hospital_name,last_ updated _on,version,hospital _location,hospital _address,license_number |[state],"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated.",,,,,,,,,,,,
"RED RIVER BEHAVIORAL CENTER, LLC",10/13/2025,2.0.0,"BOSSIER CITY, LOUISIANA","2800 MELROSE AVE., BOSSIER CITY LA 71111",CMS:  194079                           State: 572,TRUE,,,,,,,,,,,,
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description,REVENUE      code|[i] ,code|[i] |type,setting,drug_unit_of _measurement,drug_type_of _measurement,standard_charge| GROSS,standard _charge| discounted _cash,payer_name,plan_name,modifiers,standard_ charge |negotiated_ dollar,standard _charge| negotiated _percentage, standard_ charge| negotiated _algorithm ,estimated _amount,standard_ charge|min,standard_ charge|max,standard_ charge|methodology,additional_generic _notes
PHYSICIAN SERVICES,"99203, 99204, 99205, 99243, 99244, 99385, 9386",HCPCS,Inpatient  ,,,Not Provided by hospital.  May be billed seperately,,,,,,,,,,,,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",Self Pay,none,,$895.00 ,n/a,,$895.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",AETNA,Aetna Better Health LA Mgd MCD,,$737.63 ,100%,,$737.63 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",AETNA,AETNA MCR,,$855.00 ,100%,,$855.00 ,$600.00 ,"$1,300.00 ",per diem,This service will be charge as a % of Medicare PPS
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",BCBS OF LA,BCBS HMO,,$890.00 ,100%,,$890.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",BCBS OF LA,HEALTHY BLUE MCD,,$737.63 ,100%,,$737.63 ,$600.00 ,"$1,300.00 ",per diem, 
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",BCBS FEDERAL,BCBS FED,,$895.00 ,100%,,$895.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",CIGNA,CIGNA BEHAVIORAL,,$880.00 ,100%,,$880.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",HUMANA,HUMANA HEALTHY HORIZONS -MCD,,$737.63 ,100%,,$737.63 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",HUMANA,HUMANA MCR ADVANTAGE,,$895.00 ,100%,,$900.00 ,$600.00 ,"$1,300.00 ",per diem,This service will be charge as a % of Medicare PPS
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",HUMANA,HUMANA,,$895.00 ,100%,,$900.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",TRICARE,TRIWEST,,$895.00 ,100%,,$895.00 ,$600.00 ,"$1,300.00 ",per diem,This service will be charge as a % of Medicare PPS
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",VA,VA CCN OPTUM,,$895.00 ,100%,,$895.00 ,$600.00 ,"$1,300.00 ",per diem,This service will be charge as a % of Medicare PPS
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",AMERIHEALTH CARITAS,AMERIHEALTH Mgd MCD,,$737.63 ,100%,,$737.63 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",AMERIGROUP,MCR ADVANTAGE,,$865.00 ,100%,,$865.00 ,$600.00 ,"$1,300.00 ",per diem,This service will be charge as a % of Medicare PPS
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",LOUISIANA HEALTHCARE CONNECTION,La HCC Mgd MCD,,$737.63 ,100%,,$737.63 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",MEDICARE PART A,MEDICARE PART A,,$895.00 ,100%,,$895.00 ,$600.00 ,"$1,300.00 ",per diem,This service will be charge as a % of Medicare PPS
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",UNITED HEALTHCARE,UNITED BEHAVIORAL HEALTH,,$775.00 ,100%,,$775.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",UNITED HEALTHCARE,UHC - Mgd MCD,,$775.00 ,100%,,$775.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",UNITED HEALTHCARE,UHC MEDICARE ADVANTAGE,,$775.00 ,100%,,$775.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",UNITED HEALTHCARE,UHC MEDICARE DUAL COMPLETE,,$775.00 ,100%,,$775.00 ,$600.00 ,"$1,300.00 ",per diem,
Inpatient-Psychiatric,124,rev cd,Inpatient,,,"$1,300.00 ","$1,300.00 ",UHC PEOPLES,PEOPLES HEALTH,,$775.00 ,100%,,$775.00 ,$600.00 ,"$1,300.00 ",per diem,
Intensive Outpatient,915,rev cd,IOP,,,$300.00 ,$300.00 ,MEDICARE PART B,MEDICARE PART B, ,$251.70 ,,,$251.70 ,$100.00 ,$300.00 ,OTHER,This service will be charge as a Per Visit
Intensive Outpatient,915,rev cd,IOP,,,$300.00 ,$300.00 ,AETNA,AETNA ADVANTAGE,,$200.00 ,,,$200.00 ,$100.00 ,$300.00 ,OTHER,This service will be charge as a Per Visit
Intensive Outpatient,915,rev cd,IOP,,,$300.00 ,$300.00 ,AETNA,AETNA BETTER HEALTH Mgd MCD,,$139.05 ,,,$139.05 ,$100.00 ,$300.00 ,OTHER,This service will be charge as a Per Visit
Intensive Outpatient,915,rev cd,IOP,,,$300.00 ,$300.00 ,HUMANA,HUMANA MCR ADVANTAGE,,$246.55 ,,,$246.55 ,$100.00 ,$300.00 ,OTHER,This service will be charge as a Per Visit
Intensive Outpatient,915,rev cd,IOP,,,$300.00 ,$300.00 ,TRICARE,TRIWEST,,$195.00 ,,,$195.00 ,$100.00 ,$300.00 ,OTHER,This service will be charge as a Per Visit
Intensive Outpatient,915,rev cd,IOP,,,$300.00 ,$300.00 ,BCBS of LA,HEALTHY BLUE Mgd MCD,,$139.05 ,,,$139.05 ,$100.00 ,$300.00 ,OTHER,This service will be charge as a Per Visit
Intensive Outpatient,915,rev cd,IOP,,,$300.00 ,$300.00 ,BCBS of LA,BCBS,,$200.00 ,,,$200.00 ,$100.00 ,$300.00 ,OTHER,This service will be charge as a Per Visit
Group Psychotherapy Intensive Outpatient,915,rev cd,IOP,,,All services covered by per diem/contract rate.,,,,,,,,,,,,
PHYSICIAN SERVICES OUTPATIENT,"99203, 99204, 99205, 99243, 99244, 99385, 9386",HCPCS,IOP,,,Not Provided by hospital.  May be billed seperately,,,,,,,,,,,,
Inpatient-Psychiatric  LAB,300,rev cd,inpatient,,,All services covered by per diem/contract rate.,,,,,,,,,,,,
Inpatient - Group Psychotherapy,915,rev cd,Inpatient  ,,,All services covered by per diem/contract rate.,,,,,,,,,,,,
Inpatient- Recreational Therapy,904,rev cd,inpatient,,,All services covered by per diem/contract rate.,,,,,,,,,,,,
Inpatient-Psychiatric PHARMACY,250,rev cd,inpatient,,,All services covered by per diem/contract rate.,,,,,,,,,,,,
Inpatient-Psychiatric  RADIOLOGY,320,rev cd,inpatient,,,All services covered by per diem/contract rate.,,,,,,,,,,,,
Inpatient-Psychiatric SUPPLIES,270,rev cd,inpatient,,,All services covered by per diem/contract rate.,,,,,,,,,,,,