hospital_name,last_updated_on,version,hospital_location,hospital_address,license_number | CA,"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.",,,,,,,,,,,,
Ocean View Psychiatric Health Facility,9/18/2025,2.0.0,Ocean View Psychiatric Health Facility ,"2600 Redondo Ave, Suite 500, Long Beach, CA 90806",2036043,TRUE,,,,,,,,,,,,
description,code|1,code|1|type,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,standard_charge|discounted_cash,payer_name,plan_name,modifiers,standard_charge|negotiated_dollar,standard_charge|negotiated_percentage,standard_charge|negotiated_algorithm,estimated_amount,standard_charge|min,standard_charge|max,standard_charge|methodology,additional_generic_notes
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,AETNA,HMO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,AETNA,PPO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,AETNA MEDICARE HMO,HMO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,AETNA MEDICARE PPO,PPO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE CROSS,HMO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE CROSS,PPO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE CROSS FEP,PPO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE CROSS MEDICARE,HMO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE SHIELD,HMO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE SHIELD,PPO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE SHIELD MEDICARE ADVANTAGE ,HMO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE SHIELD MEDICARE ADVANTAGE ,PPO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,CARELON,HMO,,750,,,,750,750,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,CARELON,PPO,,750,,,,750,750,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,CIGNA BEHAVIORIAL,HMO,,925,,,,925,925,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,CIGNA BEHAVIORIAL,PPO,,925,,,,925,925,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,CIGNA BEHAVIORIAL,OPEN ACCESS,,925,,,,925,925,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,HEALTHNET,HMO,,895,,,,895,895,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,HEALTHNET,PPO,,895,,,,895,895,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,HEALTHNET MEDICARE,HMO,,895,,,,895,895,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,HEALTHNET MEDICARE,PPO,,895,,,,895,895,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,OPTUM,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,OPTUM,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,OPTUM MEDICARE,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,OPTUM MEDICARE,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,OSCAR,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,OSCAR,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,MAGELLAN,HMO,,850,,,,850,850,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,MAGELLAN,PPO,,850,,,,850,850,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE SHIELD MHSA,HMO,,850,,,,850,850,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,BLUE SHIELD MHSA,PPO,,850,,,,850,850,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,UNITED BEHAVIORIAL HEALTH,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,UNITED BEHAVIORIAL HEALTH,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,UNITED BEHAVIORAL HEALTH MEDICARE,HMO,,1177,,,,1117,1117,per diem,
Inpatient - Psych,114,RC,Inpatient,,,1600,1400,UNITED BEHAVIORAL HEALTH MEDICARE,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,AETNA,HMO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,AETNA,PPO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,AETNA MEDICARE ,HMO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,AETNA MEDICARE ,PPO,,1150,,,,1150,1150,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE CROSS,HMO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE CROSS,PPO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE CROSS FEP,PPO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE CROSS MEDICARE,HMO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE CROSS MEDICARE,PPO,,1040,,,,1040,1040,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE SHIELD,HMO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE SHIELD,PPO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE SHIELD MEDICARE ADVANTAGE ,HMO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE SHIELD MEDICARE ADVANTAGE ,PPO,,1250,,,,1250,1250,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,CARELON,HMO,,750,,,,750,750,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,CARELON,PPO,,750,,,,750,750,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,CIGNA BEHAVIORIAL,HMO,,925,,,,925,925,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,CIGNA BEHAVIORIAL,PPO,,925,,,,925,925,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,CIGNA BEHAVIORIAL,OPEN ACCESS,,925,,,,925,925,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,HEALTHNET,HMO,,895,,,,895,895,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,HEALTHNET,PPO,,895,,,,895,895,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,HEALTHNET MEDICARE,HMO,,895,,,,895,895,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,HEALTHNET MEDICARE,PPO,,895,,,,895,895,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,OPTUM,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,OPTUM,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,OPTUM MEDICARE,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,OPTUM MEDICARE,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,OSCAR ,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,OSCAR ,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,MAGELLAN,HMO,,850,,,,850,850,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,MAGELLAN,PPO,,850,,,,850,850,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE SHIELD MHSA,HMO,,850,,,,850,850,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,BLUE SHIELD MHSA,PPO,,850,,,,850,850,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,UNITED BEHAVIORIAL HEALTH,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,UNITED BEHAVIORIAL HEALTH,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,UNITED BEHAVIORAL HEALTH MEDICARE,HMO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,UNITED BEHAVIORAL HEALTH MEDICARE,PPO,,1117,,,,1117,1117,per diem,
Inpatient - Psych,124,RC,Inpatient,,,1600,1400,WELBE HEALTH ,MANAGED MEDICARE,,1200,,,,1200,1200,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,AETNA,HMO,,325,,,,325,325,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,AETNA,PPO,,325,,,,325,325,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,AETNA MEDICARE,HMO,,325,,,,325,325,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,AETNA MEDICARE,PPO,,325,,,,325,325,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,BLUE SHIELD,HMO,,300,,,,300,300,Other,This service will be charged as a Per visit
IOP - Psych,905,RC,Outpatient,,,800,350,BLUE SHIELD,PPO,,300,,,,300,300,Other,This service will be charged as a Per visit
IOP - Psych,905,RC,Outpatient,,,800,350,BLUE SHIELD MEDICARE ADVANTAGE,HMO,,300,,,,300,300,Other,This service will be charged as a Per visit
IOP - Psych,905,RC,Outpatient,,,800,350,BLUE SHIELD MEDICARE ADVANTAGE,PPO,,300,,,,300,300,Other,This service will be charged as a Per visit
IOP - Psych,905,RC,Outpatient,,,800,350,OPTUM,HMO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,OPTUM,PPO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,OPTUM MEDICARE,HMO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,OPTUM MEDICARE,PPO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,OSCAR,HMO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,OSCAR,PPO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,UNITED BEHAVIORAL HEALTH,HMO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,UNITED BEHAVIORAL HEALTH,PPO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,UNITED BEHAVIORAL HEALTH MEDICARE,HMO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,UNITED BEHAVIORAL HEALTH MEDICARE,PPO,,292,,,,292,292,per diem,
IOP - Psych,905,RC,Outpatient,,,800,350,WELBE HEALTH ,MANAGED MEDICARE,,275,,,,275,275,per diem,
IOP - Psych,906,RC,Outpatient,,,800,350,AETNA,HMO,,325,,,,325,325,per diem,
IOP - Psych,906,RC,Outpatient,,,800,350,AETNA,PPO,,325,,,,325,325,per diem,
IOP - Psych,906,RC,Outpatient,,,800,350,AETNA MEDICARE,HMO,,325,,,,325,325,per diem,
IOP - Psych,906,RC,Outpatient,,,800,350,AETNA MEDICARE,PPO,,325,,,,325,325,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,AETNA,HMO,,440,,,,440,440,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,AETNA,PPO,,440,,,,440,440,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,AETNA MEDICARE,HMO,,440,,,,440,440,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,AETNA MEDICARE,PPO,,440,,,,440,440,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,BLUE SHIELD,HMO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,BLUE SHIELD,PPO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,BLUE SHIELD MEDICARE ADVANTAGE,HMO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,915,RC,Outpatient,,,750,450,BLUE SHIELD MEDICARE ADVANTAGE,PPO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,OPTUM,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,OPTUM,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,OPTUM MEDICARE,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,OPTUM MEDICARE,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,OSCAR,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,OSCAR,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH MEDICARE,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH MEDICARE,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,912,RC,Outpatient,,,750,450,WELBE HEALTH ,MANAGED MEDICARE,,375,,,,375,375,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,AETNA,HMO,,440,,,,440,440,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,AETNA,PPO,,440,,,,440,440,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,AETNA MEDICARE,HMO,,440,,,,440,440,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,AETNA MEDICARE,PPO,,440,,,,440,440,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,BLUE SHIELD,HMO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,BLUE SHIELD,PPO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,BLUE SHIELD MEDICARE ADVANTAGE,HMO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,BLUE SHIELD MEDICARE ADVANTAGE,PPO,,400,,,,400,400,Other,This service will be charged as a Per visit
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,OPTUM,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,OPTUM,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,OPTUM MEDICARE,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,OPTUM MEDICARE,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,OSCAR,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,OSCAR,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH,PPO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH MEDICARE,HMO,,455,,,,455,455,per diem,
Partial Hospital - Psych,913,RC,Outpatient,,,750,450,UNITED BEHAVIORAL HEALTH MEDICARE,PPO,,455,,,,455,455,per diem,