hospital_name last_updated_on version hospital_location hospital_address license_number|MI "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." "Glenmaura Holdings, LLC" 5/31/2024 2.0.0 "Moosic, Pennaylvania" 60 Glnmaura Blvd license_ 231860 | PA TRUE description code |1 code|1|type setting drug_unit_of_measurement drug_type_of_measurement standard_charge | gross standard_charge|discounted_cash modifiers standard_charge|payer_CCBH ALLEGHENY|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH ALLEGHENY|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH ALLEGHENY|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH ALLEGHENY|plan_MANAGED MEDICAID standard_charge|payer_CCBH ALLEGHENY|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH ALLEGHENY|plan_MANAGED MEDICAID standard_charge|payer_CCBH BERKS|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH BERKS|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH BERKS|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH BERKS|plan_MANAGED MEDICAID standard_charge|payer_CCBH BERKS|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH BERKS|plan_MANAGED MEDICAID standard_charge|payer_CCBH CARBON/MONROE/PIKE|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH CARBON/MONROE/PIKE|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH CARBON/MONROE/PIKE|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH CARBON/MONROE/PIKE|plan_MANAGED MEDICAID standard_charge|payer_CCBH CARBON/MONROE/PIKE|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH CARBON/MONROE/PIKE|plan_MANAGED MEDICAID standard_charge|payer_CCBH CHESTER|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH CHESTER|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH CHESTER|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH CHESTER|plan_MANAGED MEDICAID standard_charge|payer_CCBH CHESTER|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH CHESTER|plan_MANAGED MEDICAID standard_charge|payer_CCBH DELAWARE|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH DELAWARE|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH DELAWARE|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH DELAWARE|plan_MANAGED MEDICAID standard_charge|payer_CCBH DELAWARE|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH DELAWARE|plan_MANAGED MEDICAID standard_charge|payer_CCBH NORTH CENTRAL|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH NORTH CENTRAL|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH NORTH CENTRAL|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH NORTH CENTRAL|plan_MANAGED MEDICAID standard_charge|payer_CCBH NORTH CENTRAL|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH NORTH CENTRAL|plan_MANAGED MEDICAID standard_charge|payer_CCBH NORTHEAST|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH NORTHEAST|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH NORTHEAST|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH NORTHEAST|plan_MANAGED MEDICAID standard_charge|payer_CCBH NORTHEAST|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH NORTHEAST|plan_MANAGED MEDICAID standard_charge|payer_CCBH YORK/ADAMS|plan_MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CCBH YORK/ADAMS|plan_MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CCBH YORK/ADAMS|plan_MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CCBH YORK/ADAMS|plan_MANAGED MEDICAID standard_charge|payer_CCBH YORK/ADAMS|plan_MANAGED MEDICAID |methodology additional_payer_notes |payer_CCBH YORK/ADAMS|plan_MANAGED MEDICAID standard_charge|payer_GEISINGER|plan_COMMERCIAL|negotiated_dollar standard_charge|payer_GEISINGER|plan_COMMERCIAL |negotiated_percentage standard_charge|payer_GEISINGER|plan_COMMERCIAL|negotiated_algorithm estimated_amount|payer_GEISINGER|plan_COMMERCIAL standard_charge|payer_GEISINGER|plan_COMMERCIAL |methodology additional_payer_notes |payer_GEISINGER|plan_COMMERCIAL standard_charge|min standard_charge | max additional_generic_notes ROOM AND BOARD PSYCH ADOLESCENT 124 RC inpatient 4200 1200 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1166.4 per diem 1150 1166.4 ROOM AND BOARD PSYCH ADULT 124 RC inpatient 3200 1200 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1166.4 per diem 1150 1166.4 ROOM AND BOARD PSYCH ADULT HA 124 RC inpatient 3200 1200 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1166.4 per diem 1150 1166.4 ROOM AND BOARD PSYCH CHILD 124 RC inpatient 4200 1200 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1166.4 per diem 1150 1166.4 ROOM AND BOARD PSYCH DUAL DX 124 RC inpatient 4200 1200 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1150 per diem 1166.4 per diem 1150 1166.4