location-name: Northlake Behavioral Health System
source-page-url: https://northlakebh.org/rates-and-pricing/
mrf-url: https://northlakebh.org/rates-and-pricing/
contact-name: 
contact-email: info@northlakebh.org


Northlake Behavioral Health System		Location: 	Mandeville		Last Updated: 11/01/2021	"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"												
																		
SERVICE DESCRIPTION	INSURANCE REVENUE CODE 	LOCATION	Gross Charge	Discount Cash Price/Self Pay	De-Identified Minimum Negotiated Charge	De-Identified Maximum Negotiated Charge	Contract Method	Aetna |HMO/PPO	Aetna Better Health |Medicaid	Amerihealth |Medicaid	Blue Cross |HMO/PPO	Cigna | HMO/PPO	Healthy Blue |Medicaid	Humana |HMO/PPO	LA Healthcare Connections |Medicaid	United Healthcare | HMO/PPO	UHC Community Plan Bayou Health |Medicaid	Humana Healthy Horizons |Medicaid
MH INPATIENT 	124	inpatient	"1,200"	650	650	907	 Per Diem  	907	737	737	783	700	737	900	737	650	737	737
Detox INPATIENT 	126	inpatient	"1,200"	650	650	907	 Per Diem  	907	737	737	783	700	737	900	737	650	737	773
INTENSIVE OUTPATIENT PROGRAM MH PROGRAM	905	outpatient	450	120	175	240	 Per Diem 	212	212	  -    	240	185	  -    	200	  -    	175	  -    	  -    
																		
																		
																		
"All shoppable services, including any of the applicable 70 CMS-specified services, provided by the Hospital have been included in this Shoppable Services Charge List. "