{
  "hospital_name": "Strategic BH-Brownsville, LLC",
  "location_name": [
    "Strategic BH-Brownsville, LLC"
  ],
  "hospital_address": [
    "613 Victoria Lane, Harlingen, TX 78550"
  ],
  "type_2_npi": [
    "1154782548"
  ],
  "license_information": {
    "license_number": "140",
    "state": "TX"
  },
  "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": "Cynthia Mendoza"
  },
  "standard_charge_information": [
    {
      "description": "Adol Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 130.0,
          "discounted_cash_price": 130.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Southwest Keys/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            }
          ],
          "minimum": 130.0,
          "maximum": 130.0
        }
      ]
    },
    {
      "description": "Telehealth Adult Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 585.0,
          "discounted_cash_price": 585.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Aetna Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 75.67
            },
            {
              "payer_name": "BCBS HMO MAGELLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "BCBS PPO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Driscoll Health Plan Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 585.0
            },
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "United Healthcare Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "United Healthcare Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "United Healthcare-Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            }
          ],
          "minimum": 75.67,
          "maximum": 585.0
        }
      ]
    },
    {
      "description": "Telehealth PHP Psych Adult Daily",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 425.0,
          "discounted_cash_price": 425.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "BCBS PPO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Superior Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "United Healthcare-Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            }
          ],
          "minimum": 200.0,
          "maximum": 425.0
        }
      ]
    },
    {
      "description": "Adol Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 130.0,
          "discounted_cash_price": 130.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Southwest Keys/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            }
          ],
          "minimum": 130.0,
          "maximum": 130.0
        }
      ]
    },
    {
      "description": "Adult Psych IOP 3 Hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 150.0,
          "discounted_cash_price": 150.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Cigna Healthspring- Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            }
          ],
          "minimum": 150.0,
          "maximum": 150.0
        }
      ]
    },
    {
      "description": "Tri/Medi Child/Adol PHP - 1 un",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 498.75,
          "discounted_cash_price": 498.75,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 498.75
            }
          ],
          "minimum": 498.75,
          "maximum": 498.75
        }
      ]
    },
    {
      "description": "Tri/Medi Child/Adol PHP - 2 un",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 249.37,
          "discounted_cash_price": 249.37,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 249.37
            }
          ],
          "minimum": 249.37,
          "maximum": 249.37
        }
      ]
    },
    {
      "description": "Tri/Medi Child/Adol PHP - 3 un",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 166.25,
          "discounted_cash_price": 166.25,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 166.25
            }
          ],
          "minimum": 166.25,
          "maximum": 166.25
        }
      ]
    },
    {
      "description": "Tri/Medi Child/Adol PHP - 4 un",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 124.68,
          "discounted_cash_price": 124.68,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 124.68
            }
          ],
          "minimum": 124.68,
          "maximum": 124.68
        }
      ]
    },
    {
      "description": "Tri/Medi Adult PHP - 1 unit",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 498.75,
          "discounted_cash_price": 498.75,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 498.75
            }
          ],
          "minimum": 498.75,
          "maximum": 498.75
        }
      ]
    },
    {
      "description": "Tri/Medi Adult PHP - 2 unit",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 249.37,
          "discounted_cash_price": 249.37,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 249.37
            }
          ],
          "minimum": 249.37,
          "maximum": 249.37
        }
      ]
    },
    {
      "description": "Tri/Medi Adult PHP - 3 unit",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 166.25,
          "discounted_cash_price": 166.25,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 166.25
            }
          ],
          "minimum": 166.25,
          "maximum": 166.25
        }
      ]
    },
    {
      "description": "Tri/Medi Adult PHP - 4 unit",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 124.68,
          "discounted_cash_price": 124.68,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 124.68
            }
          ],
          "minimum": 124.68,
          "maximum": 124.68
        }
      ]
    },
    {
      "description": "Adol Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "H0015",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 130.0,
          "discounted_cash_price": 130.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            }
          ],
          "minimum": 130.0,
          "maximum": 130.0
        }
      ]
    },
    {
      "description": "Child/Adol Phych PHP 6 hrs",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 963.5,
          "discounted_cash_price": 350.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "90 Degree Benefits",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Aetna",
              "plan_name": "All Plans",
              "negotiated_rate": 469.0
            },
            {
              "payer_name": "All Savers/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Anthem BCBS Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "Assured Benefits Administrators/IMS PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 270.0
            },
            {
              "payer_name": "BCBS HMO MAGELLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "BCBS HMO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 375.0
            },
            {
              "payer_name": "BCBS PPO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "Beacon Health Options",
              "plan_name": "All Plans",
              "negotiated_rate": 395.0
            },
            {
              "payer_name": "Cigna -Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 394.0
            },
            {
              "payer_name": "Cigna Blue Star",
              "plan_name": "All Plans",
              "negotiated_rate": 375.0
            },
            {
              "payer_name": "Cigna Healthspring- Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Community First - Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "Compass Connect",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "ComPsych",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Continental Benefits/IMS PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 270.0
            },
            {
              "payer_name": "CURATIVE- FIRST HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 600.0
            },
            {
              "payer_name": "Driscoll Health Plan Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 794.39
            },
            {
              "payer_name": "Driscoll Health Plan STAR Kids",
              "plan_name": "All Plans",
              "negotiated_rate": 786.44
            },
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Friday Health Plans",
              "plan_name": "All Plans",
              "negotiated_rate": 500.0
            },
            {
              "payer_name": "GEHA/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Humana",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Imagine 360",
              "plan_name": "All Plans",
              "negotiated_rate": 376.0
            },
            {
              "payer_name": "MHNET",
              "plan_name": "All Plans",
              "negotiated_rate": 420.0
            },
            {
              "payer_name": "Molina Healthcare-Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 260.0
            },
            {
              "payer_name": "Optima Health",
              "plan_name": "All Plans",
              "negotiated_rate": 963.5
            },
            {
              "payer_name": "OPTUM",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Professional Benefit Administrators",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Right Care From Scott & White - Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 550.0
            },
            {
              "payer_name": "Southwest Keys/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Sunrest/UHG",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Superior Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "The Health Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 376.0
            },
            {
              "payer_name": "TML/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 498.75
            },
            {
              "payer_name": "UHC United Shared Services",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "UMR/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "United Health One",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "United Healthcare Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 300.0
            },
            {
              "payer_name": "United Healthcare-Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "UPBRING",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Urban Strategies",
              "plan_name": "All Plans",
              "negotiated_rate": 500.0
            },
            {
              "payer_name": "Wellpoint Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 360.0
            }
          ],
          "minimum": 175.0,
          "maximum": 963.5
        }
      ]
    },
    {
      "description": "Adult Psych PHP 6 hrs",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 963.5,
          "discounted_cash_price": 350.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "90 Degree Benefits",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Aetna",
              "plan_name": "All Plans",
              "negotiated_rate": 469.0
            },
            {
              "payer_name": "Aetna Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 469.0
            },
            {
              "payer_name": "All Savers/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Anthem BCBS Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "Assured Benefits Administrators/IMS PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 270.0
            },
            {
              "payer_name": "BCBS HMO MAGELLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "BCBS HMO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 375.0
            },
            {
              "payer_name": "BCBS Medicare Advantage",
              "plan_name": "All Plans",
              "negotiated_rate": 205.0
            },
            {
              "payer_name": "BCBS PPO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            },
            {
              "payer_name": "BCFS/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Beacon Health Options",
              "plan_name": "All Plans",
              "negotiated_rate": 395.0
            },
            {
              "payer_name": "Beacon Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 205.0
            },
            {
              "payer_name": "Border Region",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Cigna -Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 394.0
            },
            {
              "payer_name": "Cigna Blue Star",
              "plan_name": "All Plans",
              "negotiated_rate": 375.0
            },
            {
              "payer_name": "Cigna Healthspring- Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Cigna Healthspring- Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 198.0
            },
            {
              "payer_name": "Coastal Plains",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Community First - Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "Compass Connect",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "ComPsych",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Continental Benefits/IMS PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 270.0
            },
            {
              "payer_name": "CURATIVE- FIRST HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 600.0
            },
            {
              "payer_name": "Driscoll Health Plan Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 794.39
            },
            {
              "payer_name": "Driscoll Health Plan STAR Kids",
              "plan_name": "All Plans",
              "negotiated_rate": 786.44
            },
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Friday Health Plans",
              "plan_name": "All Plans",
              "negotiated_rate": 500.0
            },
            {
              "payer_name": "GEHA/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Humana",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Humana Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 205.0
            },
            {
              "payer_name": "IES/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Imagine 360",
              "plan_name": "All Plans",
              "negotiated_rate": 376.0
            },
            {
              "payer_name": "MHNET",
              "plan_name": "All Plans",
              "negotiated_rate": 420.0
            },
            {
              "payer_name": "MHNET Medicare Advtg",
              "plan_name": "All Plans",
              "negotiated_rate": 205.0
            },
            {
              "payer_name": "Molina Healthcare-Commerical",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Molina Healthcare-Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 260.0
            },
            {
              "payer_name": "Molina Healthcare-Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 205.0
            },
            {
              "payer_name": "Mutual Of Omaha",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Optima Health",
              "plan_name": "All Plans",
              "negotiated_rate": 963.5
            },
            {
              "payer_name": "OPTUM",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Pan American Life",
              "plan_name": "All Plans",
              "negotiated_rate": 750.0
            },
            {
              "payer_name": "Port Isabel",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "Professional Benefit Administrators",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Right Care From Scott & White - Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 550.0
            },
            {
              "payer_name": "Southwest Keys/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Sunrest/UHG",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Superior Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 198.0
            },
            {
              "payer_name": "The Health Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 375.0
            },
            {
              "payer_name": "TML/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Tricare East",
              "plan_name": "All Plans",
              "negotiated_rate": 205.0
            },
            {
              "payer_name": "UCT",
              "plan_name": "All Plans",
              "negotiated_rate": 350.0
            },
            {
              "payer_name": "UHC United Shared Services",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "UMR/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "United Health One",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "United Healthcare Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 300.0
            },
            {
              "payer_name": "United Healthcare Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "United Healthcare-Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 425.0
            },
            {
              "payer_name": "Wellcare Mcare Advtg",
              "plan_name": "All Plans",
              "negotiated_rate": 325.0
            },
            {
              "payer_name": "Wellpoint Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 360.0
            }
          ],
          "minimum": 175.0,
          "maximum": 963.5
        }
      ]
    },
    {
      "description": "Tri/Medi Adult PHP-1 unit",
      "code_information": [
        {
          "code": "G0411",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 198.0,
          "discounted_cash_price": 198.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Cigna Healthspring- Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 198.0
            },
            {
              "payer_name": "Humana Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 198.0
            },
            {
              "payer_name": "Molina Healthcare-Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 192.53
            },
            {
              "payer_name": "Superior/Cenpatico Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 198.0
            },
            {
              "payer_name": "Tricare East",
              "plan_name": "All Plans",
              "negotiated_rate": 192.53
            }
          ],
          "minimum": 192.53,
          "maximum": 198.0
        }
      ]
    },
    {
      "description": "Child/Adol Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "S9480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 794.39,
          "discounted_cash_price": 794.39,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "90 Degree Benefits",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Aetna",
              "plan_name": "All Plans",
              "negotiated_rate": 243.0
            },
            {
              "payer_name": "All Savers/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "Anthem BCBS Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "BCBS HMO MAGELLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "BCBS HMO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 190.0
            },
            {
              "payer_name": "BCBS PPO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Beacon Health Options",
              "plan_name": "All Plans",
              "negotiated_rate": 220.0
            },
            {
              "payer_name": "Cigna -Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 247.0
            },
            {
              "payer_name": "Cigna Blue Star",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Compass Connect",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "ComPsych",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "CURATIVE- FIRST HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 330.0
            },
            {
              "payer_name": "Driscoll Health Plan Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 794.39
            },
            {
              "payer_name": "Driscoll Health Plan STAR Kids",
              "plan_name": "All Plans",
              "negotiated_rate": 585.0
            },
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Molina Healthcare-Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "Optima Health",
              "plan_name": "All Plans",
              "negotiated_rate": 658.0
            },
            {
              "payer_name": "OPTUM",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "Professional Benefit Administrators",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Southwest Keys/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "The Health Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 258.0
            },
            {
              "payer_name": "United Health One",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "United Healthcare Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "Urban Strategies",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Wellpoint Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            }
          ],
          "minimum": 130.0,
          "maximum": 794.39
        }
      ]
    },
    {
      "description": "Adult Psych IOP 3 hrs",
      "code_information": [
        {
          "code": "S9480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 794.39,
          "discounted_cash_price": 175.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "90 Degree Benefits",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Aetna",
              "plan_name": "All Plans",
              "negotiated_rate": 243.0
            },
            {
              "payer_name": "Aetna Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 75.67
            },
            {
              "payer_name": "All Savers/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "Anthem BCBS Medicare",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Assured Benefits Administrators/IMS PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 165.0
            },
            {
              "payer_name": "BCBS HMO MAGELLAN",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "BCBS HMO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 190.0
            },
            {
              "payer_name": "BCBS PPO TX",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Beacon Health Options",
              "plan_name": "All Plans",
              "negotiated_rate": 220.0
            },
            {
              "payer_name": "Cigna -Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 247.0
            },
            {
              "payer_name": "Cigna Blue Star",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Cigna Healthspring- Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 195.0
            },
            {
              "payer_name": "Cigna Healthspring- Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Compass Connect",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "ComPsych",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Continental Benefits/IMS PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 165.0
            },
            {
              "payer_name": "CURATIVE- FIRST HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 330.0
            },
            {
              "payer_name": "Driscoll Health Plan Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 794.39
            },
            {
              "payer_name": "Driscoll Health Plan STAR Kids",
              "plan_name": "All Plans",
              "negotiated_rate": 585.0
            },
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Friday Health Plans",
              "plan_name": "All Plans",
              "negotiated_rate": 225.0
            },
            {
              "payer_name": "GEHA/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "Humana",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "Imagine 360",
              "plan_name": "All Plans",
              "negotiated_rate": 258.5
            },
            {
              "payer_name": "MHNET",
              "plan_name": "All Plans",
              "negotiated_rate": 220.0
            },
            {
              "payer_name": "Molina Healthcare-Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "Optima Health",
              "plan_name": "All Plans",
              "negotiated_rate": 658.0
            },
            {
              "payer_name": "OPTUM",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "PRIORITY HEALTH",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Professional Benefit Administrators",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Sunrest/UHG",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "Superior Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "The Health Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 258.0
            },
            {
              "payer_name": "TML/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "Tricare East",
              "plan_name": "All Plans",
              "negotiated_rate": 192.53
            },
            {
              "payer_name": "Tricare West",
              "plan_name": "All Plans",
              "negotiated_rate": 374.3
            },
            {
              "payer_name": "UHC United Shared Services",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "UMR/UHC Network",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "United Health One",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "United Healthcare Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "United Healthcare Mcare",
              "plan_name": "All Plans",
              "negotiated_rate": 175.0
            },
            {
              "payer_name": "United Healthcare-Commercial",
              "plan_name": "All Plans",
              "negotiated_rate": 275.0
            },
            {
              "payer_name": "WellCare Dual Liberty",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Wellpoint Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 210.0
            }
          ],
          "minimum": 75.67,
          "maximum": 794.39
        }
      ]
    },
    {
      "description": "IOP Child/Adol",
      "code_information": [
        {
          "code": "S9480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 130.0,
          "discounted_cash_price": 130.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Fidelis Care Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Southwest Keys/PCU",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            },
            {
              "payer_name": "Superior/Cenpatico Mcaid",
              "plan_name": "All Plans",
              "negotiated_rate": 130.0
            }
          ],
          "minimum": 130.0,
          "maximum": 130.0
        }
      ]
    }
  ]
}