{
  "hospital_name": "Garner Behavioral Hospital, LLC",
  "location_name": [
    "Garner Behavioral Hospital, LLC"
  ],
  "hospital_address": [
    "3200 Waterfield Drive, Garner, NC 27529"
  ],
  "type_2_npi": [
    "1588319503"
  ],
  "license_information": {
    "license_number": "142",
    "state": "NC"
  },
  "last_updated_on": "2026-03-31",
  "version": "3.0",
  "attestation": {
    "attestation": "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 is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.",
    "confirm_attestation": true,
    "attester_name": "Ty Meredith"
  },
  "standard_charge_information": [
    {
      "description": "Adult Psych IOP 3 Hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 245.0,
          "discounted_cash_price": 245.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 242.0
            },
            {
              "payer_name": "AmeriHealth Caritas Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "BCBSNC",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Carelon Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "Golden Rule A United Healthcare Company",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Meritain Health",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Optum Health/United Health",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "State Health Plan - BCBS",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "UHC Medicare Advantage Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "UMR",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "United Healthcare",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "United Healthcare Community Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "United Healthcare Shared Services",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            }
          ],
          "minimum": 235.0,
          "maximum": 245.0
        }
      ]
    },
    {
      "description": "Telehealth Adult IOP 3 hrs",
      "code_information": [
        {
          "code": "H0015",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 325.8,
          "discounted_cash_price": 325.8,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Alliance Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "AmeriHealth Caritas Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "BCBSNC",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Carelon Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "Carolina Complete Health Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "CIGNA HEALTHCARE",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "Healthy Blue BCBS Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Humana Medicare-DRG-HMO/PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Optum Health/United Health",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Tricare East Region Claims",
              "plan_name": "All Plans",
              "negotiated_rate": 325.8
            },
            {
              "payer_name": "UHC Community Plan Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "UHC Dual SNP",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "UHC Medicare Advantage Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Wellcare Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            }
          ],
          "minimum": 150.0,
          "maximum": 325.8
        }
      ]
    },
    {
      "description": "PHP Psych Gero Daily",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 464.0,
          "discounted_cash_price": 464.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 464.0
            },
            {
              "payer_name": "Carelon Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Meritain Health",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            }
          ],
          "minimum": 450.0,
          "maximum": 464.0
        }
      ]
    },
    {
      "description": "PHP Psych Adult Daily",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 520.0,
          "discounted_cash_price": 520.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 464.0
            },
            {
              "payer_name": "BCBSNC",
              "plan_name": "All Plans",
              "negotiated_rate": 459.0
            },
            {
              "payer_name": "Carelon Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Golden Rule A United Healthcare Company",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Meritain Health",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "Optum Health/United Health",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "State Health Plan - BCBS",
              "plan_name": "All Plans",
              "negotiated_rate": 520.0
            },
            {
              "payer_name": "UHC Medicare Advantage Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "UMR",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "United Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "United Healthcare",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "United Healthcare Community Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            },
            {
              "payer_name": "United Healthcare Shared Services",
              "plan_name": "All Plans",
              "negotiated_rate": 450.0
            }
          ],
          "minimum": 450.0,
          "maximum": 520.0
        }
      ]
    },
    {
      "description": "Adult Psych IOP 3 Hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 325.8,
          "discounted_cash_price": 325.8,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 242.0
            },
            {
              "payer_name": "Alignment Health Plan Of North Carolina",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Alliance Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Ambetter",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "AmeriHealth Caritas Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "BCBSNC",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Carelon Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "Carolina Complete Health Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "CIGNA HEALTHCARE",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "Financial Hardship/Charity",
              "plan_name": "All Plans",
              "negotiated_rate": 200.0
            },
            {
              "payer_name": "Healthy Blue BCBS Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Humana Medicare-DRG-HMO/PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "Meritain Health",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Optum Health/United Health",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "State Health Plan - BCBS",
              "plan_name": "All Plans",
              "negotiated_rate": 240.0
            },
            {
              "payer_name": "Tricare East Region Claims",
              "plan_name": "All Plans",
              "negotiated_rate": 325.8
            },
            {
              "payer_name": "UHC Community Plan Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "UHC Dual SNP",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "United Healthcare",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Wellcare Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            }
          ],
          "minimum": 150.0,
          "maximum": 325.8
        }
      ]
    },
    {
      "description": "PHP Daily Adult",
      "code_information": [
        {
          "code": "H0035",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 400.0,
          "discounted_cash_price": 400.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "Troy Health, INC Medicare Advantage",
              "plan_name": "All Plans",
              "negotiated_rate": 400.0
            }
          ],
          "minimum": 400.0,
          "maximum": 400.0
        }
      ]
    },
    {
      "description": "Adult Psych IOP 3 Hrs",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 300.0,
          "discounted_cash_price": 300.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AmeriHealth Caritas Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "Troy Health, INC Medicare Advantage",
              "plan_name": "All Plans",
              "negotiated_rate": 300.0
            }
          ],
          "minimum": 235.0,
          "maximum": 300.0
        }
      ]
    },
    {
      "description": "MCR IOP Adult- 3 units",
      "code_information": [
        {
          "code": "90853",
          "type": "CPT"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 250.0,
          "discounted_cash_price": 250.0,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AmeriHealth Caritas Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            },
            {
              "payer_name": "BCBSNC",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Humana Medicare-DRG-HMO/PPO",
              "plan_name": "All Plans",
              "negotiated_rate": 250.0
            },
            {
              "payer_name": "UHC Medicare Advantage Plan",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Wellcare Of NC Medicaid",
              "plan_name": "All Plans",
              "negotiated_rate": 235.0
            }
          ],
          "minimum": 235.0,
          "maximum": 250.0
        }
      ]
    },
    {
      "description": "IOP Adult Daily Rate",
      "code_information": [
        {
          "code": "S9480",
          "type": "HCPCS"
        }
      ],
      "standard_charges": [
        {
          "setting": "outpatient",
          "gross_charge": 328.5,
          "discounted_cash_price": 328.5,
          "payer_specific_negotiated_charges": [
            {
              "payer_name": "AETNA",
              "plan_name": "All Plans",
              "negotiated_rate": 242.0
            },
            {
              "payer_name": "BCBSNC",
              "plan_name": "All Plans",
              "negotiated_rate": 245.0
            },
            {
              "payer_name": "Cigna Behavioral Health",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "CIGNA HEALTHCARE",
              "plan_name": "All Plans",
              "negotiated_rate": 150.0
            },
            {
              "payer_name": "Tricare East Region Claims",
              "plan_name": "All Plans",
              "negotiated_rate": 328.5
            }
          ],
          "minimum": 150.0,
          "maximum": 328.5
        }
      ]
    }
  ]
}