PX-1240000002 — Hc R&b Semi Private Psych With Ect
Cite this view
HANK Price Transparency. (n.d.). HC R&B Semi Private Psych W/ Ect (CDM PX-1240000002) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/PX-1240000002?code_type=CDM
“HC R&B Semi Private Psych W/ Ect (CDM PX-1240000002) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/PX-1240000002?code_type=CDM. Accessed .
“HC R&B Semi Private Psych W/ Ect (CDM PX-1240000002) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/PX-1240000002?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,667–$3,667 (25th–75th percentile) across 2 hospitals · 101 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM PX-1240000002 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | VIVA [100269] | VIVA [10026902] | $3,142.96 | $4,622.00 | $1,987.46 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | UNITED HEALTHCARE [100060] | UHC [10006006] | $3,605.16 | $4,622.00 | $1,987.46 | 2026-03-31 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | ALLIED BENEFIT SYSTEMS INC [1106] | ALLIED BENEFIT SYSTEMS INC [110600] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | ASR PHYSICIANS CARE HEALTH PLAN [1160] | ASR PHYSICIANS CARE HEALTH PLANS [116000] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BARRY COUNTY CMH [3502] | BARRY COUNTY CMH [350200] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BAY ARENAC CARE LINK WAYNE CMH [3503] | BAY ARENAC CARE LINK WAYNE CMH [350300] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BEACON/CARELON BEHAVIORAL HEALTH [1198] | BEACON/CARELON BEHAVIORAL HEALTH [119800] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BEHAVIORAL HEALTH SYSTEMS [1115] | BEHAVIORAL HEALTH SYSTEMS [111500] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BERRIEN COUNTY CMH (RIVERWOOD) [3504] | BERRIEN COUNTY CMH [350400] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BLUE CARE NETWORK [1000] | BLUE CARE NETWORK [100000] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BLUE CROSS BLUE SHIELD [1001] | BLUE CROSS BLUE SHIELD [100101] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BLUE CROSS BLUE SHIELD MEDICARE [2102] | MEDICARE PLUS BLUE BCBSM [210200] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BLUE CROSS COMPLETE [3111] | BLUE CROSS COMPLETE [311100] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | BRANCH COUNTY CMH (PINES) [3505] | BRANCH COUNTY CMH [350500] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | CALHOUN COUNTY CMH [3506] | CALHOUN COUNTY CMH [350600] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | CASS COUNTY CMH [3507] | CASS COUNTY CMH [350700] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | CENTRAL MICHIGAN CMH [3508] | CENTRAL MICHIGAN CMH [350800] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | CHAMPVA [1117] | CHAMPVA [111700] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | CIGNA/EVERNORTH BEHAVIORAL HEALTH [1118] | CIGNA/EVERNORTH BEHAVIORAL HEALTH [111800] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | CLINTON EATON INGHAM CMH [3509] | CLINTON EATON INGHAM CMH [350900] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | COFINITY [1120] | COFINITY [112000] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | COMPSYCH [1122] | COMPSYCH [112200] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | COPPER COUNTRY CMH [3510] | COPPER COUNTRY CMH [351000] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | COVENTRY FIRST HEALTH [1124] | COVENTRY FIRST HEALTH [112400] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | FCMR CARE RESOURCES MEDICARE [2003] | FCMR CARE RESOURCES [200300] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | FCPC [1128] | FOREST COUNTY POTAWATOMI INS DEPT NHBP [112800] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | GENESEE COUNTY CMH [3513] | GENESEE COUNTY CMH [351300] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | GOGEBIC COUNTY CMH [3514] | GOGEBIC COUNTY CMH [351400] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | GOLDEN RULE [1131] | GOLDEN RULE [113100] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | GRAND VALLEY HEALTH PLAN [1203] | GVHP [120300] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | GRATIOT COUNTY CMH [3515] | GRATIOT COUNTY CMH [351500] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | GUIDING LIGHT [1214] | GUIDING LIGHT [121400] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HAP MEDICARE [2115] | HAP MEDICARE [211500] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HAP PPO/HEALTH ALLIANCE PLAN [1134] | HAP PPO HEALTH ALLIANCE PLAN [113400] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HEALTHSCOPE BENEFITS [1140] | HEALTHSCOPE BENEFITS [114000] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HIAWATHA CMH [3516] | HIAWATHA CMH [351600] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HILLSDALE COUNTY CMH [3523] | HILLSDALE COUNTY CMH [352300] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HUMANA [1141] | HUMANA [114100] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HUMANA MEDICARE [2104] | HUMANA MEDICARE ADVANTAGE HMO [210401] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HUMANA MEDICARE [2104] | HUMANA MEDICARE ADVANTAGE PPO [210400] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | HURON COUNTY CMH [3517] | HURON COUNTY CMH [351700] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | IONIA COUNTY CMH [3518] | IONIA COUNTY CMH [351800] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | JACKSON COUNTY CMH [3519] | JACKSON COUNTY CMH [351900] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | KALAMAZOO COUNTY CMH [3520] | KALAMAZOO COUNTY CMH [352000] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | KALAMAZOO PSYCH HOSPITAL [1143] | KALAMAZOO PSYCH HOSPITAL [114300] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | LAPEER COUNTY CMH [3521] | LAPEER COUNTY CMH [352100] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | LENAWEE COUNTY CMH [3522] | LENAWEE COUNTY CMH [352200] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | LIFECIRCLES PACE [2113] | LIFECIRCLES PACE [211301] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | LINECO [1145] | LINECO [114500] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | LIVINGSTON CMH [3524] | LIVINGSTON CMH [352400] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MACOMB COUNTY CMH [3525] | MACOMB COUNTY CMH [352500] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MANISTEE BENZIE COUNTY CMH [3526] | MANISTEE BENZIE COUNTY CMH [352600] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MCLAREN HEALTH MEDICAID [3103] | MCLAREN HEALTH MEDICAID [310300] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MCLAREN HEALTH PLAN [1149] | MCLAREN HEALTH PLAN [114900] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MEDICARE [2000] | MEDICARE A AND B [200002] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MERIDIAN MEDICAID [3104] | MERIDIAN COMPLETE DUAL MEDICAID 2NDARY [310402] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MERIDIAN MEDICARE [2105] | MERIDIAN COMPLETE DUAL MEDICARE [210502] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MERITAIN HEALTH PLAN [1153] | MERITAIN HEALTH PLAN [115300] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MOLINA [1156] | MOLINA MARKETPLACE HEALTHCARE [115600] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MOLINA MEDICAID [3105] | MOLINA MEDICAID [310500] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MOLINA MEDICAID [3105] | MOLINA MEDICAID HMP [310501] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MOLINA MEDICARE [2106] | MOLINA MEDICARE [210600] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MONROE COUNTY CMH [3527] | MONROE COUNTY CMH [352700] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MONTCALM COUNTY CMH [3528] | MONTCALM COUNTY CMH [352800] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | MUSKEGON COUNTY CMH [3529] | MUSKEGON COUNTY CMH [352900] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | NETWORK 180 [3530] | NETWORK 180 MI [353000] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | NEWAYGO COUNTY CMH [3531] | NEWAYGO COUNTY CMH [353100] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | NORTH COUNTRY CMH [3532] | NORTH COUNTRY CMH [353200] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | NORTH POINTE CMH [3533] | NORTH POINTE CMH [353300] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | NORTHEAST MICHIGAN CMH [3534] | NORTHEAST MICHIGAN CMH [353400] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | NORTHERN LAKES CMH [3536] | GRAND TRAVERSE LEELANAU CMH [353601] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | NORTHERN LAKES CMH [3536] | NORTHERN LAKES CMH [353600] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | OAKLAND COUNTY CMH [3537] | OAKLAND COUNTY CMH [353700] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | OTTAWA COUNTY CMH [3538] | OTTAWA COUNTY CMH [353800] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | PATHWAYS CMH [3539] | PATHWAYS CMH [353900] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | PHYSICIANS MUTUAL [1161] | PHYSICIANS MUTUAL [116100] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | PRIORITY HEALTH [1300] | PRIORITY HEALTH [130000] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | PRIORITY HEALTH MEDICAID [3107] | PRIORITY HEALTH MEDICAID [310700] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | PRIORITY HEALTH MEDICARE [2107] | PRIORITY HEALTH MEDICARE [210700] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | SAGINAW COUNTY CMH [3543] | SAGINAW COUNTY CMH [354300] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | SANILAC COUNTY CMH [3544] | SANILAC COUNTY CMH [354400] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | SENIOR CARE PARTNERS PACE [2116] | SENIOR CARE PARTNERS PACE [211600] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | ST CLAIR COUNTY CMH [3546] | ST CLAIR COUNTY CMH [354600] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA [1104] | AETNA [110400] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | TUSCOLA COUNTY CMH [3548] | TUSCOLA COUNTY CMH [354800] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | UBH [1167] | UNITED BEHAVIORAL HEALTH [116700] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | UHC MEDICAID [3108] | UHC COMM PLAN MEDICAID [310800] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | UHC MEDICARE [2108] | UNITED HEALTHCARE MEDICARE ADVANTAGE [210800] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | UMR [1169] | UNITED MEDICAL RESOURCE [116900] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | UNIVERSITY OF MICHIGAN HEALTH PLAN [1205] | UNIVERSITY OF MICHIGAN HEALTH PLAN [120500] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | UNIVERSITY OF MICHIGAN HEALTH PLAN COMM [1159] | UNIVERSITY OF MICHIGAN HEALTH PLAN COMM [115900] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | VANBUREN COUNTY CMH [3549] | VANBUREN COUNTY CMH [354900] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | WASHTENAW COUNTY CMH [3550] | WASHTENAW COUNTY CMH [355000] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | WAYNE COUNTY CMH [3551] | WAYNE COUNTY CMH [355100] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | WEB TPA [1175] | WEB TPA [117500] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | WELLCARE MEDICARE [2109] | WELLCARE HEALTH PLAN MEDICARE PPO [210900] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | WELLCARE MEDICARE [2109] | WELLCARE HEALTH PLAN MEDICARE HMO [210901] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | WELLVANCE CMH [3501] | WELLVANCE CMH [350100] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | WEST MICHIGAN CMH [3552] | WEST MICHIGAN CMH [355200] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AARP [1101] | AARP [110100] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA BETTER HEALTH MEDICAID [3112] | AETNA BETTER HEALTH DUAL MEDICAID 2NDARY [311200] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA BETTER HEALTH MEDICAID [3112] | AETNA BETTER HEALTH MEDICAID [311201] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA BETTER HEALTH MEDICAID [3112] | AETNA BETTER HEALTH MEDICAID HMP [311202] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA MEDICARE [2100] | AETNA BETTER HEALTH DUAL MEDICARE [210001] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | AETNA MEDICARE [2100] | AETNA MEDICARE ADVANTAGE [210000] | — | $3,667.00 | $2,933.60 | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | ST JOSEPH COUNTY CMH [3547] | ST JOSEPH COUNTY CMH [354700] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| PINE REST CHRISTIAN MENTAL HEALTH SERVICES Inpatient | ALLEGAN COUNTY CMH [3500] | ALLEGAN COUNTY CMH [350000] | — | $3,667.00 | — | 2024-12-04 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | CIGNA [100009] | CIGNA [10000901] | $3,743.82 | $4,622.00 | $1,987.46 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | AETNA [100001] | AETNA PPO [10000101] | $3,928.70 | $4,622.00 | $1,987.46 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | CLARITEV [100309] | CLARITEV [10030901] | $4,067.36 | $4,622.00 | $1,987.46 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | BEHAVIORAL HLTH SYS [100258] | BEHAVIORAL HLTH SYS [10025802] | $4,159.80 | $4,622.00 | $1,987.46 | 2026-03-31 | MRF ↗ |
| THE CHILDREN'S HOSPITAL OF ALABAMA InpatientFacility | CIGNA [100009] | EVERNORTH BEHAVIORAL HEALTH CIGNA [10000903] | $4,622.00 | $4,622.00 | $1,987.46 | 2026-03-31 | MRF ↗ |