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." "Ten Broeck Tampa, LLC" 5/31/2024 2.0.0 "Wesley Chapel, Florida" 29910 State Road 56 license_ 4514 | FL 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_ADVENTHEALTH DADECITY SCA |plan_INDUSTRIAL|negotiated_dollar standard_charge|payer_ADVENTHEALTH DADECITY SCA |plan_INDUSTRIAL |negotiated_percentage standard_charge|payer_ADVENTHEALTH DADECITY SCA |plan_INDUSTRIAL|negotiated_algorithm estimated_amount|payer_ADVENTHEALTH DADECITY SCA |plan_INDUSTRIAL standard_charge|payer_ADVENTHEALTH DADECITY SCA |plan_INDUSTRIAL |methodology additional_payer_notes |payer_ADVENTHEALTH DADECITY SCA |plan_INDUSTRIAL standard_charge|payer_ADVENTHEALTH ZPHYHLLS SCA |plan_INDUSTRIAL|negotiated_dollar standard_charge|payer_ADVENTHEALTH ZPHYHLLS SCA |plan_INDUSTRIAL|negotiated_percentage standard_charge|payer_ADVENTHEALTH ZPHYHLLS SCA |plan_INDUSTRIAL|negotiated_algorithm estimated_amount|payer_ADVENTHEALTH ZPHYHLLS SCA |plan_INDUSTRIAL standard_charge|payer_ADVENTHEALTH ZPHYHLLS SCA |plan_INDUSTRIAL |methodology additional_payer_notes |payer_ADVENTHEALTH ZPHYHLLS SCA |plan_INDUSTRIAL standard_charge|payer_AETNA BEHAVIORAL HEALTH |plan_ HMO/PPO|negotiated_dollar standard_charge|payer_AETNA BEHAVIORAL HEALTH |plan_ HMO/PPO |negotiated_percentage standard_charge|payer_AETNA BEHAVIORAL HEALTH |plan_ HMO/PPO|negotiated_algorithm estimated_amount|payer_AETNA BEHAVIORAL HEALTH |plan_ HMO/PP standard_charge|payer_AETNA BEHAVIORAL HEALTH |plan_ HMO/PPO |methodology additional_payer_notes |payer_AETNA BEHAVIORAL HEALTH |plan_ HMO/PPO standard_charge|payer_AETNA BETTER HEALTH OF FL |plan_ MANAGED MEDICAID|negotiated_dollar standard_charge|payer_AETNA BETTER HEALTH OF FL |plan_ MANAGED MEDICAID |negotiated_percentage standard_charge|payer_AETNA BETTER HEALTH OF FL |plan_ MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_AETNA BETTER HEALTH OF FL |plan_ MANAGED MEDICAID standard_charge|payer_AETNA BETTER HEALTH OF FL |plan_ MANAGED MEDICAID |methodology additional_payer_notes |payer_AETNA BETTER HEALTH OF FL |plan_ MANAGED MEDICAID standard_charge|payer_AETNA MEDICARE PPO |plan_ MANAGED MEDICARE|negotiated_dollar standard_charge|payer_AETNA MEDICARE PPO |plan_ MANAGED MEDICARE |negotiated_percentage standard_charge|payer_AETNA MEDICARE PPO |plan_ MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_AETNA MEDICARE PPO |plan_ MANAGED MEDICARE standard_charge|payer_AETNA MEDICARE PPO |plan_ MANAGED MEDICARE |methodology additional_payer_notes |payer_AETNA MEDICARE PPO |plan_ MANAGED MEDICARE standard_charge|payer_ALL SAVERS/UHC |plan_ HMO/PPO|negotiated_dollar standard_charge|payer_ALL SAVERS/UHC |plan_ HMO/PPO |negotiated_percentage standard_charge|payer_ALL SAVERS/UHC |plan_ HMO/PPO|negotiated_algorithm estimated_amount|payer_ALL SAVERS/UHC |plan_ HMO/PPO standard_charge|payer_ALL SAVERS/UHC |plan_ HMO/PPO |methodology 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|plan_ HMO/PPO standard_charge|payer_BAYCARE PLUS MEDICARE ADV |plan_ MANAGED MEDICARE|negotiated_dollar standard_charge|payer_BAYCARE PLUS MEDICARE ADV |plan_ MANAGED MEDICARE |negotiated_percentage standard_charge|payer_BAYCARE PLUS MEDICARE ADV |plan_ MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_BAYCARE PLUS MEDICARE ADV |plan_ MANAGED MEDICARE standard_charge|payer_BAYCARE PLUS MEDICARE ADV |plan_ MANAGED MEDICARE |methodology additional_payer_notes |payer_BAYCARE PLUS MEDICARE ADV |plan_ MANAGED MEDICARE standard_charge|payer_BCBS MANAGED MEDICARE |plan_ MANAGED MEDICARE|negotiated_dollar standard_charge|payer_BCBS MANAGED MEDICARE |plan_ MANAGED MEDICARE |negotiated_percentage standard_charge|payer_BCBS MANAGED MEDICARE |plan_ MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_BCBS MANAGED MEDICARE |plan_ MANAGED MEDICARE standard_charge|payer_BCBS MANAGED MEDICARE |plan_ MANAGED MEDICARE |methodology additional_payer_notes |payer_BCBS MANAGED MEDICARE |plan_ MANAGED MEDICARE standard_charge|payer_BLUE CROSS BLUE SHIELD |plan_ BLUE CROSS|negotiated_dollar standard_charge|payer_BLUE CROSS BLUE SHIELD |plan_ BLUE CROSS |negotiated_percentage standard_charge|payer_BLUE CROSS BLUE SHIELD |plan_ BLUE CROSS|negotiated_algorithm estimated_amount|payer_BLUE CROSS BLUE SHIELD |plan_ BLUE CROSS standard_charge|payer_BLUE CROSS BLUE SHIELD |plan_ BLUE CROSS |methodology additional_payer_notes |payer_BLUE CROSS BLUE SHIELD |plan_ BLUE CROSS standard_charge|payer_CARELON BEHAVIORAL HS COM |plan_ HMO/PPO|negotiated_dollar standard_charge|payer_CARELON BEHAVIORAL HS COM |plan_ HMO/PPO|negotiated_percentage standard_charge|payer_CARELON BEHAVIORAL HS COM |plan_ HMO/PPO|negotiated_algorithm estimated_amount|payer_CARELON BEHAVIORAL HS COM |plan_ HMO/PPO standard_charge|payer_CARELON BEHAVIORAL HS COM |plan_ HMO/PPO |methodology additional_payer_notes |payer_CARELON BEHAVIORAL HS COM |plan_ HMO/PPO standard_charge|payer_CARELON BEHAVIORAL HS MCD |plan_ MANAGED MEDICAID|negotiated_dollar standard_charge|payer_CARELON BEHAVIORAL HS MCD |plan_ MANAGED MEDICAID |negotiated_percentage standard_charge|payer_CARELON BEHAVIORAL HS MCD |plan_ MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_CARELON BEHAVIORAL HS MCD |plan_ MANAGED MEDICAID standard_charge|payer_CARELON BEHAVIORAL HS MCD |plan_ MANAGED MEDICAID |methodology additional_payer_notes |payer_CARELON BEHAVIORAL HS MCD |plan_ MANAGED MEDICAID standard_charge|payer_CARELON BEHAVIORAL HS MCR |plan_ MANAGED MEDICARE|negotiated_dollar standard_charge|payer_CARELON BEHAVIORAL HS MCR |plan_ MANAGED MEDICARE |negotiated_percentage standard_charge|payer_CARELON BEHAVIORAL HS MCR |plan_ MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_CARELON BEHAVIORAL HS MCR |plan_ MANAGED MEDICARE standard_charge|payer_CARELON BEHAVIORAL HS MCR |plan_ MANAGED MEDICARE |methodology additional_payer_notes |payer_CARELON BEHAVIORAL HS MCR |plan_ MANAGED MEDICARE 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|negotiated_percentage standard_charge|payer_MAGELLAN MANAGED MEDICARE |plan_ MANAGED MEDICARE|negotiated_algorithm estimated_amount|payer_MAGELLAN MANAGED MEDICARE |plan_ MANAGED MEDICARE standard_charge|payer_MAGELLAN MANAGED MEDICARE |plan_ MANAGED MEDICARE |methodology additional_payer_notes |payer_MAGELLAN MANAGED MEDICARE |plan_ MANAGED MEDICARE standard_charge|payer_MEDICARE |plan_ MEDICARE|negotiated_dollar standard_charge|payer_MEDICARE |plan_ MEDICARE |negotiated_percentage standard_charge|payer_MEDICARE |plan_ MEDICARE|negotiated_algorithm estimated_amount|payer_MEDICARE |plan_ MEDICARE standard_charge|payer_MEDICARE |plan_ MEDICARE |methodology additional_payer_notes |payer_MEDICARE |plan_ MEDICARE standard_charge|payer_MERITAIN HEALTH |plan_ HMO/PPO|negotiated_dollar standard_charge|payer_MERITAIN HEALTH |plan_ HMO/PPO |negotiated_percentage standard_charge|payer_MERITAIN HEALTH |plan_ HMO/PPO|negotiated_algorithm estimated_amount|payer_MERITAIN HEALTH |plan_ HMO/PPO standard_charge|payer_MERITAIN HEALTH |plan_ HMO/PPO |methodology additional_payer_notes |payer_MERITAIN HEALTH |plan_ HMO/PPO standard_charge|payer_MOLINA HEALTHCARE OF FL |plan_ HMO/PPO|negotiated_dollar standard_charge|payer_MOLINA HEALTHCARE OF FL |plan_ HMO/PPO |negotiated_percentage standard_charge|payer_MOLINA HEALTHCARE OF FL |plan_ HMO/PPO|negotiated_algorithm estimated_amount|payer_MOLINA HEALTHCARE OF FL |plan_ HMO/PPO standard_charge|payer_MOLINA HEALTHCARE OF FL |plan_ HMO/PPO |methodology additional_payer_notes|payer_MOLINA HEALTHCARE OF FL |plan_ HMO/PPO standard_charge|payer_MOLINA MCD MCC |plan_ MANAGED MEDICAID|negotiated_dollar standard_charge|payer_MOLINA MCD MCC |plan_ MANAGED MEDICAID |negotiated_percentage standard_charge|payer_MOLINA MCD MCC |plan_ MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_MOLINA MCD MCC |plan_ MANAGED MEDICAID standard_charge|payer_MOLINA MCD MCC |plan_ MANAGED MEDICAID |methodology additional_payer_notes |payer_MOLINA MCD MCC |plan_ MANAGED MEDICAID standard_charge|payer_PASCO/PINELLAS COUNTY |plan_ COMMERCIAL|negotiated_dollar standard_charge|payer_PASCO/PINELLAS COUNTY |plan_ COMMERCIAL |negotiated_percentage standard_charge|payer_PASCO/PINELLAS COUNTY |plan_ COMMERCIAL|negotiated_algorithm estimated_amount|payer_PASCO/PINELLAS COUNTY |plan_ COMMERCIAL standard_charge|payer_PASCO/PINELLAS COUNTY |plan_ COMMERCIAL |methodology additional_payer_notes |payer_PASCO/PINELLAS COUNTY |plan_ COMMERCIAL standard_charge|payer_SUNSHINE HEALTH MEDICAID |plan_ MANAGED MEDICAID|negotiated_dollar standard_charge|payer_SUNSHINE HEALTH MEDICAID |plan_ MANAGED MEDICAID |negotiated_percentage standard_charge|payer_SUNSHINE HEALTH MEDICAID |plan_ MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_SUNSHINE HEALTH MEDICAID |plan_ MANAGED MEDICAID standard_charge|payer_SUNSHINE HEALTH MEDICAID |plan_ MANAGED MEDICAID |methodology additional_payer_notes |payer_SUNSHINE HEALTH MEDICAID |plan_ MANAGED MEDICAID 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|negotiated_percentage standard_charge|payer_UNITED STUDENT RESOURCES |plan_ HMO/PPO|negotiated_algorithm estimated_amount|payer_UNITED STUDENT RESOURCES |plan_ HMO/PPO standard_charge|payer_UNITED STUDENT RESOURCES |plan_ HMO/PPO |methodology additional_payer_notes |payer_UNITED STUDENT RESOURCES |plan_ HMO/PPO standard_charge|payer_VA CCN OPTUM VETERANS |plan_ ADMIN|negotiated_dollar standard_charge|payer_VA CCN OPTUM VETERANS |plan_ ADMIN |negotiated_percentage standard_charge|payer_VA CCN OPTUM VETERANS |plan_ ADMIN|negotiated_algorithm estimated_amount|payer_VA CCN OPTUM VETERANS |plan_ ADMIN standard_charge|payer_VA CCN OPTUM VETERANS |plan_ ADMIN |methodology additional_payer_notes |payer_VA CCN OPTUM VETERANS |plan_ ADMIN standard_charge|payer_WELLCARE STAYWELL |plan_ MANAGED MEDICAID|negotiated_dollar standard_charge|payer_WELLCARE STAYWELL |plan_ MANAGED MEDICAID |negotiated_percentage standard_charge|payer_WELLCARE STAYWELL |plan_ MANAGED MEDICAID|negotiated_algorithm estimated_amount|payer_WELLCARE STAYWELL |plan_ MANAGED MEDICAID standard_charge|payer_WELLCARE STAYWELL |plan_ MANAGED MEDICAID |methodology additional_payer_notes |payer_WELLCARE STAYWELL |plan_ MANAGED MEDICAID standard_charge|min standard_charge | max additional_generic_notes PSYCH ADOL UNIT M 124 RC inpatient 2400 650 450 per diem 450 per diem 987 per diem 800 per diem 987 per diem 910 per diem case rate based on diagnose 960 per diem case rate based on diagnose 1155 per diem 1155 per diem 945 per diem 909 per diem 909 per diem case rate based on diagnose 990 per diem case rate based on diagnose per diem 925 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 987 per diem case rate based on diagnose 800 per diem 450 per diem 775 per diem 910 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 815 per diem 910 per diem 910 per diem 750 per diem 910 per diem 910 per diem case rate based on diagnose case rate based on diagnose 450 1155 "PSYCH ADULT UNIT A, B, C, G" 124 RC inpatient 2400 650 450 per diem 450 per diem 987 per diem 800 per diem 987 per diem 910 per diem case rate based on diagnose 960 per diem case rate based on diagnose 1155 per diem 1155 per diem 945 per diem 909 per diem 909 per diem case rate based on diagnose 961 per diem case rate based on diagnose 800 per diem 925 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 987 per diem case rate based on diagnose 800 per diem 450 per diem 775 per diem 910 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 815 per diem 910 per diem 910 per diem 750 per diem 910 per diem 910 per diem case rate based on diagnose case rate based on diagnose 450 1155 R&B DETOX ADULT 126 RC inpatient 2400 650 450 per diem 450 per diem 987 per diem 800 per diem 987 per diem 910 per diem case rate based on diagnose 960 per diem case rate based on diagnose 1155 per diem 1155 per diem 945 per diem 909 per diem 909 per diem case rate based on diagnose 961 per diem case rate based on diagnose 800 per diem 925 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 987 per diem case rate based on diagnose 800 per diem 450 per diem 775 per diem 910 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 815 per diem 910 per diem 910 per diem 750 per diem 910 per diem 910 per diem case rate based on diagnose case rate based on diagnose 450 1155 R&B REHAB ADULT 128 RC inpatient 2400 650 987 per diem 987 per diem 910 per diem case rate based on diagnose 960 per diem case rate based on diagnose 1155 per diem 1155 per diem 945 per diem 909 per diem 909 per diem case rate based on diagnose 961 per diem case rate based on diagnose per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 987 per diem case rate based on diagnose 450 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 815 per diem 910 per diem 750 per diem 910 per diem 910 per diem case rate based on diagnose case rate based on diagnose 450 1155 IOP ADULT PSYCH 905 RC outpatient 540 225 217 per diem 250 per diem 217 per diem 196 per diem case rate based on diagnose 220 per diem case rate based on diagnose 265 per diem 265 per diem 225 per diem 229 per diem 229 per diem case rate based on diagnose 225 per diem case rate based on diagnose per diem 193 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 217 per diem case rate based on diagnose 200 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 210 per diem 215 per diem 215 per diem 170 per diem 215 per diem 215 per diem case rate based on diagnose case rate based on diagnose 170 265 IOP ADULT CD 906 RC outpatient 540 225 217 per diem 217 per diem 196 per diem case rate based on diagnose 220 per diem case rate based on diagnose 265 per diem 265 per diem 225 per diem 229 per diem 229 per diem case rate based on diagnose 225 per diem case rate based on diagnose per diem 193 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 217 per diem case rate based on diagnose 200 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 210 per diem 215 per diem 215 per diem 215 per diem case rate based on diagnose case rate based on diagnose 193 265 PHP ADULT PSYCH 912 RC outpatient 875 350 421 per diem 400 per diem 421 per diem 415 per diem case rate based on diagnose 320 per diem case rate based on diagnose 425 per diem 425 per diem 435 per diem 399 per diem 399 per diem case rate based on diagnose 450 per diem case rate based on diagnose per diem 272 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 421 per diem case rate based on diagnose 325 per diem 300 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose 430 per diem 440 per diem 440 per diem 377 per diem per diem 440 per diem case rate based on diagnose case rate based on diagnose 272 450 PHP INDIVIDUAL THER 914 RC outpatient 175 421 per diem case rate based on diagnose case rate based on diagnose per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose 421 421 IOP CD PROCESS GROUP 915 RC outpatient 180 421 per diem case rate based on diagnose case rate based on diagnose per diem 425 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose 425 425 IOP CD PSYCHOTHERAPY 915 RC outpatient 180 421 per diem case rate based on diagnose case rate based on diagnose per diem 425 per diem case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose case rate based on diagnose 425 425