hospital_Options Treatment Center Acquistion Corp. 	last_updated_ 2023-12-31	version_1	"hospital_Indianapolis, Indiana"	hospital_address 5602 Caito Drive 	license_ 1629-1PIP | IN	"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 in this machine-readable file is true, accurate, and complete as of the date indicated in this file"																																																																																																																																																																																																																													
																																																																																																																																																																																																																																			
description 	code |1	code|1|type	billing_class	setting	drug_unit_of_measurement	drug_type_of_measurement	modifiers	standard_charge | gross	standard_charge|discounted_cash	standard_charge|min	standard_charge | max	standard_charge|[payer_AARP|COMMERCIAL]	standard_charge|[payer_AARP|COMMERCIAL] |percent	standard_charge|[payer_AARP|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_AARP|COMMERCIAL]	standard_charge|[payer_AARP MGD MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_AARP MGD MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_AARP MGD MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AARP MGD MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_AETNA|HMO/PPO]	standard_charge|[payer_AETNA|HMO/PPO] |percent	standard_charge|[payer_AETNA|HMO/PPO] |contracting_method	additional_payer_notes |[payer_AETNA|HMO/PPO]	standard_charge|[payer_AETNA MCR|MANAGED MEDICARE]	standard_charge|[payer_AETNA MCR|MANAGED MEDICARE] |percent	standard_charge|[payer_AETNA MCR|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_AETNA MCR|MANAGED MEDICARE]	standard_charge|[payer_ALLWELL|MANAGED MEDICARE]	standard_charge|[payer_ALLWELL|MANAGED MEDICARE] |percent	standard_charge|[payer_ALLWELL|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_ALLWELL|MANAGED MEDICARE]	standard_charge|[payer_ANTHEM|BLUE CROSS]	standard_charge|[payer_ANTHEM|BLUE CROSS] |percent	standard_charge|[payer_ANTHEM|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_ANTHEM|BLUE CROSS]	standard_charge|[payer_ANTHEM HIP|MANAGED MEDICAID]	standard_charge|[payer_ANTHEM HIP|MANAGED MEDICAID] |percent	standard_charge|[payer_ANTHEM HIP|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_ANTHEM HIP|MANAGED MEDICAID]	standard_charge|[payer_ANTHEM MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_ANTHEM MEDICAID|MANAGED MEDICAID] |percent	standard_charge|[payer_ANTHEM MEDICAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_ANTHEM MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_ANTHEM MEDICAID 20&UNDER|MANAGED MEDICAID]	standard_charge|[payer_ANTHEM MEDICAID 20&UNDER|MANAGED MEDICAID] |percent	standard_charge|[payer_ANTHEM MEDICAID 20&UNDER|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_ANTHEM MEDICAID 20&UNDER|MANAGED MEDICAID]	standard_charge|[payer_ANTHEM SENIOR ADVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_ANTHEM SENIOR ADVANTAGE|MANAGED MEDICARE] |percent	standard_charge|[payer_ANTHEM SENIOR ADVANTAGE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_ANTHEM SENIOR ADVANTAGE|MANAGED MEDICARE]	standard_charge|[payer_BCBS FEDERAL|BLUE CROSS]	standard_charge|[payer_BCBS FEDERAL|BLUE CROSS] |percent	standard_charge|[payer_BCBS FEDERAL|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS FEDERAL|BLUE CROSS]	standard_charge|[payer_BCBS OUT OF STATE|BLUE CROSS]	standard_charge|[payer_BCBS OUT OF STATE|BLUE CROSS] |percent	standard_charge|[payer_BCBS OUT OF STATE|BLUE CROSS] |contracting_method	additional_payer_notes |[payer_BCBS OUT OF STATE|BLUE CROSS]	standard_charge|[payer_CARELON BEACON HEALTH|COMMERCIAL]	standard_charge|[payer_CARELON BEACON HEALTH|COMMERCIAL] |percent	standard_charge|[payer_CARELON BEACON HEALTH|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_CARELON BEACON HEALTH|COMMERCIAL]	standard_charge|[payer_CARESOURCE|MANAGED MEDICAID]	standard_charge|[payer_CARESOURCE|MANAGED MEDICAID] |percent	standard_charge|[payer_CARESOURCE|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_CARESOURCE|MANAGED MEDICAID]	standard_charge|[payer_CARESOURCE MARKPLC|MANAGED MEDICARE]	standard_charge|[payer_CARESOURCE MARKPLC|MANAGED MEDICARE] |percent	standard_charge|[payer_CARESOURCE MARKPLC|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_CARESOURCE MARKPLC|MANAGED MEDICARE]	standard_charge|[payer_CHAMPS VA|VETERANS ADMIN]	standard_charge|[payer_CHAMPS VA|VETERANS ADMIN] |percent	standard_charge|[payer_CHAMPS VA|VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_CHAMPS VA|VETERANS ADMIN]	standard_charge|[payer_CIGNA EVERNORTH|HMO/PPO]	standard_charge|[payer_CIGNA EVERNORTH|HMO/PPO] |percent	standard_charge|[payer_CIGNA EVERNORTH|HMO/PPO] |contracting_method	additional_payer_notes |[payer_CIGNA EVERNORTH|HMO/PPO]	standard_charge|[payer_COMMUNITY HEALTH DIRECT|COMMERCIAL]	standard_charge|[payer_COMMUNITY HEALTH DIRECT|COMMERCIAL] |percent	standard_charge|[payer_COMMUNITY HEALTH DIRECT|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_COMMUNITY HEALTH DIRECT|COMMERCIAL]	standard_charge|[payer_COMP PSYCH|COMMERCIAL]	standard_charge|[payer_COMP PSYCH|COMMERCIAL] |percent	standard_charge|[payer_COMP PSYCH|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_COMP PSYCH|COMMERCIAL]	standard_charge|[payer_DCS KIDTRAKS|LOCAL GOVT]	standard_charge|[payer_DCS KIDTRAKS|LOCAL GOVT] |percent	standard_charge|[payer_DCS KIDTRAKS|LOCAL GOVT] |contracting_method	additional_payer_notes |[payer_DCS KIDTRAKS|LOCAL GOVT]	standard_charge|[payer_DEPT OF VETERANS AFFAIRS|VETERANS ADMIN]	standard_charge|[payer_DEPT OF VETERANS AFFAIRS|VETERANS ADMIN] |percent	standard_charge|[payer_DEPT OF VETERANS AFFAIRS|VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_DEPT OF VETERANS AFFAIRS|VETERANS ADMIN]	standard_charge|[payer_ENCORE|HMO/PPO]	standard_charge|[payer_ENCORE|HMO/PPO] |percent	standard_charge|[payer_ENCORE|HMO/PPO] |contracting_method	additional_payer_notes |[payer_ENCORE|HMO/PPO]	standard_charge|[payer_GEHA UNITED HEALTHCARE|HMO/PPO]	standard_charge|[payer_GEHA UNITED HEALTHCARE|HMO/PPO] |percent	standard_charge|[payer_GEHA UNITED HEALTHCARE|HMO/PPO] |contracting_method	additional_payer_notes |[payer_GEHA UNITED HEALTHCARE|HMO/PPO]	standard_charge|[payer_HUMANA GOLD CHOICE|MANAGED MEDICARE]	standard_charge|[payer_HUMANA GOLD CHOICE|MANAGED MEDICARE] |percent	standard_charge|[payer_HUMANA GOLD CHOICE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_HUMANA GOLD CHOICE|MANAGED MEDICARE]	standard_charge|[payer_HUMANA INSURANCE|COMMERCIAL]	standard_charge|[payer_HUMANA INSURANCE|COMMERCIAL] |percent	standard_charge|[payer_HUMANA INSURANCE|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_HUMANA INSURANCE|COMMERCIAL]	standard_charge|[payer_HUMANA INSURANCE|HMO/PPO]	standard_charge|[payer_HUMANA INSURANCE|HMO/PPO] |percent	standard_charge|[payer_HUMANA INSURANCE|HMO/PPO] |contracting_method	additional_payer_notes |[payer_HUMANA INSURANCE|HMO/PPO]	standard_charge|[payer_IMAGINE 360|COMMERCIAL]	standard_charge|[payer_IMAGINE 360|COMMERCIAL] |percent	standard_charge|[payer_IMAGINE 360|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_IMAGINE 360|COMMERCIAL]	standard_charge|[payer_IU HEALTH|COMMERCIAL]	standard_charge|[payer_IU HEALTH|COMMERCIAL] |percent	standard_charge|[payer_IU HEALTH|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_IU HEALTH|COMMERCIAL]	standard_charge|[payer_KEY BENEFIT ADMIN|COMMERCIAL]	standard_charge|[payer_KEY BENEFIT ADMIN|COMMERCIAL] |percent	standard_charge|[payer_KEY BENEFIT ADMIN|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_KEY BENEFIT ADMIN|COMMERCIAL]	standard_charge|[payer_MAGELLAN|HMO/PPO]	standard_charge|[payer_MAGELLAN|HMO/PPO] |percent	standard_charge|[payer_MAGELLAN|HMO/PPO] |contracting_method	additional_payer_notes |[payer_MAGELLAN|HMO/PPO]	standard_charge|[payer_MDWISE HIP|MANAGED MEDICAID]	standard_charge|[payer_MDWISE HIP|MANAGED MEDICAID] |percent	standard_charge|[payer_MDWISE HIP|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MDWISE HIP|MANAGED MEDICAID]	standard_charge|[payer_MDWISE HOOSIER HEALTHWISE|MANAGED MEDICAID]	standard_charge|[payer_MDWISE HOOSIER HEALTHWISE|MANAGED MEDICAID] |percent	standard_charge|[payer_MDWISE HOOSIER HEALTHWISE|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MDWISE HOOSIER HEALTHWISE|MANAGED MEDICAID]	standard_charge|[payer_MEDICAID IN|MEDICAID ]	standard_charge|[payer_MEDICAID IN|MEDICAID ] |percent	standard_charge|[payer_MEDICAID IN|MEDICAID ] |contracting_method	additional_payer_notes |[payer_MEDICAID IN|MEDICAID ]	standard_charge|[payer_MEDICARE|MEDICARE]	standard_charge|[payer_MEDICARE|MEDICARE] |percent	standard_charge|[payer_MEDICARE|MEDICARE] |contracting_method	additional_payer_notes |[payer_MEDICARE|MEDICARE]	standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL]	standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL] |percent	standard_charge|[payer_MERITAIN HEALTH|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_MERITAIN HEALTH|COMMERCIAL]	standard_charge|[payer_MHS CENPATICO HIP|MANAGED MEDICAID]	standard_charge|[payer_MHS CENPATICO HIP|MANAGED MEDICAID] |percent	standard_charge|[payer_MHS CENPATICO HIP|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MHS CENPATICO HIP|MANAGED MEDICAID]	standard_charge|[payer_MHS CENPATICO MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_MHS CENPATICO MEDICAID|MANAGED MEDICAID] |percent	standard_charge|[payer_MHS CENPATICO MEDICAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MHS CENPATICO MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_MISC COMMERICAL|COMMERCIAL]	standard_charge|[payer_MISC COMMERICAL|COMMERCIAL] |percent	standard_charge|[payer_MISC COMMERICAL|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_MISC COMMERICAL|COMMERCIAL]	standard_charge|[payer_MISC MGD MCDAID|MANAGED MEDICAID]	standard_charge|[payer_MISC MGD MCDAID|MANAGED MEDICAID] |percent	standard_charge|[payer_MISC MGD MCDAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MISC MGD MCDAID|MANAGED MEDICAID]	standard_charge|[payer_MISC MGD MCDCAID|MANAGED MEDICAID]	standard_charge|[payer_MISC MGD MCDCAID|MANAGED MEDICAID] |percent	standard_charge|[payer_MISC MGD MCDCAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_MISC MGD MCDCAID|MANAGED MEDICAID]	standard_charge|[payer_MISC MGD MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_MISC MGD MEDICARE|MANAGED MEDICARE] |percent	standard_charge|[payer_MISC MGD MEDICARE|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_MISC MGD MEDICARE|MANAGED MEDICARE]	standard_charge|[payer_OPTUM HEALTH|HMO/PPO]	standard_charge|[payer_OPTUM HEALTH|HMO/PPO] |percent	standard_charge|[payer_OPTUM HEALTH|HMO/PPO] |contracting_method	additional_payer_notes |[payer_OPTUM HEALTH|HMO/PPO]	standard_charge|[payer_PHP|COMMERCIAL]	standard_charge|[payer_PHP|COMMERCIAL] |percent	standard_charge|[payer_PHP|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_PHP|COMMERCIAL]	standard_charge|[payer_SAGAMORE|HMO/PPO]	standard_charge|[payer_SAGAMORE|HMO/PPO] |percent	standard_charge|[payer_SAGAMORE|HMO/PPO] |contracting_method	additional_payer_notes |[payer_SAGAMORE|HMO/PPO]	standard_charge|[payer_SIHO|COMMERCIAL]	standard_charge|[payer_SIHO|COMMERCIAL] |percent	standard_charge|[payer_SIHO|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_SIHO|COMMERCIAL]	standard_charge|[payer_TRICARE|TRICARE]	standard_charge|[payer_TRICARE|TRICARE] |percent	standard_charge|[payer_TRICARE|TRICARE] |contracting_method	additional_payer_notes |[payer_TRICARE|TRICARE]	standard_charge|[payer_UBH MEDICARE HMO|MANAGED MEDICARE]	standard_charge|[payer_UBH MEDICARE HMO|MANAGED MEDICARE] |percent	standard_charge|[payer_UBH MEDICARE HMO|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_UBH MEDICARE HMO|MANAGED MEDICARE]	standard_charge|[payer_UHC MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_UHC MEDICAID|MANAGED MEDICAID] |percent	standard_charge|[payer_UHC MEDICAID|MANAGED MEDICAID] |contracting_method	additional_payer_notes |[payer_UHC MEDICAID|MANAGED MEDICAID]	standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO]	standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO] |percent	standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO] |contracting_method	additional_payer_notes |[payer_UHC STUDENT RESOURCES|HMO/PPO]	standard_charge|[payer_UMR|COMMERCIAL]	standard_charge|[payer_UMR|COMMERCIAL] |percent	standard_charge|[payer_UMR|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_UMR|COMMERCIAL]	standard_charge|[payer_UNIFIED GROUP SERVICES|COMMERCIAL]	standard_charge|[payer_UNIFIED GROUP SERVICES|COMMERCIAL] |percent	standard_charge|[payer_UNIFIED GROUP SERVICES|COMMERCIAL] |contracting_method	additional_payer_notes |[payer_UNIFIED GROUP SERVICES|COMMERCIAL]	standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO]	standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO] |percent	standard_charge|[payer_UNITED HEALTHCARE|HMO/PPO] |contracting_method	additional_payer_notes |[payer_UNITED HEALTHCARE|HMO/PPO]	standard_charge|[payer_VA FEE BASIS|VETERANS ADMIN]	standard_charge|[payer_VA FEE BASIS|VETERANS ADMIN] |percent	standard_charge|[payer_VA FEE BASIS|VETERANS ADMIN] |contracting_method	additional_payer_notes |[payer_VA FEE BASIS|VETERANS ADMIN]	standard_charge|[payer_WELLCARE MEDICARE REPLACM|MANAGED MEDICARE]	standard_charge|[payer_WELLCARE MEDICARE REPLACM|MANAGED MEDICARE] |percent	standard_charge|[payer_WELLCARE MEDICARE REPLACM|MANAGED MEDICARE] |contracting_method	additional_payer_notes |[payer_WELLCARE MEDICARE REPLACM|MANAGED MEDICARE]
ACUTE	124	RC	facility	inpatient				2500	800	390.78	2500	2500		per diem		795		per diem		832		per diem		"DRG -  3 mth avg - $4,620.05"		DRG	Monthly Average	"DRG - 3 mth avg - 4,816.79"		DRG	Monthly Average	1184		per diem		1371.7		per diem		1371.7		per diem						"DRG - 3 Mth avg - $4,844.27"		DRG	Mounthly Average	1184		per diem		1184		per diem		858		per diem		1371.7		per diem		"DRG 3 Mth Average $3,250.99"		DRG	Monthly Avg	804.95		per diem		1037		per diem		975		per diem		840		per diem		550		per diem		DRG -$6391.15		DRG	Monthly Average	975		per diem		795		per diem		"DRG - 3 mth avg $4,008.87"		DRG	Monthly Average					756		per diem		800		per diem		"DRG - 3 mth avg $5,050.43"		DRG	Monthly Avg	780		per diem		750		per diem		1371.7		per diem		1371.7		per diem		1371.7		per diem		"DRG 3 Mth Avg $6,415.39"		DRG		800		per diem		1371.7		per diem		1371.7		per diem		390.78		per diem		2500		per diem										795		per diem		975		per diem		638		per diem		775		per diem		838.1		per diem		795		per diem		1371.7		per diem		795		per diem		795		per diem		975		per diem		795		per diem		"DRG 3 mth avg $5,459.02"		DRG		810		per diem	
ADULT DUAL DX UNIT 5	124	RC	facility	inpatient				2500	800	638	2500	2500		per diem		795		per diem		832		per diem										1184		per diem		1371.7		per diem		1371.7		per diem										1184		per diem		1184		per diem		858		per diem		1371.7		per diem						804.95		per diem		1037		per diem		975		per diem		840		per diem										975		per diem		795		per diem										756		per diem		800		per diem						780		per diem		750		per diem		1371.7		per diem		1371.7		per diem		1371.7		per diem						800		per diem		1371.7		per diem		1371.7		per diem						2500		per diem										795		per diem		975		per diem		638		per diem		775		per diem		838.1		per diem		795		per diem		1371.7		per diem		795		per diem		795		per diem		975		per diem		795		per diem						810		per diem	
ADOLESCENT INTENSIVE OUTPATIENT PROGRAM	905	RC	facility	outpatient				1250	300	139.74	1250									139.74		per diem										193		per diem		1166.96		per diem		1166.96		per diem		1166.96	per diem							193		per diem						208		per diem		1166.96		per diem										202		per diem						240		per diem																						243		per diem										420		per diem										1166.96		per diem		1166.96		per diem		1166.96		per diem										1166.96		per diem		1166.96		per diem										1250		per diem		1250		per diem														205		per diem										1166.96		per diem																									
ADULT INTENSIVE OUTPATIENT PROGRAM-MORNING	905	RC	facility	outpatient				1250	300	139.74	1250									139.74		per diem										193		per diem		509.3		per diem		509.3		per diem		1166.96	per diem							193		per diem						208		per diem		509.3		per diem										202		per diem						240		per diem																						243		per diem										420		per diem										509.3		per diem		509.3		per diem		1166.96		per diem										503.9		per diem		503.9		per diem										1250		per diem		1250		per diem														205		per diem										1166.96		per diem