"hospital_Trustpoint Hospital, LLC" last_updated_ 2023-12-31 version_1 "hospital_Mufreesboro, Tennessee" hospital_address 1009 North Thompson Lane license_ 0000000184 | TN "To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded in this machine-readable file is true, accurate, and complete as of the date indicated in this file" 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|[payer_AETNA|HMO/PPO] standard_charge|[payer_AETNA|HMO/PPO] |percent standard_charge|[payer_AETNA|HMO/PPO] |contracting_method additional_payer_notes |[payer_AETNA|HMO/PPO] standard_charge|[payer_AETNA MAN MEDICARE|MANAGED MEDICARE] standard_charge|[payer_AETNA MAN MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_AETNA MAN MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AETNA MAN MEDICARE|MANAGED MEDICARE] standard_charge|[payer_ALL SAVERS UHC|HMO/PPO] standard_charge|[payer_ALL SAVERS UHC|HMO/PPO] |percent standard_charge|[payer_ALL SAVERS UHC|HMO/PPO] |contracting_method additional_payer_notes |[payer_ALL SAVERS UHC|HMO/PPO] standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID] |percent standard_charge|[payer_AMERIGROUP|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AMERIGROUP|MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP COVERKIDS|MANAGED MEDICAID] standard_charge|[payer_AMERIGROUP COVERKIDS|MANAGED MEDICAID] |percent standard_charge|[payer_AMERIGROUP COVERKIDS|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_AMERIGROUP COVERKIDS|MANAGED MEDICAID] standard_charge|[payer_AMERIVANTAGE|MANAGED MEDICARE] standard_charge|[payer_AMERIVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_AMERIVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_AMERIVANTAGE|MANAGED MEDICARE] standard_charge|[payer_BCBS FEDERAL|BLUE CROSS] standard_charge|[payer_BCBS FEDERAL|BLUE CROSS] |percent standard_charge|[payer_BCBS FEDERAL|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS FEDERAL|BLUE CROSS] standard_charge|[payer_BCBS OF TENNESSEE|BLUE CROSS] standard_charge|[payer_BCBS OF TENNESSEE|BLUE CROSS] |percent standard_charge|[payer_BCBS OF TENNESSEE|BLUE CROSS] |contracting_method additional_payer_notes |[payer_BCBS OF TENNESSEE|BLUE CROSS] standard_charge|[payer_BLUE ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_BLUE ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_BLUE ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_BLUE ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_BLUECARE|MANAGED MEDICAID] standard_charge|[payer_BLUECARE|MANAGED MEDICAID] |percent standard_charge|[payer_BLUECARE|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_BLUECARE|MANAGED MEDICAID] standard_charge|[payer_BLUECARE COVERKIDS|MANAGED MEDICAID] standard_charge|[payer_BLUECARE COVERKIDS|MANAGED MEDICAID] |percent standard_charge|[payer_BLUECARE COVERKIDS|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_BLUECARE COVERKIDS|MANAGED MEDICAID] standard_charge|[payer_BLUECARE PLUS|MANAGED MEDICARE] standard_charge|[payer_BLUECARE PLUS|MANAGED MEDICARE] |percent standard_charge|[payer_BLUECARE PLUS|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_BLUECARE PLUS|MANAGED MEDICARE] standard_charge|[payer_CHAMPVA|VETERANS ADMIN] standard_charge|[payer_CHAMPVA|VETERANS ADMIN] |percent standard_charge|[payer_CHAMPVA|VETERANS ADMIN] |contracting_method additional_payer_notes |[payer_CHAMPVA|VETERANS ADMIN] standard_charge|[payer_CIGNA|HMO/PPO] standard_charge|[payer_CIGNA|HMO/PPO] |percent standard_charge|[payer_CIGNA|HMO/PPO] |contracting_method additional_payer_notes |[payer_CIGNA|HMO/PPO] standard_charge|[payer_HEALTHSPRING ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_HEALTHSPRING ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_HEALTHSPRING ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HEALTHSPRING ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_HUMANA|HMO/PPO] standard_charge|[payer_HUMANA|HMO/PPO] |percent standard_charge|[payer_HUMANA|HMO/PPO] |contracting_method additional_payer_notes |[payer_HUMANA|HMO/PPO] standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] |percent standard_charge|[payer_HUMANA MEDICARE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_HUMANA MEDICARE|MANAGED MEDICARE] standard_charge|[payer_MEDICARE|MEDICARE] standard_charge|[payer_MEDICARE|MEDICARE] |percent standard_charge|[payer_MEDICARE|MEDICARE] |contracting_method additional_payer_notes |[payer_MEDICARE|MEDICARE] standard_charge|[payer_OPTUM BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_OPTUM BEHAVIORAL HEALTH|HMO/PPO] |percent standard_charge|[payer_OPTUM BEHAVIORAL HEALTH|HMO/PPO] |contracting_method additional_payer_notes |[payer_OPTUM BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_OPTUM OSCAR|HMO/PPO] standard_charge|[payer_OPTUM OSCAR|HMO/PPO] |percent standard_charge|[payer_OPTUM OSCAR|HMO/PPO] |contracting_method additional_payer_notes |[payer_OPTUM OSCAR|HMO/PPO] standard_charge|[payer_OXFORD HEALTH PLANS|HMO/PPO] standard_charge|[payer_OXFORD HEALTH PLANS|HMO/PPO] |percent standard_charge|[payer_OXFORD HEALTH PLANS|HMO/PPO] |contracting_method additional_payer_notes |[payer_OXFORD HEALTH PLANS|HMO/PPO] standard_charge|[payer_SUREST|HMO/PPO] standard_charge|[payer_SUREST|HMO/PPO] |percent standard_charge|[payer_SUREST|HMO/PPO] |contracting_method additional_payer_notes |[payer_SUREST|HMO/PPO] standard_charge|[payer_TRICARE EAST|TRICARE] standard_charge|[payer_TRICARE EAST|TRICARE] |percent standard_charge|[payer_TRICARE EAST|TRICARE] |contracting_method additional_payer_notes |[payer_TRICARE EAST|TRICARE] standard_charge|[payer_UHC ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_UHC ADVANTAGE|MANAGED MEDICARE] |percent standard_charge|[payer_UHC ADVANTAGE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UHC ADVANTAGE|MANAGED MEDICARE] standard_charge|[payer_UHC COMMERCIAL|HMO/PPO] standard_charge|[payer_UHC COMMERCIAL|HMO/PPO] |percent standard_charge|[payer_UHC COMMERCIAL|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC COMMERCIAL|HMO/PPO] standard_charge|[payer_UHC COMMERICAL|HMO/PPO] standard_charge|[payer_UHC COMMERICAL|HMO/PPO] |percent standard_charge|[payer_UHC COMMERICAL|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC COMMERICAL|HMO/PPO] standard_charge|[payer_UHC COMMUNITY PLAN|MANAGED MEDICAID] standard_charge|[payer_UHC COMMUNITY PLAN|MANAGED MEDICAID] |percent standard_charge|[payer_UHC COMMUNITY PLAN|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_UHC COMMUNITY PLAN|MANAGED MEDICAID] standard_charge|[payer_UHC COVERKIDS|MANAGED MEDICAID] standard_charge|[payer_UHC COVERKIDS|MANAGED MEDICAID] |percent standard_charge|[payer_UHC COVERKIDS|MANAGED MEDICAID] |contracting_method additional_payer_notes |[payer_UHC COVERKIDS|MANAGED MEDICAID] standard_charge|[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] standard_charge|[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] |percent standard_charge|[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_UHC DUAL COMPLETE|MANAGED MEDICARE] standard_charge|[payer_UHC SHARED SERVICES|HMO/PPO] standard_charge|[payer_UHC SHARED SERVICES|HMO/PPO] |percent standard_charge|[payer_UHC SHARED SERVICES|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC SHARED SERVICES|HMO/PPO] standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO] standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO] |percent standard_charge|[payer_UHC STUDENT RESOURCES|HMO/PPO] |contracting_method additional_payer_notes |[payer_UHC STUDENT RESOURCES|HMO/PPO] standard_charge|[payer_UMR|HMO/PPO] standard_charge|[payer_UMR|HMO/PPO] |percent standard_charge|[payer_UMR|HMO/PPO] |contracting_method additional_payer_notes |[payer_UMR|HMO/PPO] standard_charge|[payer_UNITED BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_UNITED BEHAVIORAL HEALTH|HMO/PPO] |percent standard_charge|[payer_UNITED BEHAVIORAL HEALTH|HMO/PPO] |contracting_method additional_payer_notes |[payer_UNITED BEHAVIORAL HEALTH|HMO/PPO] standard_charge|[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] standard_charge|[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] |percent standard_charge|[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] |contracting_method additional_payer_notes |[payer_WELLCARE HEALTH PLANS|MANAGED MEDICARE] R&B REHAB (P)-M/S 118 RC facility inpatient 3996 1350 416.15 3197 1030 per diem 1850 per diem 1100 per diem 1071 per diem 1071 per diem 1850 per diem 416.15 per diem 416.15 per diem 1850 per diem 1135 per diem 3197 per diem 1850 per diem 1850 per diem 1100 per diem 1850 per diem 1100 per diem 1100 per diem 1850 per diem 1100 per diem 1100 per diem 1100 per diem 1100 per diem R&B ADU - DOWN (SP) 124 RC facility inpatient 2700 900 725 1265 927 per diem 890 per diem 1000 per diem 800 per diem 800 per diem 890 per diem 1125 per diem 1125 per diem 1125 per diem 725 per diem 725 per diem 890 per diem 890 per diem 1171 per diem 810 per diem 1150 per diem 890 per diem 890 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 899.46 per diem 1265 per diem 1000 per diem 1000 per diem 750 per diem 750 per diem 1265 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 890 per diem R&B DETOX (SP) - M/S 126 RC facility inpatient 2700 900 725 1265 1000 per diem 800 per diem 800 per diem 890 per diem 1125 per diem 1125 per diem 1125 per diem 725 per diem 725 per diem 890 per diem 1171 per diem 1150 per diem 890 per diem 890 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 1265 per diem 1000 per diem 1000 per diem 750 per diem 750 per diem 1265 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem R&B DETOX - ADULT 126 RC facility inpatient 2700 900 725 1265 1000 per diem 800 per diem 800 per diem 1125 per diem 1125 per diem 1125 per diem 725 per diem 725 per diem 890 per diem 1171 per diem 1150 per diem 890 per diem 890 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem 1265 per diem 1000 per diem 1000 per diem 750 per diem 750 per diem 1265 per diem 1000 per diem 1000 per diem 1000 per diem 1000 per diem ECT - INPATIENT ANC 901 RC facility inpatient 1474 750 406.24 1009 670 per diem 584 per diem 485 per diem 485 per diem 443.43 per diem 788 per diem 788 per diem 788 per diem 475 per diem 475 per diem 475 per diem 1009 per diem 443 per diem 750 per diem 459.67 per diem 443.43 per diem 584 per diem 584 per diem 584 per diem 584 per diem 406.24 per diem 584 per diem 584 per diem 584 per diem 480 per diem 480 per diem 584 per diem 584 per diem 584 per diem 584 per diem 584 per diem 459.67 per diem ECT - OUTPATIENT 901 RC facility outpatient 1474 750 406.24 1009 670 per diem 584 per diem 485 per diem 485 per diem 443.43 per diem 788 per diem 788 per diem 788 per diem 475 per diem 475 per diem 475 per diem 1009 per diem 443 per diem 750 per diem 459.67 per diem 443.43 per diem 584 per diem 584 per diem 584 per diem 584 per diem 406.24 per diem 584 per diem 584 per diem 584 per diem 480 per diem 480 per diem 584 per diem 584 per diem 584 per diem 584 per diem 584 per diem 459.67 per diem IOP PSYCH ADOL PROG 905 RC facility outpatient 428 200 140 300 258 per diem 238 per diem 165 per diem 165 per diem 282 per diem 282 per diem 160 per diem 160 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 238 per diem 238 per diem 238 per diem 238 per diem 243.95 per diem 238 per diem 238 per diem 238 per diem 140 per diem 140 per diem 238 per diem 238 per diem 238 per diem 238 per diem 238 per diem IOP PSYCH ADULT PROG 905 RC facility outpatient 428 200 140 300 258 per diem 238 per diem 165 per diem 165 per diem 282 per diem 282 per diem 160 per diem 160 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 238 per diem 238 per diem 238 per diem 238 per diem 243.95 per diem 238 per diem 238 per diem 238 per diem 140 per diem 140 per diem 238 per diem 238 per diem 238 per diem 238 per diem 238 per diem IOP TELE MED PROGRAM 905 RC facility outpatient 428 200 140 300 258 per diem 238 per diem 165 per diem 165 per diem 282 per diem 282 per diem 160 per diem 160 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 238 per diem 238 per diem 238 per diem 238 per diem 243.95 per diem 238 per diem 238 per diem 238 per diem 140 per diem 140 per diem 238 per diem 238 per diem 238 per diem 238 per diem 238 per diem PHP PSYCH ADOL PROG 912 RC facility outpatient 810 375 243 546 373 per diem 290 per diem 290 per diem 243 per diem 248.13 per diem 546 per diem 450 per diem 245.24 per diem 246.03 per diem 373 per diem 373 per diem 373 per diem 373 per diem 243.95 per diem 373 per diem 373 per diem 373 per diem 250 per diem 250 per diem 373 per diem 373 per diem 373 per diem 373 per diem 373 per diem PHP PSYCH ADULT PROG 912 RC facility outpatient 810 375 243 546 373 per diem 290 per diem 290 per diem 243 per diem 248.13 per diem 546 per diem 450 per diem 245.24 per diem 246.03 per diem 373 per diem 373 per diem 373 per diem 373 per diem 243.95 per diem 373 per diem 373 per diem 373 per diem 250 per diem 250 per diem 373 per diem 373 per diem 373 per diem 373 per diem 373 per diem IOP GROUP 1 915 RC facility outpatient 143 0 208 550 208.72 per diem 208.72 per diem 550 per diem 550 per diem 550 per diem 242 per diem 242 per diem 208 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 208.72 per diem 243.95 per diem 238 per diem 211.39 per diem IOP TELEMED GROUP 1 915 RC facility outpatient 143 0 208 550 208.72 per diem 208.72 per diem 550 per diem 550 per diem 550 per diem 242 per diem 242 per diem 208 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 208.72 per diem 243.95 per diem 238 per diem 211.39 per diem PHP PSY 915 RC facility outpatient 162 0 208 550 208.72 per diem 208.72 per diem 550 per diem 550 per diem 550 per diem 242 per diem 242 per diem 208 per diem 248.13 per diem 278 per diem 300 per diem 208.72 per diem 208.72 per diem 243.95 per diem 238 per diem 211.39 per diem 1:1 SVCS ADOL/CHILD 1124 RC facility outpatient 300 0 300 300 300 per diem 300 per diem