.5
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      ]
    },
    {
      "description": "ACT 15 min Collateral Encounter",
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        {
          "code": "H0039",
          "type": "HCPCS"
        }
      ],
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        {
          "setting": "inpatient",
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          "payer_specific_negotiated_charges": [
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "BHSD",
              "plan_name": "All Plans",
              "negotiated_rate": 61.11
            },
            {
              "payer_name": "Blue Cross Blue Shield CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "Western Sky Centene - Centennial",
              "plan_name": "All Plans",
              "negotiated_rate": 67.9
            },
            {
              "payer_name": "WSCC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 64.86
            }
          ],
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          "maximum": 79.5
        }
      ]
    },
    {
      "description": "ACT 15 min Assertive Outreach",
      "code_information": [
        {
          "code": "H0039",
          "type": "HCPCS"
        }
      ],
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        {
          "setting": "inpatient",
          "gross_charge": 79.5,
          "discounted_cash_price": 79.5,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "BHSD",
              "plan_name": "All Plans",
              "negotiated_rate": 61.11
            },
            {
              "payer_name": "Blue Cross Blue Shield CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "Western Sky Centene - Centennial",
              "plan_name": "All Plans",
              "negotiated_rate": 67.9
            },
            {
              "payer_name": "WSCC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 64.86
            }
          ],
          "minimum": 61.11,
          "maximum": 79.5
        }
      ]
    },
    {
      "description": "ACT 15 min Group",
      "code_information": [
        {
          "code": "H0039",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "inpatient",
          "gross_charge": 79.5,
          "discounted_cash_price": 79.5,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "BCBS CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "BHSD",
              "plan_name": "All Plans",
              "negotiated_rate": 61.11
            },
            {
              "payer_name": "Blue Cross Blue Shield CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "MOLINA CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "PRESBYTERIAN CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "UHC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 79.5
            },
            {
              "payer_name": "Western Sky Centene - Centennial",
              "plan_name": "All Plans",
              "negotiated_rate": 67.9
            },
            {
              "payer_name": "WSCC CENTENNIAL",
              "plan_name": "All Plans",
              "negotiated_rate": 64.86
            }
          ],
          "minimum": 61.11,
          "maximum": 79.5
        }
      ]
    }
  ]
}