| ROOM & BOARD | ||
| SERVICE CHARGE CODE | SERVICE DESCRIPTION | SERVICE CHARGE PRICE |
| AA00000 | ROOM & BOARD ICU | 1,272.84 |
| AA00001 | ROOM & BOARD NURSERY | 362.92 |
| AA00002 | ROOM & BOARD INTMED NURSERY | 546.82 |
| AA00003 | ROOM & BOARD NICU | 825.29 |
| AA00004 | ROOM & BOARD TELEMETRY | 714.94 |
| AA00005 | ROOM & BOARD SNF | 396.55 |
| AA00006 | ROOM & BOARD PICU | 1,098.70 |
| AA00007 | ROOM & BOARD ICF | 329.14 |
| AA00008 | ROOM & BOARD MED/SURG PRIVATE | 544.82 |
| AA00009 | ROOM & BOARD MED/SURG SEMI-PRIVATE | 494.82 |
| AA00011 | ROOM & BOARD MEDICAL PRIVATE | 587.94 |
| AA00012 | ROOM & BOARD MEDICAL SEMI-PRIVATE | 537.94 |
| AA00014 | ROOM & BOARD PEDS PRIVATE | 732.19 |
| AA00015 | ROOM & BOARD PEDS SEMI-PRIVATE | 682.19 |
| AA00017 | ROOM & BOARD OB/GYN PRIVATE | 600.62 |
| AA00018 | ROOM & BOARD OB/GYN SEMI-PRIVATE | 550.62 |
| AA00020 | ROOM & BOARD SURGICAL PRIVATE | 573.21 |
| AA00021 | ROOM & BOARD SURGICAL SEMI-PRIVATE | 523.21 |
| AA00055 | ROOM & BOARD SNF | 396.55 |
| AA00057 | ROOM & BOARD ICF | 329.14 |
| AA24009 | OBSERVATION BED/HOUR MED/SURG | 20.62 |
| AA24012 | OBSERVATION BED/HOUR MEDICAL | 22.41 |
| AA24015 | OBSERVATION BED/HOUR PEDS | 28.42 |
| AA24021 | OBSERVATION BED/HOUR SURGICAL | 21.80 |