hospital_name	last_updated_on	version	hospital_location	hospital_address	license_number|AZ	"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."																																																																																																																																																																																																																																				
"Mesa Development Sub, LLC"	5/31/2024	2.0.0	"Mesa, Arizona"	3322 South Ellsworth Rd	license_MED11249|AZ	TRUE																																																																																																																																																																																																																																				
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|[AETNA | HMO/PPO]|negotiated_dollar	standard_charge|[AETNA | HMO/PPO]|negotiated_percentage	standard_charge|[AETNA | HMO/PPO]|negotiated_algorithm	estimated_amount|[AETNA | HMO/PPO]	standard_charge|[AETNA | HMO/PPO]|methodology	additional_payer_notes|[AETNA | HMO/PPO]	standard_charge|[AETNA BANNER | HMO/PPO]|negotiated_dollar	standard_charge|[AETNA BANNER | HMO/PPO]|negotiated_percentage	standard_charge|[AETNA BANNER | HMO/PPO]|negotiated_algorithm	estimated_amount|[AETNA BANNER | HMO/PPO]	standard_charge|[AETNA BANNER | HMO/PPO]|methodology	additional_payer_notes|[AETNA BANNER | HMO/PPO]	standard_charge|[AHCCCS APACHE | MEDICAID]|negotiated_dollar	standard_charge|[AHCCCS APACHE | MEDICAID]|negotiated_percentage	standard_charge|[AHCCCS APACHE | MEDICAID]|negotiated_algorithm	estimated_amount|[AHCCCS APACHE | MEDICAID]	standard_charge|[AHCCCS APACHE | MEDICAID]|methodology	additional_payer_notes|[AHCCCS APACHE | MEDICAID]	standard_charge|[AHCCCS FED EMERGENCY | MEDICAID]|negotiated_dollar	standard_charge|[AHCCCS FED EMERGENCY | MEDICAID]|negotiated_percentage	standard_charge|[AHCCCS FED EMERGENCY | MEDICAID]|negotiated_algorithm	estimated_amount|[AHCCCS FED EMERGENCY | MEDICAID]	standard_charge|[AHCCCS FED EMERGENCY | MEDICAID]|methodology	additional_payer_notes|[AHCCCS FED EMERGENCY | MEDICAID]	standard_charge|[AHCCCS FEE FOR SERVICE | MEDICAID]|negotiated_dollar	standard_charge|[AHCCCS FEE FOR SERVICE | MEDICAID]|negotiated_percentage	standard_charge|[AHCCCS FEE FOR SERVICE | MEDICAID]|negotiated_algorithm	estimated_amount|[AHCCCS FEE FOR SERVICE | MEDICAID]	standard_charge|[AHCCCS FEE FOR SERVICE | MEDICAID]|methodology	additional_payer_notes|[AHCCCS FEE FOR SERVICE | MEDICAID]	standard_charge|[AHCCCS GILA RIVER | MEDICAID]|negotiated_dollar	standard_charge|[AHCCCS GILA RIVER | MEDICAID]|negotiated_percentage	standard_charge|[AHCCCS GILA RIVER | MEDICAID]|negotiated_algorithm	estimated_amount|[AHCCCS GILA RIVER | MEDICAID]	standard_charge|[AHCCCS GILA RIVER | MEDICAID]|methodology	additional_payer_notes|[AHCCCS GILA RIVER | MEDICAID]	standard_charge|[AHCCCS IHS | MEDICAID]|negotiated_dollar	standard_charge|[AHCCCS IHS | MEDICAID]|negotiated_percentage	standard_charge|[AHCCCS IHS | MEDICAID]|negotiated_algorithm	estimated_amount|[AHCCCS IHS | MEDICAID]	standard_charge|[AHCCCS IHS | MEDICAID]|methodology	additional_payer_notes|[AHCCCS IHS | MEDICAID]	standard_charge|[AHCCCS NAVAJO NATION | MEDICAID]|negotiated_dollar	standard_charge|[AHCCCS NAVAJO NATION | MEDICAID]|negotiated_percentage	standard_charge|[AHCCCS NAVAJO NATION | MEDICAID]|negotiated_algorithm	estimated_amount|[AHCCCS NAVAJO NATION | MEDICAID]	standard_charge|[AHCCCS NAVAJO NATION | MEDICAID]|methodology	additional_payer_notes|[AHCCCS NAVAJO NATION | MEDICAID]	standard_charge|[AHCCCS PASCUA YAQUI | MEDICAID]|negotiated_dollar	standard_charge|[AHCCCS PASCUA YAQUI | MEDICAID]|negotiated_percentage	standard_charge|[AHCCCS PASCUA YAQUI | MEDICAID]|negotiated_algorithm	estimated_amount|[AHCCCS PASCUA YAQUI | MEDICAID]	standard_charge|[AHCCCS PASCUA YAQUI | MEDICAID]|methodology	additional_payer_notes|[AHCCCS PASCUA YAQUI | MEDICAID]	standard_charge|[ARIZONA COMPLETE HEALTH | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[ARIZONA COMPLETE HEALTH | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[ARIZONA COMPLETE HEALTH | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[ARIZONA COMPLETE HEALTH | MANAGED MEDICAID]	standard_charge|[ARIZONA COMPLETE HEALTH | MANAGED MEDICAID]|methodology	additional_payer_notes|[ARIZONA COMPLETE HEALTH | MANAGED MEDICAID]	standard_charge|[BANNER UNIVERSITY FC | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[BANNER UNIVERSITY FC | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[BANNER UNIVERSITY FC | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[BANNER UNIVERSITY FC | MANAGED MEDICAID]	standard_charge|[BANNER UNIVERSITY FC | MANAGED MEDICAID]|methodology	additional_payer_notes|[BANNER UNIVERSITY FC | MANAGED MEDICAID]	standard_charge|[BCBS CORP HEALTH | BLUE CROSS]|negotiated_dollar	standard_charge|[BCBS CORP HEALTH | BLUE CROSS]|negotiated_percentage	standard_charge|[BCBS CORP HEALTH | BLUE CROSS]|negotiated_algorithm	estimated_amount|[BCBS CORP HEALTH | BLUE CROSS]	standard_charge|[BCBS CORP HEALTH | BLUE CROSS]|methodology	additional_payer_notes|[BCBS CORP HEALTH | BLUE CROSS]	standard_charge|[BCBS FEDERAL | BLUE CROSS]|negotiated_dollar	standard_charge|[BCBS FEDERAL | BLUE CROSS]|negotiated_percentage	standard_charge|[BCBS FEDERAL | BLUE CROSS]|negotiated_algorithm	estimated_amount|[BCBS FEDERAL | BLUE CROSS]	standard_charge|[BCBS FEDERAL | BLUE CROSS]|methodology	additional_payer_notes|[BCBS FEDERAL | BLUE CROSS]	standard_charge|[BCBS OF AZ | BLUE CROSS]|negotiated_dollar	standard_charge|[BCBS OF AZ | BLUE CROSS]|negotiated_percentage	standard_charge|[BCBS OF AZ | BLUE CROSS]|negotiated_algorithm	estimated_amount|[BCBS OF AZ | BLUE CROSS]	standard_charge|[BCBS OF AZ | BLUE CROSS]|methodology	additional_payer_notes|[BCBS OF AZ | BLUE CROSS]	standard_charge|[BCBS OOS | BLUE CROSS]|negotiated_dollar	standard_charge|[BCBS OOS | BLUE CROSS]|negotiated_percentage	standard_charge|[BCBS OOS | BLUE CROSS]|negotiated_algorithm	estimated_amount|[BCBS OOS | BLUE CROSS]	standard_charge|[BCBS OOS | BLUE CROSS]|methodology	additional_payer_notes|[BCBS OOS | BLUE CROSS]	standard_charge|[CARE FIRST | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[CARE FIRST | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[CARE FIRST | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[CARE FIRST | MANAGED MEDICAID]	standard_charge|[CARE FIRST | MANAGED MEDICAID]|methodology	additional_payer_notes|[CARE FIRST | MANAGED MEDICAID]	standard_charge|[CHAMPVA | VETERANS ADMIN]|negotiated_dollar	standard_charge|[CHAMPVA | VETERANS ADMIN]|negotiated_percentage	standard_charge|[CHAMPVA | VETERANS ADMIN]|negotiated_algorithm	estimated_amount|[CHAMPVA | VETERANS ADMIN]	standard_charge|[CHAMPVA | VETERANS ADMIN]|methodology	additional_payer_notes|[CHAMPVA | VETERANS ADMIN]	standard_charge|[EVERNORTH | HMO/PPO]|negotiated_dollar	standard_charge|[EVERNORTH | HMO/PPO]|negotiated_percentage	standard_charge|[EVERNORTH | HMO/PPO]|negotiated_algorithm	estimated_amount|[EVERNORTH | HMO/PPO]	standard_charge|[EVERNORTH | HMO/PPO]|methodology	additional_payer_notes|[EVERNORTH | HMO/PPO]	standard_charge|[HEALTHCHOICE AZ | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[HEALTHCHOICE AZ | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[HEALTHCHOICE AZ | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[HEALTHCHOICE AZ | MANAGED MEDICAID]	standard_charge|[HEALTHCHOICE AZ | MANAGED MEDICAID]|methodology	additional_payer_notes|[HEALTHCHOICE AZ | MANAGED MEDICAID]	standard_charge|[HUMANA | HMO/PPO]|negotiated_dollar	standard_charge|[HUMANA | HMO/PPO]|negotiated_percentage	standard_charge|[HUMANA | HMO/PPO]|negotiated_algorithm	estimated_amount|[HUMANA | HMO/PPO]	standard_charge|[HUMANA | HMO/PPO]|methodology	additional_payer_notes|[HUMANA | HMO/PPO]	standard_charge|[MEDICARE | MEDICARE]|negotiated_dollar	standard_charge|[MEDICARE | MEDICARE]|negotiated_percentage	standard_charge|[MEDICARE | MEDICARE]|negotiated_algorithm	estimated_amount|[MEDICARE | MEDICARE]	standard_charge|[MEDICARE | MEDICARE]|methodology	additional_payer_notes|[MEDICARE | MEDICARE]	standard_charge|[MERCY CARE DCS CHP | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[MERCY CARE DCS CHP | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[MERCY CARE DCS CHP | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[MERCY CARE DCS CHP | MANAGED MEDICAID]	standard_charge|[MERCY CARE DCS CHP | MANAGED MEDICAID]|methodology	additional_payer_notes|[MERCY CARE DCS CHP | MANAGED MEDICAID]	standard_charge|[MERCY CARE PLAN | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[MERCY CARE PLAN | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[MERCY CARE PLAN | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[MERCY CARE PLAN | MANAGED MEDICAID]	standard_charge|[MERCY CARE PLAN | MANAGED MEDICAID]|methodology	additional_payer_notes|[MERCY CARE PLAN | MANAGED MEDICAID]	standard_charge|[MERCY CARE RHBA | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[MERCY CARE RHBA | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[MERCY CARE RHBA | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[MERCY CARE RHBA | MANAGED MEDICAID]	standard_charge|[MERCY CARE RHBA | MANAGED MEDICAID]|methodology	additional_payer_notes|[MERCY CARE RHBA | MANAGED MEDICAID]	standard_charge|[MISC COMMERCIAL | COMMERCIAL]|negotiated_dollar	standard_charge|[MISC COMMERCIAL | COMMERCIAL]|negotiated_percentage	standard_charge|[MISC COMMERCIAL | COMMERCIAL]|negotiated_algorithm	estimated_amount|[MISC COMMERCIAL | COMMERCIAL]	standard_charge|[MISC COMMERCIAL | COMMERCIAL]|methodology	additional_payer_notes|[MISC COMMERCIAL | COMMERCIAL]	standard_charge|[MISC HMO/PPO | HMO/PPO]|negotiated_dollar	standard_charge|[MISC HMO/PPO | HMO/PPO]|negotiated_percentage	standard_charge|[MISC HMO/PPO | HMO/PPO]|negotiated_algorithm	estimated_amount|[MISC HMO/PPO | HMO/PPO]	standard_charge|[MISC HMO/PPO | HMO/PPO]|methodology	additional_payer_notes|[MISC HMO/PPO | HMO/PPO]	standard_charge|[MISC MGD MCARE | MANAGED MEDICARE]|negotiated_dollar	standard_charge|[MISC MGD MCARE | MANAGED MEDICARE]|negotiated_percentage	standard_charge|[MISC MGD MCARE | MANAGED MEDICARE]|negotiated_algorithm	estimated_amount|[MISC MGD MCARE | MANAGED MEDICARE]	standard_charge|[MISC MGD MCARE | MANAGED MEDICARE]|methodology	additional_payer_notes|[MISC MGD MCARE | MANAGED MEDICARE]	standard_charge|[MISC MGD MCD | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[MISC MGD MCD | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[MISC MGD MCD | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[MISC MGD MCD | MANAGED MEDICAID]	standard_charge|[MISC MGD MCD | MANAGED MEDICAID]|methodology	additional_payer_notes|[MISC MGD MCD | MANAGED MEDICAID]	standard_charge|[MOLINA COMPLETE CARE | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[MOLINA COMPLETE CARE | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[MOLINA COMPLETE CARE | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[MOLINA COMPLETE CARE | MANAGED MEDICAID]	standard_charge|[MOLINA COMPLETE CARE | MANAGED MEDICAID]|methodology	additional_payer_notes|[MOLINA COMPLETE CARE | MANAGED MEDICAID]	standard_charge|[PRIVATE PAY-NX | PENDING MEDICAID]|negotiated_dollar	standard_charge|[PRIVATE PAY-NX | PENDING MEDICAID]|negotiated_percentage	standard_charge|[PRIVATE PAY-NX | PENDING MEDICAID]|negotiated_algorithm	estimated_amount|[PRIVATE PAY-NX | PENDING MEDICAID]	standard_charge|[PRIVATE PAY-NX | PENDING MEDICAID]|methodology	additional_payer_notes|[PRIVATE PAY-NX | PENDING MEDICAID]	standard_charge|[SUREST | HMO/PPO]|negotiated_dollar	standard_charge|[SUREST | HMO/PPO]|negotiated_percentage	standard_charge|[SUREST | HMO/PPO]|negotiated_algorithm	estimated_amount|[SUREST | HMO/PPO]	standard_charge|[SUREST | HMO/PPO]|methodology	additional_payer_notes|[SUREST | HMO/PPO]	standard_charge|[TRICARE WEST | TRICARE]|negotiated_dollar	standard_charge|[TRICARE WEST | TRICARE]|negotiated_percentage	standard_charge|[TRICARE WEST | TRICARE]|negotiated_algorithm	estimated_amount|[TRICARE WEST | TRICARE]	standard_charge|[TRICARE WEST | TRICARE]|methodology	additional_payer_notes|[TRICARE WEST | TRICARE]	standard_charge|[UHC COMMUNITY PLAN | MANAGED MEDICAID]|negotiated_dollar	standard_charge|[UHC COMMUNITY PLAN | MANAGED MEDICAID]|negotiated_percentage	standard_charge|[UHC COMMUNITY PLAN | MANAGED MEDICAID]|negotiated_algorithm	estimated_amount|[UHC COMMUNITY PLAN | MANAGED MEDICAID]	standard_charge|[UHC COMMUNITY PLAN | MANAGED MEDICAID]|methodology	additional_payer_notes|[UHC COMMUNITY PLAN | MANAGED MEDICAID]	standard_charge|[UHC DUAL COMPLETE | MANAGED MEDICARE]|negotiated_dollar	standard_charge|[UHC DUAL COMPLETE | MANAGED MEDICARE]|negotiated_percentage	standard_charge|[UHC DUAL COMPLETE | MANAGED MEDICARE]|negotiated_algorithm	estimated_amount|[UHC DUAL COMPLETE | MANAGED MEDICARE]	standard_charge|[UHC DUAL COMPLETE | MANAGED MEDICARE]|methodology	additional_payer_notes|[UHC DUAL COMPLETE | MANAGED MEDICARE]	standard_charge|[UMR | HMO/PPO]|negotiated_dollar	standard_charge|[UMR | HMO/PPO]|negotiated_percentage	standard_charge|[UMR | HMO/PPO]|negotiated_algorithm	estimated_amount|[UMR | HMO/PPO]	standard_charge|[UMR | HMO/PPO]|methodology	additional_payer_notes|[UMR | HMO/PPO]	standard_charge|[UNITED BEHAVIORAL HEALTH | HMO/PPO]|negotiated_dollar	standard_charge|[UNITED BEHAVIORAL HEALTH | HMO/PPO]|negotiated_percentage	standard_charge|[UNITED BEHAVIORAL HEALTH | HMO/PPO]|negotiated_algorithm	estimated_amount|[UNITED BEHAVIORAL HEALTH | HMO/PPO]	standard_charge|[UNITED BEHAVIORAL HEALTH | HMO/PPO]|methodology	additional_payer_notes|[UNITED BEHAVIORAL HEALTH | HMO/PPO]	standard_charge|[WPS VA | VETERANS ADMIN]|negotiated_dollar	standard_charge|[WPS VA | VETERANS ADMIN]|negotiated_percentage	standard_charge|[WPS VA | VETERANS ADMIN]|negotiated_algorithm	estimated_amount|[WPS VA | VETERANS ADMIN]	standard_charge|[WPS VA | VETERANS ADMIN]|methodology	additional_payer_notes|[WPS VA | VETERANS ADMIN]	additional_generic_notes
R&B PSYCH 	124	RC	facility	inpatient				2700	1100	1100	2700	2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem						per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem						per diem		2700				per diem		2700				per diem		1100				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		
R&B DETOX	126	RC	facility	inpatient				2700	1100	1100	2700	2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem						per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem						per diem		2700				per diem		2700				per diem		1100				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		2700				per diem		
IOP PSYCH 	905	RC	facility	outpatient				800	300	300	800	800				per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem		800				per diem		800				per diem		800				per diem		800				per diem						per diem		800				per diem		800				per diem						per diem		800				per diem		800				per diem						per diem						per diem						per diem		800				per diem		800				per diem		800				per diem		800				per diem						per diem		300				per diem						per diem						per diem						per diem						per diem		800				per diem		800				per diem		800				per diem		
IOP PSYCH TELE	905	RC	facility	outpatient				1400	300	300	800	800				per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem		800				per diem		800				per diem		800				per diem		800				per diem						per diem		800				per diem		800				per diem						per diem		800				per diem		800				per diem						per diem						per diem						per diem		800				per diem		800				per diem		800				per diem		800				per diem						per diem		300				per diem						per diem						per diem						per diem						per diem		800				per diem		800				per diem		800				per diem		
IOP CD 	906	RC	facility	outpatient				800	300	300	800					per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem		
IOP CD TELE	906	RC	facility	outpatient				1400	300	300	800					per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem						per diem