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.",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Aurora Charter Oak,9/9/2025,2.0.0,Aurora Charter Oak,"1161 E. Covina Blvd, Covina, CA 91724-1523",943369427,TRUE,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
description,code|1,code|1|type,billing_class,modifiers,setting,drug_unit_of_measurement,drug_type_of_measurement,standard_charge|gross,standard_charge|discounted_cash,standard_charge|AETNA|All|negotiated_dollar,standard_charge|AETNA|All|negotiated_percentage,standard_charge|AETNA|All|negotiated_algorithm,estimated_amount|AETNA|All,standard_charge|AETNA|All|methodology,additional_payer_notes|AETNA|All,standard_charge|BEACON|All|negotiated_dollar,standard_charge|BEACON|All|negotiated_percentage,standard_charge|BEACON|All|negotiated_algorithm,estimated_amount|BEACON|All,standard_charge|BEACON|All|methodology,additional_payer_notes|BEACON|All,standard_charge|BLUE CROSS|All|negotiated_dollar,standard_charge|BLUE CROSS|All|negotiated_percentage,standard_charge|BLUE CROSS|All|negotiated_algorithm,estimated_amount|BLUE CROSS|All,standard_charge|BLUE CROSS|All|methodology,additional_payer_notes|BLUE CROSS|All,standard_charge|BLUE SHIELD|All|negotiated_dollar,standard_charge|BLUE SHIELD|All|negotiated_percentage,standard_charge|BLUE SHIELD|All|negotiated_algorithm,estimated_amount|BLUE SHIELD|All,standard_charge|BLUE SHIELD|All|methodology,additional_payer_notes|BLUE SHIELD|All,standard_charge|CIGNA|All|negotiated_dollar,standard_charge|CIGNA|All|negotiated_percentage,standard_charge|CIGNA|All|negotiated_algorithm,estimated_amount|CIGNA|All,standard_charge|CIGNA|All|methodology,additional_payer_notes|CIGNA|All,standard_charge|HMC|All|negotiated_dollar,standard_charge|HMC|All|negotiated_percentage,standard_charge|HMC|All|negotiated_algorithm,estimated_amount|HMC|All,standard_charge|HMC|All|methodology,additional_payer_notes|HMC|All,standard_charge|KAISER|All|negotiated_dollar,standard_charge|KAISER|All|negotiated_percentage,standard_charge|KAISER|All|negotiated_algorithm,estimated_amount|KAISER|All,standard_charge|KAISER|All|methodology,additional_payer_notes|KAISER|All,standard_charge|MAGELLAN|All|negotiated_dollar,standard_charge|MAGELLAN|All|negotiated_percentage,standard_charge|MAGELLAN|All|negotiated_algorithm,estimated_amount|MAGELLAN|All,standard_charge|MAGELLAN|All|methodology,additional_payer_notes|MAGELLAN|All,standard_charge|MHN|All|negotiated_dollar,standard_charge|MHN|All|negotiated_percentage,standard_charge|MHN|All|negotiated_algorithm,estimated_amount|MHN|All,standard_charge|MHN|All|methodology,additional_payer_notes|MHN|All,standard_charge|OPTUM-US BEHAV HLTH|All|negotiated_dollar,standard_charge|OPTUM-US BEHAV HLTH|All|negotiated_percentage,standard_charge|OPTUM-US BEHAV HLTH|All|negotiated_algorithm,estimated_amount|OPTUM-US BEHAV HLTH|All,standard_charge|OPTUM-US BEHAV HLTH|All|methodology,additional_payer_notes|OPTUM-US BEHAV HLTH|All,standard_charge|PROVIDENCE HLTH|All|negotiated_dollar,standard_charge|PROVIDENCE HLTH|All|negotiated_percentage,standard_charge|PROVIDENCE HLTH|All|negotiated_algorithm,estimated_amount|PROVIDENCE HLTH|All,standard_charge|PROVIDENCE HLTH|All|methodology,additional_payer_notes|PROVIDENCE HLTH|All,standard_charge|TRICARE|All|negotiated_dollar,standard_charge|TRICARE|All|negotiated_percentage,standard_charge|TRICARE|All|negotiated_algorithm,estimated_amount|TRICARE|All,standard_charge|TRICARE|All|methodology,additional_payer_notes|TRICARE|All,standard_charge|VA|All|negotiated_dollar,standard_charge|VA|All|negotiated_percentage,standard_charge|VA|All|negotiated_algorithm,estimated_amount|VA|All,standard_charge|VA|All|methodology,additional_payer_notes|VA|All,standard_charge|min,standard_charge|max,additional_generic_notes
INPATIENT PSYCH ADULT,124,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,1054,,,,per diem,,1012,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,979,,,,per diem,,1092,,,,per diem,,1117,,,,per diem,,1075,,,,per diem,,1101,,,,per diem,,1271,,,,per diem,,,,,,,,,48,,6048,percent of total billed charges,est amt based on an los of 7 days,650,1390.01,
INPATIENT PSYCH ADULT,124,RC,facility,,inpatient,,,1800,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,956,956,
INPATIENT PSYCH JUVENILE,124,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,1054,,,,per diem,,1040,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,979,,,,per diem,,1092,,,,per diem,,1158,,,,per diem,,1075,,,,per diem,,1115,,,,per diem,,1271,,,,per diem,,,,,,,,,48,,6048,percent of total billed charges,est amt based on an los of 7 days,650,1390.01,
OUTPATIENT PSYCH ADULT,915,RC,facility,,outpatient,,,190,,360,,,,per diem,,278,,,,per diem,,255,,,,per diem,,265,,,,per diem,,265,,,,per diem,,309,,,,per diem,,300,,,,per diem,,338,,,,per diem,,336,,,,per diem,,249,,,,per diem,,462,,,,per diem,,,,,,,,,,,,,,215,462,
OUTPATIENT PSYCH ADULT,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,325,325,
OUTPATIENT PSYCH ADULT,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.94,242.94,
OUTPATIENT PSYCH JUVENILE,915,RC,facility,,outpatient,,,190,,360,,,,per diem,,278,,,,per diem,,255,,,,per diem,,265,,,,per diem,,265,,,,per diem,,309,,,,per diem,,300,,,,per diem,,338,,,,per diem,,361,,,,per diem,,249,,,,per diem,,462,,,,per diem,,,,,,,,,,,,,,215,462,
OUTPATIENT PSYCH JUVENILE,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,325,325,
OUTPATIENT PSYCH JUVENILE,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.94,242.94,
PARTIAL PSYCH ADULT,912,RC,facility,,outpatient,,,190,,562,,,,per diem,,,,,,,,439,,,,per diem,,397,,,,per diem,,446,,,,per diem,,484,,,,per diem,,456,,,,per diem,,470,,,,per diem,,,,,,,,442,,,,per diem,,600,,,,per diem,,,,,,,,,,,,,,300,600,
PARTIAL PSYCH ADULT,913,RC,facility,,outpatient,,,190,,,,,,,,479,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,408,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,408,479,
PARTIAL PSYCH JUVENILE,912,RC,facility,,outpatient,,,190,,562,,,,per diem,,,,,,,,439,,,,per diem,,397,,,,per diem,,446,,,,per diem,,484,,,,per diem,,456,,,,per diem,,470,,,,per diem,,,,,,,,442,,,,per diem,,600,,,,per diem,,,,,,,,,,,,,,300,600,
PARTIAL PSYCH JUVENILE,913,RC,facility,,outpatient,,,190,,,,,,,,479,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,451,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,451,479,
INPATIENT DETOX ADULT,126,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,1054,,,,per diem,,1012,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,979,,,,per diem,,1092,,,,per diem,,1117,,,,per diem,,1075,,,,per diem,,1043,,,,per diem,,1271,,,,per diem,,,,,,,,,48,,6048,percent of total billed charges,est amt based on an los of 7 days,650,1390.01,
INPATIENT DETOX JUVENILE,126,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,1054,,,,per diem,,1012,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,979,,,,per diem,,1092,,,,per diem,,1117,,,,per diem,,1075,,,,per diem,,1057,,,,per diem,,1271,,,,per diem,,,,,,,,,48,,6048,percent of total billed charges,est amt based on an los of 7 days,650,1390.01,
PARTIAL CD ADULT,912,RC,facility,,outpatient,,,190,,562,,,,per diem,,,,,,,,439,,,,per diem,,,,,,,,446,,,,per diem,,484,,,,per diem,,456,,,,per diem,,470,,,,per diem,,,,,,,,,,,,,,600,,,,per diem,,,,,,,,,,,,,,300,600,
PARTIAL CD ADULT,913,RC,facility,,outpatient,,,190,,,,,,,,479,,,,per diem,,,,,,,,397,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,436,,,,per diem,,,,,,,,,,,,,,,,,,,,397,479,
PARTIAL CD ADULT,911,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,408,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,300,408,
PARTIAL CD JUVENILE,912,RC,facility,,outpatient,,,190,,562,,,,per diem,,,,,,,,439,,,,per diem,,,,,,,,446,,,,per diem,,484,,,,per diem,,456,,,,per diem,,470,,,,per diem,,,,,,,,,,,,,,600,,,,per diem,,,,,,,,,,,,,,300,600,
PARTIAL CD JUVENILE,913,RC,facility,,outpatient,,,190,,,,,,,,479,,,,per diem,,,,,,,,397,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,436,,,,per diem,,,,,,,,,,,,,,,,,,,,397,479,
PARTIAL CD JUVENILE,911,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,451,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,300,451,
INPATIENT REHAB ADULT,128,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,1054,,,,per diem,,1012,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,979,,,,per diem,,1092,,,,per diem,,948,,,,per diem,,1075,,,,per diem,,990,,,,per diem,,1183,,,,per diem,,,,,,,,,,,,,,650,1390.01,
RESIDENTIAL CD ADULT,138,RC,facility,,inpatient,,,1200,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,500,1132,
RESIDENTIAL CD ADULT,138,RC,facility,,inpatient,,,1200,,747,,,,per diem,,610,,,,per diem,,541,,,,per diem,,650,,,,per diem,,599,,,,per diem,,721,,,,per diem,,625,,,,per diem,,727,,,,per diem,,,,,,,,722,,,,per diem,,1540,,,,per diem,,,,,,,,,,,,,,450,1540,
RESIDENTIAL CD ADULT,138,RC,facility,,inpatient,,,1200,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,541,541,
RESIDENTIAL CD ADULT,138,RC,facility,,inpatient,,,1200,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,626,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,626,626,
INPATIENT PSYCH GERIATRIC,124,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,,,,,,,1012,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,,,,,,,1092,,,,per diem,,1117,,,,per diem,,,,,,,,1101,,,,per diem,,,,,,,,,,,,,,,,,,,,983,1390.01,
INPATIENT PSYCH GERIATRIC,124,RC,facility,,inpatient,,,1800,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,956,956,
OUTPATIENT PSYCH GERIATRIC,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,255,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,255,255,
OUTPATIENT PSYCH GERIATRIC,915,RC,facility,,outpatient,,,190,,360,,,,per diem,,,,,,,,,,,,,,265,,,,per diem,,265,,,,per diem,,,,,,,,300,,,,per diem,,338,,,,per diem,,,,,,,,249,,,,per diem,,,,,,,,,,,,,,,,,,,,249,360,
OUTPATIENT PSYCH GERIATRIC,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.94,242.94,
PARTIAL PSYCH GERIATRIC,912,RC,facility,,outpatient,,,190,,562,,,,per diem,,,,,,,,439,,,,per diem,,397,,,,per diem,,446,,,,per diem,,,,,,,,456,,,,per diem,,470,,,,per diem,,,,,,,,442,,,,per diem,,,,,,,,,,,,,,,,,,,,397,562,
INPATIENT DETOX GERIATRIC,126,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,,,,,,,1012,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,,,,,,,1092,,,,per diem,,1117,,,,per diem,,,,,,,,1043,,,,per diem,,,,,,,,,,,,,,,,,,,,983,1390.01,
PARTIAL CD GERIATRIC,912,RC,facility,,outpatient,,,190,,562,,,,per diem,,,,,,,,439,,,,per diem,,,,,,,,446,,,,per diem,,,,,,,,456,,,,per diem,,470,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,439,562,
PARTIAL CD GERIATRIC,913,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,397,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,436,,,,per diem,,,,,,,,,,,,,,,,,,,,397,436,
RESIDENTIAL CD GERIATRIC,138,RC,facility,,inpatient,,,1200,,747,,,,per diem,,,,,,,,541,,,,per diem,,650,,,,per diem,,599,,,,per diem,,,,,,,,625,,,,per diem,,727,,,,per diem,,,,,,,,722,,,,per diem,,,,,,,,,,,,,,,,,,,,541,747,
RESIDENTIAL CD GERIATRIC,138,RC,facility,,inpatient,,,1200,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,681,1132,
INPATIENT REHAB GERIATRIC,128,RC,facility,,inpatient,,,1800,,1209,,,,per diem,,,,,,,,1012,,,,per diem,,1000,,,,per diem,,983,,,,per diem,,,,,,,,1092,,,,per diem,,948,,,,per diem,,,,,,,,990,,,,per diem,,,,,,,,,,,,,,,,,,,,948,1390.01,
OUTPATIENT CD ADULT,915,RC,facility,,outpatient,,,190,,360,,,,per diem,,278,,,,per diem,,222,,,,per diem,,265,,,,per diem,,265,,,,per diem,,309,,,,per diem,,300,,,,per diem,,338,,,,per diem,,336,,,,per diem,,249,,,,per diem,,462,,,,per diem,,,,,,,,,,,,,,215,462,
OUTPATIENT CD ADULT,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,325,325,
OUTPATIENT CD ADULT,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.94,242.94,
OUTPATIENT CD JUVENILE,915,RC,facility,,outpatient,,,190,,,,,,,,278,,,,per diem,,222,,,,per diem,,,,,,,,265,,,,per diem,,309,,,,per diem,,300,,,,per diem,,,,,,,,361,,,,per diem,,,,,,,,462,,,,per diem,,,,,,,,,,,,,,215,462,
OUTPATIENT CD JUVENILE,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,325,325,
OUTPATIENT CD JUVENILE,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.94,242.94,
OUTPATIENT CD GERIATRIC,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,222,,,,per diem,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,222,222,
OUTPATIENT CD GERIATRIC,915,RC,facility,,outpatient,,,190,,360,,,,per diem,,,,,,,,,,,,,,265,,,,per diem,,265,,,,per diem,,,,,,,,300,,,,per diem,,338,,,,per diem,,,,,,,,249,,,,per diem,,,,,,,,,,,,,,,,,,,,249,360,
OUTPATIENT CD GERIATRIC,915,RC,facility,,outpatient,,,190,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,242.94,242.94,