{
	"hospital_name": "Huntington Beach Hospital",
	"last_updated_on": "2024-12-19",
	"version": "2.0.0",
	"hospital_location": [
		"Huntington Beach Hospital"
	],
	"hospital_address": [
		"17772 Beach Boulevard Huntington Beach, CA  92647"
	],
	"license_information": {
		"license_number": "205252882",
		"state": "CA"
	},
	"affirmation": {
		"affirmation": "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.",
		"confirm_affirmation": true
	},
	"standard_charge_information": [
		{
			"description": "HC PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – FIRST DOSE",
			"code_information": [
				{
					"code": "0001A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 9.68,
					"maximum": 40,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 30,
							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 9.68,
							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 9.68,
							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 40,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – SECOND DOSE",
			"code_information": [
				{
					"code": "0002A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 9.68,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 9.68,
							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 9.68,
							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 30,
							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – THIRD DOSE",
			"code_information": [
				{
					"code": "0003A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC LIVER DIS 10 ASSAYS WNASH",
			"code_information": [
				{
					"code": "0003M",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2517,
					"discounted_cash": 654,
					"minimum": 503.4,
					"maximum": 2013.6,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 654.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 636.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 755.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 533.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 704.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2013.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1283.67,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 508.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2013.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 734.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2013.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 655.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 755.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 707.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2013.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 503.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION – BOOSTER DOSE",
			"code_information": [
				{
					"code": "0004A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC",
			"code_information": [
				{
					"code": "001",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 342695,
					"minimum": 263612,
					"maximum": 477665,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 477665,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 413398,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 332702,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 342696,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 266248,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 342696,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 384874,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 414308,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 279429,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 370639,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 263612,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 388680,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
			"code_information": [
				{
					"code": "0011",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 54809.3,
					"maximum": 57549.7,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 57549.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 54809.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC MODERNA COVID-19 VACCINE ADMINISTRATION – FIRST DOSE",
			"code_information": [
				{
					"code": "0011A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 9.68,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 9.68,
							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 30,
							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
			"code_information": [
				{
					"code": "0012",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 61493.3,
					"maximum": 64567.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 61493.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 61493.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 61493.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 61493.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 64567.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 61493.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 61493.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC MODERNA COVID-19 VACCINE ADMINISTRATION – SECOND DOSE",
			"code_information": [
				{
					"code": "0012A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 9.68,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 30,
							"standard_charge_percentage": 75.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 9.68,
							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 9.68,
							"standard_charge_percentage": 24.2,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
			"code_information": [
				{
					"code": "0013",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 73704.3,
					"maximum": 77389.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 73704.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 77389.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 73704.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 73704.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 73704.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 73704.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 73704.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC MODERNA COVID-19 VACCINE ADMINISTRATION – THIRD DOSE",
			"code_information": [
				{
					"code": "0013A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "LIVER TRANSPLANT &OR INTESTINAL TRANSPLANT ",
			"code_information": [
				{
					"code": "0014",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 129535,
					"maximum": 136012,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 129535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 129535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 129535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 129535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 129535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 136012,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 129535,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC",
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				{
					"code": "002",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 134499,
					"minimum": 103461,
					"maximum": 187472,
					"payers_information": [
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							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 134500,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 104496,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 187472,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 175619,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 111078,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 145467,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 162081,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 155802,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 134500,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 109669,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 151054,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 103461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HEART &OR LUNG TRANSPLANT ",
			"code_information": [
				{
					"code": "0021",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 77288.5,
					"maximum": 81152.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 77288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 77288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 77288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 77288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 77288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 81152.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 77288.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC ASTRAZENECA COVID-19 VACCINE ADMINISTRATION – FIRST DOSE",
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				{
					"code": "0021A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HEART &OR LUNG TRANSPLANT ",
			"code_information": [
				{
					"code": "0022",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 94013.5,
					"maximum": 98714.2,
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						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 94013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 94013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 94013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 98714.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 94013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 94013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC ASTRAZENECA COVID-19 VACCINE ADMINISTRATION – SECOND DOSE",
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				{
					"code": "0022A",
					"type": "HCPCS"
				}
			],
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					"setting": "outpatient",
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					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HEART &OR LUNG TRANSPLANT ",
			"code_information": [
				{
					"code": "0023",
					"type": "APR-DRG"
				}
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			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 137155,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 130623,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 130623,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 130623,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 130623,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 130623,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HEART &OR LUNG TRANSPLANT ",
			"code_information": [
				{
					"code": "0024",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 206387,
					"maximum": 216706,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 206387,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 206387,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 206387,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 206387,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 206387,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 216706,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 206387,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES",
			"code_information": [
				{
					"code": "003",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 260907,
					"minimum": 200698,
					"maximum": 363665,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 305801,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 260908,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 212740,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 282182,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 315222,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 363665,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 276894,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 202705,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 293019,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 253134,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 260908,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 200698,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC IMM ADMN SARSCOV2 AD26 5X1010 VP0.5 ML 1 DOSE",
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				{
					"code": "0031A",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20.4,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC JOHNSON&JOHNSON COVID-19 VACCINE ADMINISTRATION - BOOSTER DOSE",
			"code_information": [
				{
					"code": "0034A",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 40,
					"minimum": 12,
					"maximum": 32,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES",
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				{
					"code": "004",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 172260,
					"minimum": 132508,
					"maximum": 240105,
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 210845,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 186307,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 207828,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 193462,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 133834,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 172261,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 240105,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 140459,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 172261,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 166893,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 132508,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 194691,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0041",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 42036.8,
					"maximum": 44138.6,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 44138.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 42036.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0042",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 58078.2,
					"maximum": 60982.1,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 60982.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 58078.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
			"code_information": [
				{
					"code": "0043",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 89206.2,
					"maximum": 93666.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 89206.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 93666.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE ",
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				{
					"code": "0044",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 141718,
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
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						},
						{
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						}
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			"description": "LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT",
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						},
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						},
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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						{
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
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					]
				}
			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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					"code": "0051",
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						},
						{
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						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
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			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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					"code": "0052",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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					]
				}
			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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		{
			"description": "TRACHEOSTOMY W MV 96+ HOURS WO EXTENSIVE PROCEDURE ",
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						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "LIVER TRANSPLANT WITHOUT MCC",
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							"methodology": "case rate"
						},
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 45835,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 69376.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
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							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"standard_charge_dollar": 71323.5,
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 59585.5,
							"estimated_amount": 999999999,
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Applecare Medical Group",
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							"payer_name": "Renal Payer Solutions",
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			"description": "PANCREAS TRANSPLANT ",
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					"code": "0061",
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					"code": "0062",
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							"payer_name": "Non-Contracted Medi-Cal",
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					"code": "0063",
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					"setting": "inpatient",
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							"payer_name": "Non-Contracted Medi-Cal",
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			"description": "PANCREAS TRANSPLANT ",
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					"code": "0064",
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					"setting": "inpatient",
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							"payer_name": "Caloptima",
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							"payer_name": "Health Net of CA",
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		{
			"description": "HC MODERNA COVID-19 VACCINE ADMINISTRATION – BOOSTER DOSE",
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				{
					"code": "0064A",
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							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $4132",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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			"description": "LUNG TRANSPLANT",
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				{
					"code": "007",
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						{
							"payer_name": "Caloptima",
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							"payer_name": "Coventry Workers Compensation",
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							"payer_name": "Brand New Day",
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							"payer_name": "Imperial Health Plan",
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							"payer_name": "Applecare Medical Group",
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							"payer_name": "Alignment",
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						{
							"payer_name": "Health Net of CA",
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							"payer_name": "Verda HealthPlan",
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Applecare Medical Group",
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				}
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			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
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					"code": "0071",
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					"setting": "inpatient",
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Caloptima",
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							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
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				{
					"code": "0072",
					"type": "APR-DRG"
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				{
					"setting": "inpatient",
					"minimum": 60331.3,
					"maximum": 63347.8,
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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					"code": "0073",
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					"setting": "inpatient",
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					"code": "008",
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			]
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					"setting": "inpatient",
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						{
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					]
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			],
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
				{
					"code": "0092",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36357.7,
					"maximum": 38175.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38175.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36357.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
				{
					"code": "0093",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 62272,
					"maximum": 65385.6,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 65385.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 62272,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)",
			"code_information": [
				{
					"code": "0094",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 137513,
					"maximum": 144388,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 144388,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 137513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PANCREAS TRANSPLANT",
			"code_information": [
				{
					"code": "010",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 97510,
					"minimum": 61251.1,
					"maximum": 135915,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 75758.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 94172.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 135915,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 117269,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 97510.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 79508.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 61251.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 109512,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 97510.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 69042.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 105461,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 75008.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC",
			"code_information": [
				{
					"code": "011",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 66222,
					"minimum": 50940.6,
					"maximum": 92304.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 63732.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 73957.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 51450.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 74373.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 66929.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 66222.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 66222.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 50940.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 53997.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 92304.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 79364.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 71622.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "0111",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 30752.7,
					"maximum": 32290.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 30752.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 32290.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "0112",
					"type": "APR-DRG"
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
							"payer_name": "Caloptima",
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						}
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				}
			]
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			"description": "UnGrouped",
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				{
					"code": "0113",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 90451.7,
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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						}
					]
				}
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		{
			"description": "UnGrouped",
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				{
					"code": "0114",
					"type": "APR-DRG"
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			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 160319,
					"maximum": 168335,
					"payers_information": [
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							"payer_name": "Caloptima",
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						},
						{
							"payer_name": "Caloptima",
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						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 168335,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC",
			"code_information": [
				{
					"code": "012",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 50534,
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					"maximum": 70437.4,
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							"methodology": "case rate"
						},
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							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
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							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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						{
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 60358.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 56754.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "013",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 32885,
					"minimum": 25296.6,
					"maximum": 45837.5,
					"payers_information": [
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							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 38521.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 31299.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 32885.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 25549.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 38977,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 45837.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 36933.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 32885.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 26814.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 25296.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 25296.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 35567.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 25296.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 34174.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ALLOGENEIC BONE MARROW TRANSPLANT",
			"code_information": [
				{
					"code": "014",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 159777,
					"minimum": 122906,
					"maximum": 222706,
					"payers_information": [
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 122906,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 122906,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 124135,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 180901,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 122906,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 192705,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 172806,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 122906,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 164386,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 122906,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						},
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			]
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				{
					"code": "016",
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				}
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						{
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						}
					]
				}
			]
		},
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				{
					"code": "017",
					"type": "MS-DRG"
				}
			],
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
						{
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							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
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							"methodology": "case rate"
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						{
							"payer_name": "Astiva Health Inc",
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						{
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						},
						{
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							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES",
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				{
					"code": "018",
					"type": "MS-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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							"methodology": "case rate"
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						{
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						{
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							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Renal Payor Solution Medicare",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Brand New Day Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 495964,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 639180,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 528441,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 445433,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 352748,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 341114,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS",
			"code_information": [
				{
					"code": "019",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 96955,
					"minimum": 74581.4,
					"maximum": 135141,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 96955.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 93630.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 79056.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 116597,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 114652,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 104861,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 96955.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 135141,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 75327.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 108889,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 74581.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 101714,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRACHIAL PLEXUS BLOCK",
			"code_information": [
				{
					"code": "01967",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1151.33,
					"minimum": 345.4,
					"maximum": 921.06,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 921.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 921.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 921.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 345.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 587.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 921.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC",
			"code_information": [
				{
					"code": "020",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 98580,
					"minimum": 75830.9,
					"maximum": 137406,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 98580.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 118565,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 132893,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 76589.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 137406,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 121234,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 80380.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 95210.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 98580.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 106618,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 110713,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 75830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
			"code_information": [
				{
					"code": "0201",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18087.3,
					"maximum": 18991.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18991.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 18087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
			"code_information": [
				{
					"code": "0202",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21183,
					"maximum": 22242.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 22242.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21183,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC NFCT DS BCTVIR RESPIR DNARNA 22 TRGT SARSCOV2",
			"code_information": [
				{
					"code": "0202U",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2083.9,
					"discounted_cash": 541,
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					"maximum": 1667.12,
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							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1062.79,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 585.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 420.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 333.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 542.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1667.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 333.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 333.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 333.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 625.17,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1667.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1667.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 333.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 541.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1667.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 608.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 625.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 416.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
			"code_information": [
				{
					"code": "0203",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 29664.7,
					"maximum": 31147.9,
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 29664.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY FOR TRAUMA",
			"code_information": [
				{
					"code": "0204",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 47233.5,
					"maximum": 49595.1,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 47233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC",
			"code_information": [
				{
					"code": "021",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 67818,
					"minimum": 52167.8,
					"maximum": 104276,
					"payers_information": [
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 55297.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 52167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 52689.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 81297.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 52167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 88087.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 63082,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 94528,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 52167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 104276,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 52167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 67818.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 52167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 52167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 73347.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 76164.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 52167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0211",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 17841.9,
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17841.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 16992.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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				{
					"code": "0212",
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					"setting": "inpatient",
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					"maximum": 22696.2,
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						},
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						},
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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					]
				}
			]
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		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0213",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 32041.8,
					"maximum": 33643.9,
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN CRANIOTOMY EXCEPT TRAUMA",
			"code_information": [
				{
					"code": "0214",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 50285.2,
					"maximum": 52799.5,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CCMCC",
			"code_information": [
				{
					"code": "022",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 60735.9,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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						},
						{
							"payer_name": "Molina ",
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						},
						{
							"payer_name": "Managed Health Network ",
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
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					"code": "0221",
					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 12341.3,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
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					"code": "0222",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 13564.2,
					"maximum": 14242.4,
					"payers_information": [
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							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13564.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
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					"code": "0223",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18862,
					"maximum": 19805.1,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 18862,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19805.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "0224",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 35386.8,
					"maximum": 37156.2,
					"payers_information": [
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							"plan_name": "Caloptima Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 35386.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 37156.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR",
			"code_information": [
				{
					"code": "023",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 69976,
					"minimum": 53828.2,
					"maximum": 97536.8,
					"payers_information": [
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							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 81308.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
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						},
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						},
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							"payer_name": "Astiva Health Inc",
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						},
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						},
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							"payer_name": "Applecare Medical Group",
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						},
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							"payer_name": "Applecare Medical Group",
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						},
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							"payer_name": "Renal Payer Solutions",
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						},
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						},
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						},
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						},
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						},
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						},
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							"payer_name": "Alignment",
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						},
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							"payer_name": "Employer Direct Healthcare",
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						},
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							"payer_name": "Workers Compensation",
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						},
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							"payer_name": "Aetna",
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						},
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							"payer_name": "Verda HealthPlan",
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						},
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						},
						{
							"payer_name": "Caloptima",
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						},
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							"payer_name": "Non-Contracted Medicare",
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						},
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							"payer_name": "Imperial Health Plan",
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						},
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							"payer_name": "WellCare",
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						},
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							"payer_name": "Blue Shield of VA",
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						},
						{
							"payer_name": "Caloptima",
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						}
					]
				}
			]
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		{
			"description": "SPINAL PROCEDURES ",
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				{
					"code": "0231",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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							"payer_name": "Caloptima",
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						},
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
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						}
					]
				}
			]
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				{
					"code": "0232",
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				}
			],
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					"setting": "inpatient",
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						},
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
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						},
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						},
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							"payer_name": "Caloptima",
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						},
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							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "SPINAL PROCEDURES ",
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				{
					"code": "0233",
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				}
			],
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				{
					"setting": "inpatient",
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						},
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						},
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						},
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						},
						{
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						},
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						}
					]
				}
			]
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			"description": "SPINAL PROCEDURES ",
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				{
					"code": "0234",
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				}
			],
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				{
					"setting": "inpatient",
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						},
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY RENAL ART",
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				{
					"code": "0234T",
					"type": "HCPCS"
				}
			],
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				{
					"setting": "outpatient",
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							"payer_name": "Keenan",
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						},
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							"payer_name": "Health Net Federal Service Tricare",
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						{
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						{
							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Workers Compensation",
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						{
							"payer_name": "Applecare Medical Group",
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							"payer_name": " Anthem Blue Cross",
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							"payer_name": "Employer Direct Healthcare",
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						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Coventry Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 19325.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY VISCERAL ART EA",
			"code_information": [
				{
					"code": "0235T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 16302,
					"minimum": 4132,
					"maximum": 13041.6,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 13041.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 13041.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 13041.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 4890.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 13041.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY ABDOM AORTA",
			"code_information": [
				{
					"code": "0236T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48345.5,
					"discounted_cash": 17868,
					"minimum": 4132,
					"maximum": 38676.4,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 14569.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 17868.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 19243.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17904.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 14503.7,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20068,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13882.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 19325.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17367.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERL ATHERECTOMY BRACHIOCEPHAL EA",
			"code_information": [
				{
					"code": "0237T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 48345.5,
					"discounted_cash": 17868,
					"minimum": 4132,
					"maximum": 38676.4,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 20617.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 19325.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 14569.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13882.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 14503.7,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20068,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 17868.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17904.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 38676.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 19243.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17367.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 13745.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRANSLUM PERIPHERAL ATHERECTOMY ILIAC ARTERY EA",
			"code_information": [
				{
					"code": "0238T",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 76772.5,
					"discounted_cash": 28481,
					"minimum": 4132,
					"maximum": 61418,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 23031.8,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 31987.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22128,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 61418,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 61418,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 28538.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 30672.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 61418,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 21909,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC",
			"code_information": [
				{
					"code": "024",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 46868,
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					"maximum": 65326.9,
					"payers_information": [
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 52636.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 38215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 36412.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 50689.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 65326.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 44902.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 52270.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 55916.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 54343.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 46868.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 36052.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0241",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9142.22,
					"maximum": 9599.33,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9599.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9142.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN",
			"code_information": [
				{
					"code": "0241U",
					"type": "HCPCS"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 713.15,
					"discounted_cash": 185,
					"minimum": 142.63,
					"maximum": 570.52,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 363.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 213.94,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 144.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 151.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 570.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 185.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 200.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 208.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 199.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 149.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 570.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 570.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 185.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 213.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 142.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 180.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
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				{
					"code": "0242",
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				}
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0243",
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				}
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					"setting": "inpatient",
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						}
					]
				}
			]
		},
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			"description": "OPEN EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0244",
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				}
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			"standard_charges": [
				{
					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
		},
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			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "025",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 76675,
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 44854,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 59495,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "026",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 52752,
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 29112.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 29112.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 29112.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 29112.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 42504.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 29112.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 29403.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 44986.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 30859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 42356.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 29112.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0261",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10915.8,
					"maximum": 11461.6,
					"payers_information": [
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							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 10915.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11461.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0262",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13537.2,
					"maximum": 14214,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14214,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0263",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20824.7,
					"maximum": 21866,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20824.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER NERVOUS SYSTEM & RELATED PROCEDURES ",
			"code_information": [
				{
					"code": "0264",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36478.8,
					"maximum": 38302.7,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36478.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38302.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "027",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 30673,
					"minimum": 23595.1,
					"maximum": 42754.3,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 36297.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 31072.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 34448.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 33174.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 23831,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 34895.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"standard_charge_dollar": 23595.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 42754.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0271",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14862.4,
					"maximum": 15605.5,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 14862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0272",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16554.9,
					"maximum": 17382.6,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 16554.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16554.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 16554.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0273",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25927.3,
					"maximum": 27223.7,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25927.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 25927.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 25927.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 25927.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25927.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER OPEN CRANIOTOMY",
			"code_information": [
				{
					"code": "0274",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 44581.1,
					"maximum": 46810.1,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 44581.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 46810.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "028",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 74522,
					"minimum": 48863.6,
					"maximum": 103872,
					"payers_information": [
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							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 83694.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 86433.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 48863.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 89419.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 103872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 74522.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 57898,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 74522.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 60764.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 71806.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 57324.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 80598.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS",
			"code_information": [
				{
					"code": "029",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 41465,
					"minimum": 30772.9,
					"maximum": 57796.5,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 33810.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 39647,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 49371.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 49171.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 30772.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 57796.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 41465.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 46568.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 44846.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 41465.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 32215.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 31896.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0291",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17404.7,
					"maximum": 18274.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18274.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17404.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0292",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19693.7,
					"maximum": 20678.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19693.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20678.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0293",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21982.8,
					"maximum": 23081.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 21982.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23081.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES",
			"code_information": [
				{
					"code": "0294",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34720.2,
					"maximum": 36456.2,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 36456.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34720.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "030",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 27730,
					"minimum": 21331.3,
					"maximum": 38652.3,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 38652.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 33261.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 22611.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 31143.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 21544.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 27730.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 26284.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 29991.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 21331.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0301",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16033.4,
					"maximum": 16835.1,
					"payers_information": [
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16835.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 16033.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0302",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 22281.1,
					"payers_information": [
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0303",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 28979.1,
					"maximum": 30428,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 28979.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES",
			"code_information": [
				{
					"code": "0304",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 38535.7,
					"maximum": 40462.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 38535.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 40462.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 38535.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "031",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 51589,
					"minimum": 27745.3,
					"maximum": 71908,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 59045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 61636.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 51589.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 55796.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 51589.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 57939.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 42065.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 40081.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 49495.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 71908,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 39684.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "032",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 26640,
					"minimum": 20492.6,
					"maximum": 37132.7,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 26640.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 20492.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 20492.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 20492.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 24480.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 30892.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 20492.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 20492.6,
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
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						},
						{
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						},
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						},
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						},
						{
							"payer_name": "Alignment",
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						},
						{
							"payer_name": "Health Net of CA",
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						}
					]
				}
			]
		},
		{
			"description": "VENTRICULAR SHUNT PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "033",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
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							"payer_name": "Imperial Health Plan",
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						},
						{
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
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						},
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "CAROTID ARTERY STENT PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "034",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 47924,
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 55958.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 51832,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 57196.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 37233.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CAROTID ARTERY STENT PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "035",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28330,
					"minimum": 21792.6,
					"maximum": 39488.3,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 28330.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 31817.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 39488.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 23100.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 26867.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 21792.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22010.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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						},
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						},
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						},
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						}
					]
				}
			]
		},
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				{
					"code": "036",
					"type": "MS-DRG"
				}
			],
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						},
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						},
						{
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						},
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "EXTRACRANIAL PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "037",
					"type": "MS-DRG"
				}
			],
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
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						{
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						},
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						},
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						},
						{
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						},
						{
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						},
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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						},
						{
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXTRACRANIAL PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "038",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 28260.3,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 15596.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 16532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21788.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 19030.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15596.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 21928.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 15596.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 15596.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 20275.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 22947.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 15596.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 15596.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 15752.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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					"code": "039",
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					]
				}
			]
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						{
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						},
						{
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					]
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			]
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						},
						{
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						{
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						{
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "SPINAL DISORDERS & INJURIES ",
			"code_information": [
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					"code": "0404",
					"type": "APR-DRG"
				}
			],
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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						}
					]
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			"description": "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR",
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				{
					"code": "041",
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				}
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						{
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						{
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						{
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							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
				{
					"code": "0411",
					"type": "APR-DRG"
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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						{
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					]
				}
			]
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		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
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					"code": "0412",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
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					"code": "0413",
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				}
			],
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						{
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						},
						{
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NERVOUS SYSTEM MALIGNANCY ",
			"code_information": [
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					"code": "0414",
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				}
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					"setting": "inpatient",
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					"maximum": 13998.6,
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "042",
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				}
			],
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					"setting": "inpatient",
					"discounted_cash": 22051,
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					"maximum": 30736,
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						},
						{
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						},
						{
							"payer_name": "Health Net of CA",
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						{
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 22051.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16962.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0421",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 5734.16,
					"maximum": 6020.87,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0422",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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					"maximum": 7668.75,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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				}
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		},
		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
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					"code": "0423",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 10435.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9938.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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				}
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		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS ",
			"code_information": [
				{
					"code": "0424",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 18920.2,
					"payers_information": [
						{
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							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
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		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
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					"code": "0431",
					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 7499.54,
					"payers_information": [
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
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					"payers_information": [
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							"methodology": "case rate"
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						{
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						},
						{
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							"methodology": "case rate"
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						{
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
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						{
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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			]
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		{
			"description": "MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES",
			"code_information": [
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					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 28955.6,
					"payers_information": [
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
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		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
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					"code": "0441",
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			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 6760.73,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
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					"code": "0442",
					"type": "APR-DRG"
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			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 9404.9,
					"payers_information": [
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							"plan_name": "Caloptima Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9404.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8957.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE ",
			"code_information": [
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					"code": "0443",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 11685.5,
					"maximum": 12269.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11685.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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						{
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						{
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						{
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						{
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						{
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		},
		{
			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
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				{
					"code": "0501",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						{
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					"code": "0502",
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						{
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					]
				}
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			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
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				}
			],
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						{
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						{
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						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
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		{
			"description": "NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS ",
			"code_information": [
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					"code": "0504",
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				}
			],
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					"setting": "inpatient",
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					"payers_information": [
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						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": "Caloptima",
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						}
					]
				}
			]
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		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
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					"code": "0511",
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				}
			],
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					"setting": "inpatient",
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					"maximum": 4441.29,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
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					"code": "0512",
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				}
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					"setting": "inpatient",
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					"maximum": 6595.73,
					"payers_information": [
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
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					"code": "0513",
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				}
			],
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					"setting": "inpatient",
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					"maximum": 11150.5,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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						},
						{
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						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS ",
			"code_information": [
				{
					"code": "0514",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 20387.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SPINAL DISORDERS AND INJURIES WITH CCMCC",
			"code_information": [
				{
					"code": "052",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 25145,
					"minimum": 19343,
					"maximum": 49530.8,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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						},
						{
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						},
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						{
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						},
						{
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						},
						{
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						},
						{
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						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 20503.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 27196.3,
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							"methodology": "case rate"
						},
						{
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			"description": "ALTERATION IN CONSCIOUSNESS ",
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					"code": "0521",
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				{
					"code": "0523",
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				{
					"setting": "inpatient",
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						},
						{
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						},
						{
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						}
					]
				}
			]
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				{
					"code": "0524",
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				}
			],
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				{
					"setting": "inpatient",
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						},
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						{
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					]
				}
			]
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					"code": "053",
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			],
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				{
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						{
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						{
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						}
					]
				}
			]
		},
		{
			"description": "SEIZURE ",
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				{
					"code": "0531",
					"type": "APR-DRG"
				}
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					]
				}
			]
		},
		{
			"description": "SEIZURE ",
			"code_information": [
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					"code": "0532",
					"type": "APR-DRG"
				}
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						{
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						{
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						}
					]
				}
			]
		},
		{
			"description": "SEIZURE ",
			"code_information": [
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					"code": "0533",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						}
					]
				}
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						},
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						{
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						},
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			]
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			"description": "HEAD TRAUMA W COMA >1 HR OR HEMORRHAGE ",
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						{
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						{
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					]
				}
			]
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		{
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					"code": "056",
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						{
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						{
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						{
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						{
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						},
						{
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				}
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		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
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				}
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		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
			"code_information": [
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					"code": "0563",
					"type": "APR-DRG"
				}
			],
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRAIN CONTUSIONLACERATION & COMPLICATED SKULL FX, COMA < 1 HR OR NO COMA ",
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				{
					"code": "0564",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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						},
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						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC",
			"code_information": [
				{
					"code": "057",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 16913,
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					"maximum": 23574.5,
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						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 15765.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 16913.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13140.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 13790.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19626.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 18995,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 18292.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 19552.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13010.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 16913.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
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					"code": "0571",
					"type": "APR-DRG"
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			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 4689.22,
					"maximum": 4923.68,
					"payers_information": [
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							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4923.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 4689.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0572",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 7084.37,
					"maximum": 7438.59,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7438.59,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 7084.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0573",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 10355.3,
					"maximum": 10873.1,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION, CLOSED SKULL FX NOS,UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HR OR NO COMA ",
			"code_information": [
				{
					"code": "0574",
					"type": "APR-DRG"
				}
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			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 16265.6,
					"maximum": 17078.9,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17078.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC",
			"code_information": [
				{
					"code": "058",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 23123,
					"minimum": 17787.2,
					"maximum": 32230.3,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 25008.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 32230.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 19891.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 23123.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 24783.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 17787.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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				}
			]
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						{
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						},
						{
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						}
					]
				}
			]
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					"maximum": 11102.2,
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							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "ANOXIC & OTHER SEVERE BRAIN DAMAGE ",
			"code_information": [
				{
					"code": "0594",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 15934.4,
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "060",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 11547,
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC",
			"code_information": [
				{
					"code": "061",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 33533,
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					"maximum": 46741.2,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 25795.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC",
			"code_information": [
				{
					"code": "062",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 22334,
					"minimum": 17180.1,
					"maximum": 31130.3,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"standard_charge_dollar": 26194,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 24155.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 25082.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 21034.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 26846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 22334.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 18210.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 31130.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 22334.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 17180.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CCMCC",
			"code_information": [
				{
					"code": "063",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17768,
					"minimum": 13667.7,
					"maximum": 24765.9,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 21325.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 16592.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 19954.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 17768,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 14487.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13804.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 17768,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17962.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 19216.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 20662.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24765.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13667.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC",
			"code_information": [
				{
					"code": "064",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 24863,
					"minimum": 19125.4,
					"maximum": 34655.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 25513.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 27923.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 20273,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 24863,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 23495.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 19316.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 24863,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 26890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 29257.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 28729.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19125.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 34655.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS",
			"code_information": [
				{
					"code": "065",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13058,
					"minimum": 10045.1,
					"maximum": 18201.7,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13814.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 12012.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14665.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10145.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 13058.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14578.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 13058.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18201.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14956.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 10647.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 14123.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 10045.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "066",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9069,
					"minimum": 6976.31,
					"maximum": 12641.1,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7046.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7394.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10185.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 9069.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10598.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 9808.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9860.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 6976.31,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 10123.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12641.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 8130.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 9069.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC",
			"code_information": [
				{
					"code": "067",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 18376,
					"minimum": 9682.15,
					"maximum": 25613.7,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 20322.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 21399.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 18376.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 17195.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 25613.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 18376.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14277,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 14983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 19874.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20638,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9682.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 14135.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC",
			"code_information": [
				{
					"code": "068",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11414,
					"minimum": 8780.61,
					"maximum": 15910.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 10413.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9307.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8868.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12492.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12819.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11414.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 11414.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12965.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15910.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11187.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12345.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8780.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC",
			"code_information": [
				{
					"code": "069",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10426,
					"minimum": 8020.41,
					"maximum": 14533,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 10426.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11709.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14533,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 10426.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8100.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9451.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8501.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11768.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10151,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11455.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11276.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8020.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC",
			"code_information": [
				{
					"code": "070",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21823,
					"minimum": 16786.9,
					"maximum": 30417.9,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 18950.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 20537.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 30417.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24508.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 21823,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16954.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 25667.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 25574.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 21823,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 23602.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16786.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 17794.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC",
			"code_information": [
				{
					"code": "071",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13507,
					"minimum": 10390.7,
					"maximum": 18827.9,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 12447.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15501.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11951.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 11014.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18827.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15229.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15170.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10494.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 14609.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 13507.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 13507.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10390.7,
							"estimated_amount": 10694,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "072",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9820,
					"minimum": 7554.39,
					"maximum": 13688.5,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 9820.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11034.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 9820.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 10621.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7629.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7554.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14719,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 10900.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15331.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10283.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS WITH CCMCC",
			"code_information": [
				{
					"code": "075",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21623,
					"minimum": 11081.9,
					"maximum": 30140.4,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 19632.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 23387.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11081.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 25333.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 17631.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 27450,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 21623.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24285.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16800.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 21623.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 16633.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 30140.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VIRAL MENINGITIS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "076",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11844,
					"minimum": 6858.67,
					"maximum": 16509.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13302.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9657.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13486,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16509.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13231.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9202.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 10830.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 9111.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6858.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12810.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 11844.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11844.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITH MCC",
			"code_information": [
				{
					"code": "077",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 19485,
					"minimum": 14989.2,
					"maximum": 27160.4,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 15888.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 19225.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 15139.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 21671.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 19485.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 22743.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 21884.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 21074.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 19485.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 14989.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 27160.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 18263.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITH CC",
			"code_information": [
				{
					"code": "078",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12827,
					"minimum": 8981.73,
					"maximum": 17880.2,
					"payers_information": [
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9966.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 10459.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14406.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 11786,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14677.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14585.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17880.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8981.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12828,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 13874,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 12828,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 9867.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HYPERTENSIVE ENCEPHALOPATHY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "079",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8806,
					"minimum": 6774.58,
					"maximum": 12275.5,
					"payers_information": [
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							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 8806.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9426.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 9525.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 9806.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12275.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 7814.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7181.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 6842.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10625.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 9890.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 8806.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 6774.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONTRAUMATIC STUPOR AND COMA WITH MCC",
			"code_information": [
				{
					"code": "080",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 24846,
					"minimum": 17165.6,
					"maximum": 34631.6,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 27904,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 29237.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 34631.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 19303.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 24846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 20259.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17165.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 26872,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 31679.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 24846.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 23263.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 19112.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NONTRAUMATIC STUPOR AND COMA WITHOUT MCC",
			"code_information": [
				{
					"code": "081",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11697,
					"minimum": 6638.57,
					"maximum": 16304.8,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8998.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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			]
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			]
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					]
				}
			]
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						},
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						},
						{
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						}
					]
				}
			]
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			],
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
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						},
						{
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						},
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							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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						},
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							"payer_name": "Imperial Health Plan",
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						},
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						},
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						},
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						},
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						},
						{
							"payer_name": "Alignment",
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						},
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						},
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							"payer_name": "Managed Health Network ",
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						},
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							"payer_name": "Tricare",
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						}
					]
				}
			]
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		{
			"description": "TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CCMCC",
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				{
					"code": "084",
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				}
			],
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				{
					"setting": "inpatient",
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						},
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						},
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							"payer_name": "Renal Payer Solutions",
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						{
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
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						},
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
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						}
					]
				}
			]
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				{
					"code": "085",
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				}
			],
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					"setting": "inpatient",
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 33329,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Aetna Medicare",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Brand New Day Commercial Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 39339.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 21710.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 21710.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC",
			"code_information": [
				{
					"code": "086",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 16636,
					"minimum": 12797.3,
					"maximum": 23188.7,
					"payers_information": [
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							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 17993,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 12797.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18891.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19291.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 12797.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12797.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12925.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 12797.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 13565.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12797.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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				{
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					]
				}
			]
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				}
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						{
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						{
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						}
					]
				}
			]
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		{
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					"type": "MS-DRG"
				}
			],
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						{
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						{
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						},
						{
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						},
						{
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						{
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						{
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						},
						{
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0891",
					"type": "APR-DRG"
				}
			],
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						},
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						},
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							"methodology": "case rate"
						},
						{
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						},
						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
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		{
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			"code_information": [
				{
					"code": "0892",
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				}
			],
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				{
					"setting": "inpatient",
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0893",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0894",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 49788.5,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCUSSION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "090",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 15689.1,
					"payers_information": [
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						},
						{
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
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						},
						{
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12489.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11121,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12027.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8554.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9067.89,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8554.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC",
			"code_information": [
				{
					"code": "091",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 22844,
					"minimum": 17572.3,
					"maximum": 31841.1,
					"payers_information": [
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							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 21530.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 24706.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 18626.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 20267.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 26811.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 31841.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 17748.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 22844,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 25662.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 22844,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 25655.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17572.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0911",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13167.8,
					"maximum": 13826.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13826.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13167.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0912",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19333.4,
					"maximum": 20300,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20300,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19333.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0913",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34859.3,
					"maximum": 36602.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 36602.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34859.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR HEAD & NECK PROCEDURES ",
			"code_information": [
				{
					"code": "0914",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 55890.3,
					"maximum": 58684.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 58684.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 55890.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITH CC",
			"code_information": [
				{
					"code": "092",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13566,
					"minimum": 10435.5,
					"maximum": 18909.1,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15571.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 13566.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14717.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 12506.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10539.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 8703,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 13566.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 18909.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 14672.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 11061.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 10435.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15235.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 12195,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0921",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11224.1,
					"maximum": 11785.3,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 11785.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 11224.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0922",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14356.9,
					"maximum": 15074.8,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15074.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14356.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0923",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22408.2,
					"maximum": 23528.6,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23528.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 22408.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIALFACIAL BONE PROCEDURES ",
			"code_information": [
				{
					"code": "0924",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40213.2,
					"maximum": 42223.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 42223.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 40213.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CCMCC",
			"code_information": [
				{
					"code": "093",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10295,
					"minimum": 7632.46,
					"maximum": 14350.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 10295.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11562.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11134.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8394.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11609.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11107.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14350.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9323.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7998.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7919.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 10295.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7632.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC",
			"code_information": [
				{
					"code": "094",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 45010,
					"minimum": 34623.5,
					"maximum": 62737.8,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 36871.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 45010.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 50550.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 36700.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 53666.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 48680.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 51961,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 45010.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 62737.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 34969.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 43094.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 34623.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC",
			"code_information": [
				{
					"code": "095",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 29816,
					"minimum": 22935.8,
					"maximum": 41559.6,
					"payers_information": [
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 24311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 23165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 29816.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 29816.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 25318.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 32247.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 28313.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 34197,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 33486.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 41559.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 35258.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0951",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7248.52,
					"maximum": 7610.95,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7610.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7248.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0952",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8136.32,
					"maximum": 8543.14,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8543.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8136.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0953",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11607.4,
					"maximum": 12187.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12187.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 11607.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLEFT LIP & PALATE REPAIR ",
			"code_information": [
				{
					"code": "0954",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19316.4,
					"maximum": 20282.2,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20282.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 19316.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CCMCC",
			"code_information": [
				{
					"code": "096",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 29816,
					"minimum": 22935.8,
					"maximum": 41559.6,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 29816.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 24311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 23165.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 29816.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 31263.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 28116.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 41559.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 28313.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 35258.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 33486.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 22935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 32247.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC",
			"code_information": [
				{
					"code": "097",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 44232,
					"minimum": 34024.9,
					"maximum": 61653.1,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 44232.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 47839,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 42343.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 61653.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 44232.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 34365.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 49676.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 36066.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 52164.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 34024.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 43398.9,
							"estimated_amount": 999999999,
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			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
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					"code": "0981",
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			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
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						},
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						{
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							"methodology": "case rate"
						},
						{
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						}
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				}
			]
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			"description": "OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES ",
			"code_information": [
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					"code": "0984",
					"type": "APR-DRG"
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					"minimum": 32205,
					"maximum": 33815.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 33815.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 32205,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "099",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17628,
					"minimum": 13560.3,
					"maximum": 24571.3,
					"payers_information": [
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 19798,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 17628.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24571.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 16456.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 14373.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 20493.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 16308.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 19065.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 17628.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13695.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13560.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18935.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "SEIZURES WITH MCC",
			"code_information": [
				{
					"code": "100",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 24815,
					"minimum": 19089,
					"maximum": 34589.3,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 24815.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 27869.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 28435.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20093.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 26839.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 19279.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 24815.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 29200.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 20234.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 23449.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 19089,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 34589.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "FNA BX US GUIDANCE 1ST LESION",
			"code_information": [
				{
					"code": "10005",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1787.25,
					"discounted_cash": 1142,
					"minimum": 111.69,
					"maximum": 1429.8,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 911.5,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 117.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1429.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1429.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1429.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1429.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 536.17,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 111.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC FINE NEEDLE ASPIRATION BX WUS GDN EA ADDL",
			"code_information": [
				{
					"code": "10006",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 500,
					"minimum": 51.75,
					"maximum": 400,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 54.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 51.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 51.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 51.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 150,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 51.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 51.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 51.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 255,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC FINE NEEDLE ASPIRATION BX WFLUOR GDN 1ST LESION",
			"code_information": [
				{
					"code": "10007",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2896.7,
					"discounted_cash": 1142,
					"minimum": 259.49,
					"maximum": 2317.36,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1477.32,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 869.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 259.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 259.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 272.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 259.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 259.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 259.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 259.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC FINE NEEDLE ASPIRATION BX WFLUOR GDN EA ADDL",
			"code_information": [
				{
					"code": "10008",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 500,
					"minimum": 145.57,
					"maximum": 400,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 255,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 145.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 145.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 145.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 152.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 145.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 145.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 150,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 145.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "FNA BX CT GUIDANCE 1ST  LESION",
			"code_information": [
				{
					"code": "10009",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3783.75,
					"discounted_cash": 1142,
					"minimum": 428.52,
					"maximum": 3027,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 428.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 449.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 428.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1135.13,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 428.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 428.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1929.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 428.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 428.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "FNA BX CT GDN  EA ADDL LESION",
			"code_information": [
				{
					"code": "10010",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 500,
					"minimum": 150,
					"maximum": 400,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 256.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 150,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 269.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 255,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 256.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 256.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 256.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 256.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 256.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC FINE NEEDLE ASPIRATION BX WMR GDN 1ST LESION",
			"code_information": [
				{
					"code": "10011",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2896.7,
					"discounted_cash": 1142,
					"minimum": 869.01,
					"maximum": 2317.36,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1477.32,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 869.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC FINE NEEDLE ASPIRATION BX WMR GDN EA ADDL",
			"code_information": [
				{
					"code": "10012",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 500,
					"minimum": 150,
					"maximum": 400,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 150,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 255,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "ENDOVENOUS RF VEIN ADD-ON",
			"code_information": [
				{
					"code": "10021",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 73.34,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 73.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Img gid flu coll drg sft tis",
			"code_information": [
				{
					"code": "10030",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 4329.8,
					"discounted_cash": 1142,
					"minimum": 133.28,
					"maximum": 3463.84,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2208.2,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 133.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 139.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Acne surgery",
			"code_information": [
				{
					"code": "10040",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"discounted_cash": 325,
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					"maximum": 185.4,
					"payers_information": [
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							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 68.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 94.55,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 148.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 148.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 68.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 68.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 72.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 68.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 68.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 148.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 185.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC INCISION & DRAIN SKIN ABSCESS SIMPLE",
			"code_information": [
				{
					"code": "10060",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1107,
					"discounted_cash": 325,
					"minimum": 60.88,
					"maximum": 885.6,
					"payers_information": [
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 332.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 63.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 885.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 885.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 885.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 564.57,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 885.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 60.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HARMONIC CONSOLE  HAND PIECE",
			"code_information": [
				{
					"code": "10061",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 881.93,
					"discounted_cash": 647,
					"minimum": 108.67,
					"maximum": 747.3,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 705.54,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.54,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 114.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 449.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 705.54,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 264.58,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.54,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 108.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC INCISION & DRAIN PILONIDAL CYST SIMPL",
			"code_information": [
				{
					"code": "10080",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3783.75,
					"discounted_cash": 1142,
					"minimum": 79.04,
					"maximum": 3027,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1929.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3027,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 82.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 79.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1135.13,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC INCISION & DRAIN PILONIDAL CYST COMPLICATED",
			"code_information": [
				{
					"code": "10081",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3894,
					"discounted_cash": 1142,
					"minimum": 165.72,
					"maximum": 3115.2,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1985.94,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1168.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 165.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 3115.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 3115.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 174.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 165.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 165.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 165.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3115.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "SEIZURES WITHOUT MCC",
			"code_information": [
				{
					"code": "101",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11902,
					"minimum": 8687.11,
					"maximum": 16590.7,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 10885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16590.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13367.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11902.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9705.39,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8687.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13556.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 11902.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9247.59,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13046.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 9156.03,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12873.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXC SHOULDER LES SUBQ 3CM>",
			"code_information": [
				{
					"code": "10120",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 74.23,
					"maximum": 1740.12,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 77.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 74.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC INCISION & DRAIN OF HEMATOMAFLUID",
			"code_information": [
				{
					"code": "10140",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 8964.8,
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					"maximum": 7171.84,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 71.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 71.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7171.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7171.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 75.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7171.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 71.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7171.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2689.44,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 71.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXC BEN LES SCNKHF0.6-1.0CM",
			"code_information": [
				{
					"code": "10160",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"discounted_cash": 647,
					"minimum": 67.29,
					"maximum": 440.97,
					"payers_information": [
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 440.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 224.89,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 440.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 67.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 352.78,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 440.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC COMPLEX DRAINAGE, WOUND",
			"code_information": [
				{
					"code": "10180",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"maximum": 5657.12,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3606.41,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2121.42,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 177.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 168.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HEADACHES WITH MCC",
			"code_information": [
				{
					"code": "102",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14789,
					"minimum": 10204.9,
					"maximum": 20614.8,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13694.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 14789.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 15995.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 14789.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11490.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17054.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16610.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 12059.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10204.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20614.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17306.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11376.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HEADACHES WITHOUT MCC",
			"code_information": [
				{
					"code": "103",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11034,
					"minimum": 8488.29,
					"maximum": 15380.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15380.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11934.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12505,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8573.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8997.59,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12082.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 10042.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10304.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 11034.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12392.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 8488.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11034.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "104",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 32538.3,
					"maximum": 32538.3,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 32538.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "105",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6318.73,
					"maximum": 6318.73,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6318.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "106",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7582.02,
					"maximum": 7582.02,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7582.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "107",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6283.2,
					"maximum": 6283.2,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 6283.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "108",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11391.4,
					"maximum": 11391.4,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 11391.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "109",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12690.2,
					"maximum": 12690.2,
					"payers_information": [
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 12690.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDEMENT, INFECTED SKIN, UP TO 10% BSA",
			"code_information": [
				{
					"code": "11000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2520.8,
					"discounted_cash": 1020,
					"minimum": 28.3,
					"maximum": 2016.64,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1285.61,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 29.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 756.24,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDEMENT, INFECTED SKIN, EA ADD 10% BSA",
			"code_information": [
				{
					"code": "11001",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 310.35,
					"minimum": 14.95,
					"maximum": 248.28,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 158.28,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 93.11,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 248.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 248.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 248.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 248.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Dbrdmt skin xtrnl gent&per",
			"code_information": [
				{
					"code": "11004",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2520.8,
					"minimum": 339.12,
					"maximum": 2016.64,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 339.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 339.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 356.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 339.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 339.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 339.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 339.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 756.24,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Dbrdmt skin abdominal wall",
			"code_information": [
				{
					"code": "11005",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3251,
					"minimum": 453.92,
					"maximum": 2600.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 476.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 453.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 453.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2600.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2600.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2600.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2600.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 975.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 453.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 453.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 453.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 453.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Dbrdmt skin xtrnl gent per",
			"code_information": [
				{
					"code": "11006",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2520.8,
					"minimum": 426.26,
					"maximum": 2016.64,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 426.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1285.61,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 426.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 426.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 426.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 426.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 426.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 756.24,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 447.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2016.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC REMOVE MESH FROM ABD WALL FOR INFECTION",
			"code_information": [
				{
					"code": "11008",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4036.75,
					"minimum": 171.58,
					"maximum": 3229.4,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3229.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3229.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 1211.03,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 180.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3229.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2058.74,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3229.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1101",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6263.63,
					"maximum": 6576.81,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6263.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6576.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "CAUTERY UNITIRRIGATION CODMAN",
			"code_information": [
				{
					"code": "11010",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4132.9,
					"discounted_cash": 1142,
					"minimum": 323.08,
					"maximum": 3306.32,
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 339.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 323.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2107.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
			"code_information": [
				{
					"code": "1102",
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				}
			],
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				{
					"setting": "inpatient",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH, THROAT, CRANIALFACIAL MALIGNANCIES ",
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					"code": "1104",
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			],
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					"setting": "inpatient",
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					"maximum": 18770.9,
					"payers_information": [
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							"methodology": "case rate"
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						{
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						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDE SKIN SUB-Q TISS =<20 SQ CM",
			"code_information": [
				{
					"code": "11042",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"maximum": 1740.12,
					"payers_information": [
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							"methodology": "fee schedule"
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							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 156.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDE SKIN SUB-Q TISS MUSCLE =<20 SQ CM",
			"code_information": [
				{
					"code": "11043",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3387.17,
					"discounted_cash": 1020,
					"minimum": 224.83,
					"maximum": 2709.74,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1727.46,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 236.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1016.15,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 224.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "GENERAL LAPARO VIDEO TOWER",
			"code_information": [
				{
					"code": "11044",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8742.98,
					"discounted_cash": 2633,
					"minimum": 290.51,
					"maximum": 6994.38,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 305.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 6994.38,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 290.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6994.38,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
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			"description": "Dbrdmt subq tiss each addl",
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				{
					"code": "11045",
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				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1104.93,
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					"maximum": 883.94,
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Dbrdmt musc&fsca ea addl",
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				{
					"code": "11046",
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			],
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				{
					"setting": "outpatient",
					"gross_charge": 1218.86,
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					"maximum": 975.09,
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							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "COMPLETE RPL PICC WO PORT RS&I",
			"code_information": [
				{
					"code": "11047",
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			],
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				{
					"setting": "outpatient",
					"gross_charge": 3278.25,
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					"maximum": 2622.6,
					"payers_information": [
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "COMPLETE RPL PICC W PORT RS&I",
			"code_information": [
				{
					"code": "11055",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1052.85,
					"discounted_cash": 325,
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					"maximum": 842.28,
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 536.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 25.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 24.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4",
			"code_information": [
				{
					"code": "11056",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1052.85,
					"discounted_cash": 325,
					"minimum": 36.32,
					"maximum": 842.28,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 536.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 315.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 36.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC TRIM BENIGN HYPERKERATOTIC SKIN LESION,>4",
			"code_information": [
				{
					"code": "11057",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 442.8,
					"discounted_cash": 325,
					"minimum": 38.46,
					"maximum": 375.19,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 40.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 38.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 132.84,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 225.83,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "111",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21114.8,
					"maximum": 21114.8,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 21114.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TANGENTIAL BIOPSY SKIN SINGLE LESION",
			"code_information": [
				{
					"code": "11102",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 882.25,
					"discounted_cash": 325,
					"minimum": 89.35,
					"maximum": 705.8,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 264.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 93.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 89.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 449.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Tangntl bx skin ea sepaddl",
			"code_information": [
				{
					"code": "11103",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 500,
					"minimum": 48.03,
					"maximum": 400,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 150,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 255,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 48.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 50.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PUNCH BIOPSY SKIN SINGLE LESION",
			"code_information": [
				{
					"code": "11104",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 882.25,
					"discounted_cash": 647,
					"minimum": 112.06,
					"maximum": 747.3,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 449.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 112.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 117.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 264.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PUNCH BIOPSY SKIN EA SEPADDITIONAL LESION",
			"code_information": [
				{
					"code": "11105",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 500,
					"minimum": 54.73,
					"maximum": 400,
					"payers_information": [
						{
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							"payer_name": "Health Net of CA",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Molina ",
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							"methodology": "fee schedule"
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							"payer_name": " Anthem Blue Cross",
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			"description": "Incal bx skn single les",
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				{
					"code": "11106",
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					"setting": "outpatient",
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							"payer_name": "Blue Shield of VA",
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							"payer_name": "Applecare Medical Group",
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							"payer_name": "Molina ",
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							"payer_name": "Molina ",
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			"description": "VERTIGO & OTHER LABYRINTH DISORDERS ",
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			"description": "UnGrouped",
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					"code": "11200",
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					"maximum": 842.28,
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 315.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 536.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
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					]
				}
			]
		},
		{
			"description": "ORBITAL PROCEDURES WITH CCMCC",
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				{
					"code": "113",
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				}
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				{
					"setting": "inpatient",
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							"payer_name": "Applecare Medical Group",
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						{
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						{
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						{
							"payer_name": "Astiva Health Inc",
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						{
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						{
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						{
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						{
							"payer_name": "Employer Direct Healthcare",
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						{
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						{
							"payer_name": "Verda HealthPlan",
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						{
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						{
							"payer_name": "Coventry Workers Compensation",
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						{
							"payer_name": "Caloptima",
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						{
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						{
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						{
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						{
							"payer_name": "Blue Shield of VA",
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						{
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						{
							"payer_name": "Brand New Day",
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						{
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						{
							"payer_name": "Imperial Health Plan",
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						{
							"payer_name": "Applecare Medical Group",
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
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				{
					"code": "1131",
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				}
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
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					"code": "1132",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 4144.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4351.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
				{
					"code": "1133",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 6535.83,
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							"payer_name": "Molina ",
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							"standard_charge_dollar": 6224.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6535.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6224.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 6224.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 6224.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 6224.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INFECTIONS OF UPPER RESPIRATORY TRACT ",
			"code_information": [
				{
					"code": "1134",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12328.1,
					"maximum": 12944.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12328.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12944.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12328.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 12328.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12328.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ORBITAL PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "114",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15064,
					"minimum": 11587.9,
					"maximum": 20997.3,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 12283.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16918.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17386.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13963,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11703.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17667.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 15064.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17561.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20997.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 16292.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 15064.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC B9 LESION MRGN XCP SK TG TAL 1.1-2.0 CM",
			"code_information": [
				{
					"code": "11402",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4132.9,
					"discounted_cash": 1142,
					"minimum": 103.06,
					"maximum": 3306.32,
					"payers_information": [
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1239.87,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 103.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 103.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2107.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 103.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 103.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 108.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 103.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1141",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3388.05,
					"maximum": 3557.45,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 3388.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 3388.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 3388.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 3388.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 3557.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 3388.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3388.05,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1142",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4755.28,
					"maximum": 4993.04,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4755.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4755.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4755.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4993.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4755.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4755.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4755.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EXC MAL LES SCLP HND 1.1-2.0CM",
			"code_information": [
				{
					"code": "11420",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2757.8,
					"discounted_cash": 2633,
					"minimum": 76.37,
					"maximum": 2757.8,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2757.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2757.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 2757.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2206.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1406.48,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 80.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 827.34,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2206.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2206.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2206.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 76.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2757.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CHANGE CYSTOSTOMY TUBE SIMPLE",
			"code_information": [
				{
					"code": "11421",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2209.5,
					"discounted_cash": 1142,
					"minimum": 96.12,
					"maximum": 1767.6,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 100.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1126.85,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 96.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1767.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 96.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 96.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 96.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 662.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 96.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1767.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1767.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 96.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1767.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EXC BEN LES H-F-N-SP 2.1-3.0CM",
			"code_information": [
				{
					"code": "11422",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2855,
					"discounted_cash": 2633,
					"minimum": 106.27,
					"maximum": 2855,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2284,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 106.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2284,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2284,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 106.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 2855,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1456.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 111.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2855,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 856.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 106.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 106.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2284,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 106.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 106.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXC LES ABD WALL SUBQ 3CM>",
			"code_information": [
				{
					"code": "11423",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 3737.22,
					"discounted_cash": 2633,
					"minimum": 124.43,
					"maximum": 3038.53,
					"payers_information": [
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 130.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2989.78,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1905.98,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2989.78,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EYE CATARACT UNIT",
			"code_information": [
				{
					"code": "11424",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 6707.05,
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					"maximum": 5365.64,
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							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 152.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3420.6,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 5365.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2012.12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5365.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 145.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5365.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Exc h-f-nk-sp b9+marg >4 cm",
			"code_information": [
				{
					"code": "11426",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 9121.55,
					"discounted_cash": 4615,
					"minimum": 344.44,
					"maximum": 7297.24,
					"payers_information": [
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 344.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 361.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 344.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 344.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1143",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 7352.42,
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DENTAL DISEASES AND DISORDERS ",
			"code_information": [
				{
					"code": "1144",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 14214,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 13537.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN BENIG <0.5 CM FACEHEADMUCUS",
			"code_information": [
				{
					"code": "11440",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1892.8,
					"discounted_cash": 1142,
					"minimum": 92.39,
					"maximum": 1514.24,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 965.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 92.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 97.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN BENIG 0.6-1 CM FACEHEADMUCUS",
			"code_information": [
				{
					"code": "11441",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1892.8,
					"discounted_cash": 1142,
					"minimum": 106.81,
					"maximum": 1514.24,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 112.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 567.84,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1514.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 965.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "FNA BX WFLUOR GUID 1ST LESION",
			"code_information": [
				{
					"code": "11442",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4132.9,
					"discounted_cash": 1142,
					"minimum": 114.81,
					"maximum": 3306.32,
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 114.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 114.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 114.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 1239.87,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 114.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 120.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 114.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2107.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "FNA BX WFLUOR GD ADDL LESION",
			"code_information": [
				{
					"code": "11443",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4132.9,
					"discounted_cash": 2633,
					"minimum": 142.05,
					"maximum": 3306.32,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2107.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 149.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1239.87,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Exc face-mm b9+marg 3.1-4 cm",
			"code_information": [
				{
					"code": "11444",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4132.9,
					"discounted_cash": 2633,
					"minimum": 176.23,
					"maximum": 3306.32,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2107.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1239.87,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 185.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3306.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CT GUIDE FNA BX ADDL LESION",
			"code_information": [
				{
					"code": "11446",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9121.55,
					"discounted_cash": 4615,
					"minimum": 399.45,
					"maximum": 7297.24,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2736.47,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 419.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4651.99,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 399.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 399.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 399.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EXTRAOCULAR PROCEDURES EXCEPT ORBIT",
			"code_information": [
				{
					"code": "115",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 19300,
					"minimum": 14846.3,
					"maximum": 26901.5,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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						},
						{
							"payer_name": "Coventry Workers Compensation",
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						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 14994.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 14846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 19300.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 21675.6,
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 19300.2,
							"estimated_amount": 999999999,
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						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
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						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 14846.3,
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							"methodology": "case rate"
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						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 18083,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 14846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 15737.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "WellCare",
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						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 22518.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"standard_charge_dollar": 14846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"standard_charge_dollar": 14846.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 19906.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 20873.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1151",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 4176.46,
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						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4176.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3977.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1152",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5502.95,
					"maximum": 5778.1,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5778.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5502.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1153",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8543.68,
					"maximum": 8970.86,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 8970.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8543.68,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH,THROAT & CRANIALFACIAL DIAGNOSES ",
			"code_information": [
				{
					"code": "1154",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15173.6,
					"maximum": 15932.3,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15932.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 15173.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTRAOCULAR PROCEDURES WITH CCMCC",
			"code_information": [
				{
					"code": "116",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20970,
					"minimum": 16131.3,
					"maximum": 29230,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 17099.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16292.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 20970.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 26259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 29230,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 22680.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 19708.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 23296.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 20970.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 24542.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 23551.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16131.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG <0.5 CM TRNKARMLEG",
			"code_information": [
				{
					"code": "11600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4709.9,
					"discounted_cash": 1142,
					"minimum": 99.33,
					"maximum": 3767.92,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 99.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 99.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 104.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 99.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 99.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 99.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2402.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 99.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1412.97,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG 0.6-1 CM TRNKARMLEG",
			"code_information": [
				{
					"code": "11601",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2403.2,
					"discounted_cash": 1142,
					"minimum": 113.75,
					"maximum": 1922.56,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1922.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1922.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 119.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1225.63,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1922.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Exc tr-ext mal+marg 1.1-2 cm",
			"code_information": [
				{
					"code": "11602",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2403.2,
					"discounted_cash": 647,
					"minimum": 121.22,
					"maximum": 1922.56,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 127.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1225.63,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1922.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG 2.1-3 CM TRNKARMLEG",
			"code_information": [
				{
					"code": "11603",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 4709.9,
					"discounted_cash": 1142,
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					"maximum": 3767.92,
					"payers_information": [
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2402.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 253.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 241.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG 3.1-4 CM TRNKARMLEG",
			"code_information": [
				{
					"code": "11604",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4709.9,
					"discounted_cash": 1142,
					"minimum": 260.6,
					"maximum": 3767.92,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 260.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 260.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 260.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 273.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1412.97,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3767.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 260.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2402.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 260.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 260.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG >4 CM TRNKARMLEG",
			"code_information": [
				{
					"code": "11606",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7071.4,
					"discounted_cash": 2633,
					"minimum": 325.75,
					"maximum": 5657.12,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5657.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5657.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3606.41,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2121.42,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5657.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 342.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5657.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 325.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG <0.5 CM SCALPNECKHNDFTGENT",
			"code_information": [
				{
					"code": "11620",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4847.55,
					"discounted_cash": 2633,
					"minimum": 121.22,
					"maximum": 3878.04,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 127.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2472.25,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1454.27,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Exc snhfg mal+mrg 0.6-1",
			"code_information": [
				{
					"code": "11621",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 11621,
					"discounted_cash": 1142,
					"minimum": 181.57,
					"maximum": 9296.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3486.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 5926.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 9296.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 9296.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 9296.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 9296.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG 1.1-2 CM SCALPNECKHNDFTGENT",
			"code_information": [
				{
					"code": "11622",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4847.55,
					"discounted_cash": 1142,
					"minimum": 239.24,
					"maximum": 3878.04,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 239.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1230.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1110.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 251.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2472.25,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 239.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 239.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 239.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1454.27,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 239.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 239.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EXC SKIN MALIG 2.1-3 CM SCALPNECKHNDFTGENT",
			"code_information": [
				{
					"code": "11623",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4847.55,
					"discounted_cash": 2633,
					"minimum": 263.27,
					"maximum": 3878.04,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 263.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2472.25,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 263.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 263.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1454.27,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 263.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 276.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 263.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3878.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 263.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "AUTO MATIC TOURNIQUET UNITS",
			"code_information": [
				{
					"code": "11624",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6707.05,
					"discounted_cash": 2633,
					"minimum": 300.65,
					"maximum": 5365.64,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5365.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 300.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 300.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5365.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 300.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 300.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5365.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 315.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 300.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3420.6,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5365.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 300.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Exc snhfg mal+mrg >4 cm",
			"code_information": [
				{
					"code": "11626",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9121.55,
					"discounted_cash": 4615,
					"minimum": 386.64,
					"maximum": 7297.24,
					"payers_information": [
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2736.47,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 386.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4651.99,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 386.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 386.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 405.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 386.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 386.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INTRAOCULAR PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "117",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 13807,
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					"maximum": 19245.8,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 13807.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 14933.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11778.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10727.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 13807.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 19245.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 11956.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 15864.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17188.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 15507.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 10621.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TRIM NAIL(S)",
			"code_information": [
				{
					"code": "11719",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 335.13,
					"discounted_cash": 99,
					"minimum": 76.42,
					"maximum": 335.13,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 100.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 96.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 170.92,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 77.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 107.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 106.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 81.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 335.13,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 99.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 268.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 268.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 268.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 99.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 268.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Debride nail 1-5",
			"code_information": [
				{
					"code": "11720",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 135.29,
					"discounted_cash": 99,
					"minimum": 28.3,
					"maximum": 114.63,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 99.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 106.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 69,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 99.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 40.59,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 108.23,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 81.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 96.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 77.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 108.23,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 108.23,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 29.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 108.23,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 107.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DEBRIDEMENT OF NAILS, 6 OR MORE",
			"code_information": [
				{
					"code": "11721",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 202.93,
					"discounted_cash": 99,
					"minimum": 47.52,
					"maximum": 162.34,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 162.34,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 111.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 96.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 162.34,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 77.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 162.34,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 49.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 106.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 162.34,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 99.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 60.88,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 107.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 81.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 103.49,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 114.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 99.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 76.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Removal of nail plate",
			"code_information": [
				{
					"code": "11730",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 596.94,
					"discounted_cash": 325,
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					"maximum": 477.55,
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"payer_name": "Tricare",
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							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Employer Direct Healthcare",
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						},
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						},
						{
							"payer_name": " Anthem Blue Cross",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Remove nail plate add-on",
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				{
					"code": "11732",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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							"payer_name": " Anthem Blue Cross",
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						},
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"methodology": "fee schedule"
						},
						{
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAIN BLOOD FROM UNDER NAIL",
			"code_information": [
				{
					"code": "11740",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 676.97,
					"discounted_cash": 207,
					"minimum": 28.1,
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							"payer_name": "Verda HealthPlan",
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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						},
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
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						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 161.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 28.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 159.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 169.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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			"description": "Removal of nail bed",
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				{
					"code": "11750",
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				{
					"code": "11755",
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					"code": "11760",
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1727.46,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 144.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC EXCISION OF NAIL FOLD (WEDGE), TOE",
			"code_information": [
				{
					"code": "11765",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 75.84,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 79.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 75.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DERMATOMEMESH GRAFTER ACESS",
			"code_information": [
				{
					"code": "11770",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9121.55,
					"discounted_cash": 4615,
					"minimum": 139.38,
					"maximum": 7297.24,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7297.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 139.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 139.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 146.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 139.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2736.47,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4651.99,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 139.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"payer_name": "Health Net Federal Service Tricare",
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							"payer_name": "Health Net of CA",
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							"payer_name": " Anthem Blue Cross",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": " Anthem Blue Cross",
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							"payer_name": "Employer Direct Healthcare",
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							"payer_name": "Aetna",
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				}
			]
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		{
			"description": "Remove pilonidal cyst compl",
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				{
					"code": "11772",
					"type": "CPT"
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			],
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					"setting": "outpatient",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Alignment",
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							"payer_name": " Anthem Blue Cross",
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							"payer_name": "Applecare Medical Group",
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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			"description": "UnGrouped",
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					"code": "118",
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			]
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					"code": "12001",
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			],
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Brand New Day",
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							"payer_name": "Traditional Medicare",
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						{
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							"payer_name": "Employer Direct Healthcare",
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							"payer_name": "Applecare Medical Group",
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							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Workers Compensation",
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						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 105.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 100.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 315.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 100.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP BODYSCALPEXTR 2.6-7.5 CM",
			"code_information": [
				{
					"code": "12002",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.95,
					"discounted_cash": 325,
					"minimum": 106.81,
					"maximum": 855.96,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 112.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.99,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.67,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP BODYSCALPEXTR 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12004",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1092.27,
					"discounted_cash": 325,
					"minimum": 120.69,
					"maximum": 873.82,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 873.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 327.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 873.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 873.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 557.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 873.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 126.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP BODYSCALPEXTR 12.6-20 CM",
			"code_information": [
				{
					"code": "12005",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 146.32,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 153.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 146.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BEARHUGGER UNIT DEVICE",
			"code_information": [
				{
					"code": "12006",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 197.59,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 207.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 197.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Rpr snaxgentrnk >30.0 cm",
			"code_information": [
				{
					"code": "12007",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1751,
					"discounted_cash": 325,
					"minimum": 250.13,
					"maximum": 1400.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1400.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 525.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1400.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 893.01,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1400.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 403.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 423.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1400.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1201",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16257.6,
					"maximum": 17070.5,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17070.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16257.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP FACE 2.6-5.0 CM",
			"code_information": [
				{
					"code": "12013",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 882.25,
					"discounted_cash": 325,
					"minimum": 113.75,
					"maximum": 705.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 119.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 449.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 705.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 264.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ESWL TABLE",
			"code_information": [
				{
					"code": "12014",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1087.64,
					"discounted_cash": 325,
					"minimum": 132.97,
					"maximum": 870.11,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 132.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 870.11,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 132.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 554.7,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 870.11,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 132.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 139.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND SMP FACE 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12015",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1262,
					"discounted_cash": 325,
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					"maximum": 1009.6,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1009.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 161.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 1009.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ADDITIONAL BARIATRIC PROCEDURE",
			"code_information": [
				{
					"code": "12016",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
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					"maximum": 1740.12,
					"payers_information": [
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							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 234.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ADDITIONAL PLASTIC PROCEDURE",
			"code_information": [
				{
					"code": "12017",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 2369,
					"discounted_cash": 647,
					"minimum": 467.27,
					"maximum": 1895.2,
					"payers_information": [
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 490.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1895.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1895.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1208.19,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 467.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Rpr feenlm >30.0 cm",
			"code_information": [
				{
					"code": "12018",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 584.56,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 372.66,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 545.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 584.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 584.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 219.21,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1202",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 19732.7,
					"maximum": 20719.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20719.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19732.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TREAT WND DEHISCENCE, SIMPLE CLOSURE",
			"code_information": [
				{
					"code": "12020",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 3387.17,
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					"maximum": 2709.74,
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							"methodology": "fee schedule"
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							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
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							"payer_name": "Verda HealthPlan",
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Imperial Health Plan",
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						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1203",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 29093.3,
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							"payer_name": "Caloptima",
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						{
							"payer_name": "Health Net of CA",
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						},
						{
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR <2.5 CM",
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				{
					"code": "12031",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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						},
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 121.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr satext 2.6-7.5",
			"code_information": [
				{
					"code": "12032",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 131.38,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 131.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 137.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12034",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 148.99,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 156.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 148.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr satext 12.6-20",
			"code_information": [
				{
					"code": "12035",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 162.35,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 170.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 162.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR 20.1-30 CM",
			"code_information": [
				{
					"code": "12036",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 670.4,
					"discounted_cash": 1020,
					"minimum": 201.12,
					"maximum": 670.4,
					"payers_information": [
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 226.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 341.9,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 226.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 226.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 201.12,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 536.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 226.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 226.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 238.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 226.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 670.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD BODYSCALPEXTR >30.1 CM",
			"code_information": [
				{
					"code": "12037",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2150.6,
					"discounted_cash": 2962,
					"minimum": 645.18,
					"maximum": 2150.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1096.81,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 645.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1204",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 49323.3,
					"maximum": 51789.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 51789.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 49323.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD NECKHNDFTGENT <2.5 CM",
			"code_information": [
				{
					"code": "12041",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 134.58,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 141.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 134.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr n-hfgenit2.6-7.5",
			"code_information": [
				{
					"code": "12042",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 143.12,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 150.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 143.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD NECKHNDFTGENT 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12044",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3387.17,
					"discounted_cash": 1020,
					"minimum": 155.4,
					"maximum": 2709.74,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1016.15,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1727.46,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 163.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 155.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD NECKHNDFTGENT 12.5-20 CM",
			"code_information": [
				{
					"code": "12045",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1159.4,
					"discounted_cash": 1020,
					"minimum": 176.23,
					"maximum": 1159.4,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1159.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 927.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 591.29,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 927.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 927.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 347.82,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 185.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 927.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 176.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD NECKHNDFTGENT 20.1-30 CM",
			"code_information": [
				{
					"code": "12046",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1099.65,
					"discounted_cash": 1020,
					"minimum": 231.77,
					"maximum": 1099.65,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1099.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1099.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1099.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 560.82,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 231.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 231.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 231.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 231.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 329.89,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 243.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 231.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 231.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD NECKHNDFTGENT >30.1 CM",
			"code_information": [
				{
					"code": "12047",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2150.6,
					"discounted_cash": 2962,
					"minimum": 493.45,
					"maximum": 2150.6,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 645.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 493.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 518.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1096.81,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 493.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 493.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 493.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 493.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 493.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Intmd rpr facemm 2.5 cm<",
			"code_information": [
				{
					"code": "12051",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 135.11,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 141.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 135.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD FACE 2.6-5.0 CM",
			"code_information": [
				{
					"code": "12052",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 142.05,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 149.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 142.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD FACE 5.1-7.5 CM",
			"code_information": [
				{
					"code": "12053",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 154.33,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 162.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 154.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD FACE 7.6-12.5 CM",
			"code_information": [
				{
					"code": "12054",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 223.75,
					"maximum": 1740.12,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 223.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 234.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD FACE 12.6-20 CM",
			"code_information": [
				{
					"code": "12055",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 843,
					"discounted_cash": 647,
					"minimum": 252.9,
					"maximum": 747.3,
					"payers_information": [
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 674.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 252.9,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 674.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 429.93,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 674.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 349.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 674.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD FACE 20.1-30 CM",
			"code_information": [
				{
					"code": "12056",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1099.65,
					"discounted_cash": 647,
					"minimum": 329.89,
					"maximum": 879.72,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 536.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 510.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 510.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 510.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 510.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 510.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 510.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 329.89,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 560.82,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND INTRMD FACE >30.1 CM",
			"code_information": [
				{
					"code": "12057",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1099.65,
					"discounted_cash": 647,
					"minimum": 329.89,
					"maximum": 879.72,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 560.82,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 539.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 539.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 566.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 539.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 539.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 647.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 329.89,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 539.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 539.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 879.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MAJOR EYE INFECTIONS WITH CCMCC",
			"code_information": [
				{
					"code": "121",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14834,
					"minimum": 6166.27,
					"maximum": 20677.5,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18376.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11525.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 16044.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 14834.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16660.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17108.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6166.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 20677.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13738.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 14834.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 12096.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1211",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11679.5,
					"maximum": 12263.5,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12263.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 11679.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11679.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11679.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11679.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 11679.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 11679.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1212",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15121.6,
					"maximum": 15877.7,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 15121.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 15121.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15877.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 15121.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1213",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 23124.8,
					"maximum": 24281,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 24281,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 23124.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 23124.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 23124.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY & CHEST PROCEDURES ",
			"code_information": [
				{
					"code": "1214",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 39533.6,
					"maximum": 41510.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 41510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 39533.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MAJOR EYE INFECTIONS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "122",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8947,
					"minimum": 4559.07,
					"maximum": 12471.9,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12471.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10678.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 8012.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7295.91,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 8947.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 9677.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4559.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 6951.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 8947.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10049.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 9976.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 6882.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "NEUROLOGICAL EYE DISORDERS",
			"code_information": [
				{
					"code": "123",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10464,
					"minimum": 8049.36,
					"maximum": 14585.4,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 10464.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9487.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11752.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11531.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11317.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 10464.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8532.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8129.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9760.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11813.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14585.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8049.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT",
			"code_information": [
				{
					"code": "124",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 16543,
					"minimum": 12725.4,
					"maximum": 23058.4,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12725.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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						},
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							"methodology": "case rate"
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						},
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
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							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 18579.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 13488.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 12725.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Tricare",
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						},
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							"standard_charge_dollar": 12852.7,
							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18960.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 12725.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DISORDERS OF THE EYE WITHOUT MCC",
			"code_information": [
				{
					"code": "125",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10737,
					"minimum": 8017.64,
					"maximum": 14966.2,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11612.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12144.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9753.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 10737.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 8017.64,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8755.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8342.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8259.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 10737.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12058.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 14966.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 11438.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1301",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 26212.6,
					"maximum": 27523.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 26212.6,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 26212.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 26212.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1302",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 29647.7,
					"maximum": 31130,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 31130,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29647.7,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1303",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 35190.6,
					"maximum": 36950.2,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 35190.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT 96+ HOURS ",
			"code_information": [
				{
					"code": "1304",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 46004.4,
					"maximum": 48304.6,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 46004.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 48304.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Cmplx rpr trunk 1.1-2.5 cm",
			"code_information": [
				{
					"code": "13100",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1262.84,
					"discounted_cash": 1020,
					"minimum": 158.6,
					"maximum": 1177.05,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 644.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1010.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 166.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1010.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1010.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1010.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 378.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX TRNK 2.6-7.5 CM",
			"code_information": [
				{
					"code": "13101",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1578.55,
					"discounted_cash": 1020,
					"minimum": 185.84,
					"maximum": 1262.84,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 805.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 185.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 185.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 185.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 185.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 185.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 185.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 473.56,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 195.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX TRNK ADD 5.0 CM",
			"code_information": [
				{
					"code": "13102",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.75,
					"minimum": 72.09,
					"maximum": 1278.2,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 72.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 72.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 72.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 72.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 75.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 814.85,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.32,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 72.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 72.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1311",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9669.69,
					"maximum": 10153.2,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10153.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9669.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1312",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12686.4,
					"maximum": 13320.7,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13320.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 12686.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX SCALP 1.1-2.5 CM",
			"code_information": [
				{
					"code": "13120",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 369.28,
					"discounted_cash": 1020,
					"minimum": 110.78,
					"maximum": 369.28,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 110.78,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 174.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 166.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 166.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 188.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 166.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 166.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 166.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 166.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX SCALP 2.6-7.5 CM",
			"code_information": [
				{
					"code": "13121",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3387.17,
					"discounted_cash": 1020,
					"minimum": 241.91,
					"maximum": 2709.74,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 254.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1727.46,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1016.15,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Cmplx rpr sal addl 5 cm>",
			"code_information": [
				{
					"code": "13122",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 505.75,
					"minimum": 83.84,
					"maximum": 404.6,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 88.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 404.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 404.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 83.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 404.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 83.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 83.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 404.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 151.72,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 83.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 257.93,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 83.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 83.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1313",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17191.5,
					"maximum": 18051,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18051,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 17191.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX FACEHNDFTGENT 1.1-2.5 CM",
			"code_information": [
				{
					"code": "13131",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 369.28,
					"discounted_cash": 647,
					"minimum": 110.78,
					"maximum": 369.28,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 185.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 185.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 188.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 185.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 185.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 185.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 194.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 185.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 110.78,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 369.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 295.42,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX FACEHNDFTGENT 2.6-7.5 CM",
			"code_information": [
				{
					"code": "13132",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3387.17,
					"discounted_cash": 1020,
					"minimum": 363.13,
					"maximum": 2709.74,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 381.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1727.46,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1016.15,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2709.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Cmplx rpr fccmnaxghf",
			"code_information": [
				{
					"code": "13133",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1281.45,
					"minimum": 124.43,
					"maximum": 1025.16,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 130.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1025.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 384.44,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 653.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1025.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1025.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 124.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1025.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "CYSTIC FIBROSIS - PULMONARY DISEASE ",
			"code_information": [
				{
					"code": "1314",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22318.1,
					"maximum": 23434,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23434,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 22318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX EYEEARNOSELIP 1.1-2.5 CM",
			"code_information": [
				{
					"code": "13151",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1597.75,
					"discounted_cash": 1020,
					"minimum": 234.44,
					"maximum": 1278.2,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 814.85,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 246.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 479.32,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1278.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 234.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX EYEEARNOSELIP 2.6-7.5 CM",
			"code_information": [
				{
					"code": "13152",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1578.55,
					"discounted_cash": 1020,
					"minimum": 473.56,
					"maximum": 1262.84,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 508.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 473.56,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 805.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1262.84,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC REPR WND CPLX EYEEARNOSELIP EA ADD 5.0 CM",
			"code_information": [
				{
					"code": "13153",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 456.2,
					"minimum": 136.71,
					"maximum": 364.96,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 364.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 136.86,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 143.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 364.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 136.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 136.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 136.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 136.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 232.66,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 136.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 364.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 136.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 364.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC SECONDARY CLOSURE SURG WOUND DEHISCENSE COMPLICATED",
			"code_information": [
				{
					"code": "13160",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2150.6,
					"discounted_cash": 2962,
					"minimum": 645.18,
					"maximum": 2150.6,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 825.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 645.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1096.81,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 786.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2150.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1720.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
			"code_information": [
				{
					"code": "1321",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3083.77,
					"maximum": 3237.96,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 3237.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 3083.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BPD & OTH CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD ",
			"code_information": [
				{
					"code": "1322",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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						}
					]
				}
			]
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						{
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						},
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						{
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						{
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						{
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						},
						{
							"payer_name": "Applecare Medical Group",
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						},
						{
							"payer_name": "Blue Shield of VA",
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						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY MALIGNANCY ",
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				{
					"code": "1361",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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				}
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						},
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						},
						{
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						}
					]
				}
			]
		},
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					"code": "1404",
					"type": "APR-DRG"
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			],
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						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 12947.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13595,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC ADJACENT TISSUE TRNSREARGMT FCCMNAGHF 10SQCM&LT",
			"code_information": [
				{
					"code": "14040",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"discounted_cash": 2962,
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					"payers_information": [
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
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							"methodology": "fee schedule"
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							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1905.98,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2989.78,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2415.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 1121.17,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR HEAD AND NECK PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "141",
					"type": "TRIS-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 30095.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 29714.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4718.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 21849.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 31600.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 26797.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 20819.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 25375.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 28982.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 26797.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 37351,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 20613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "ASTHMA ",
			"code_information": [
				{
					"code": "1411",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 3546.94,
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							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 3546.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3378.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA ",
			"code_information": [
				{
					"code": "1412",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 4947.45,
					"maximum": 5194.82,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5194.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4947.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ASTHMA ",
			"code_information": [
				{
					"code": "1413",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5869.28,
					"maximum": 6162.74,
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					]
				}
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							"methodology": "case rate"
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
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							"methodology": "case rate"
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
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		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
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					"code": "1431",
					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 4634.67,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
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					"code": "1432",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1433",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 9126.21,
					"maximum": 9582.52,
					"payers_information": [
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9582.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9126.21,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1434",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14645.2,
					"maximum": 15377.4,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14645.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "144",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 22040,
					"minimum": 12604.2,
					"maximum": 30720.8,
					"payers_information": [
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 17123.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 20749,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 25838.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 30720.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 17971.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24753,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 24820.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 16954.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 23837.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1441",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4280.85,
					"maximum": 4494.89,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4280.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1442",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 5586.02,
					"maximum": 5865.32,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 5586.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5586.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5586.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5586.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5586.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 5586.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5865.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1443",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8344.5,
					"maximum": 8761.73,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8344.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8344.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8344.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8761.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8344.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8344.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8344.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES",
			"code_information": [
				{
					"code": "1444",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14114.7,
					"maximum": 14820.4,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14114.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14114.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 14114.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14114.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14114.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14820.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 14114.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "145",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15097,
					"minimum": 5674.48,
					"maximum": 21043,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13993.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 16328.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 15097.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 12309.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11729.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 17426.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 21043,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16955.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17514.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5674.48,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 15097.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 11613.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS ",
			"code_information": [
				{
					"code": "1451",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4073.66,
					"maximum": 4277.34,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4073.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4073.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4073.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4073.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4277.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4073.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4073.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS ",
			"code_information": [
				{
					"code": "1452",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5146.63,
					"maximum": 5403.96,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5146.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5403.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5146.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 5146.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 5146.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5146.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5146.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS ",
			"code_information": [
				{
					"code": "1453",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6796.11,
					"maximum": 7135.92,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6796.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 6796.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 6796.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 6796.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6796.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6796.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7135.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE BRONCHITIS AND RELATED SYMPTOMS ",
			"code_information": [
				{
					"code": "1454",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12175,
					"maximum": 12783.7,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12175,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 12175,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 12175,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12783.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12175,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 12175,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12175,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC BRUSHSNAR BIOPSY",
			"code_information": [
				{
					"code": "14564",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 179.5,
					"minimum": 53.85,
					"maximum": 143.6,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 53.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 91.55,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 143.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 143.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 143.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 143.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC",
			"code_information": [
				{
					"code": "146",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28564,
					"minimum": 17165.6,
					"maximum": 39814.9,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 28564.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 30278.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 17165.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 33742.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22192.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 32080.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 27095.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 28564.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 23291.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 39814.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 30893.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 21972.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC",
			"code_information": [
				{
					"code": "147",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15825,
					"minimum": 12173.5,
					"maximum": 22058.3,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12295.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 12903.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17773.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 22058.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 14702.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 15724.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 17115.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18308.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17725.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 15825.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 12173.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 15825.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CCMCC",
			"code_information": [
				{
					"code": "148",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10433,
					"minimum": 8026.02,
					"maximum": 14543.2,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14543.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8106.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 10433.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9014.92,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 10433.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11284.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 11321.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8507.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 12761.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11718,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11776.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8026.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DYSEQUILIBRIUM",
			"code_information": [
				{
					"code": "149",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9787,
					"minimum": 7529.19,
					"maximum": 13642.9,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9687.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 13642.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 9787.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 10994.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7980.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7604.48,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 9787.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 8829.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10681.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10992.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 10586,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 7529.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "EPISTAXIS WITH MCC",
			"code_information": [
				{
					"code": "150",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17493,
					"minimum": 13456.6,
					"maximum": 24383.4,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 17493.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24383.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 18854.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 20329.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 18920,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 16325.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 17493.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 16726.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 14264,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13591.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13456.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 19646.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC PREP WND TRKARLG 100 SQCM OR 1% PEDS",
			"code_information": [
				{
					"code": "15002",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1771,
					"discounted_cash": 2962,
					"minimum": 270.16,
					"maximum": 1771,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 903.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 531.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 283.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 270.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1771,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Wound prep addl 100 cm",
			"code_information": [
				{
					"code": "15003",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1771,
					"minimum": 59.94,
					"maximum": 1416.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 531.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 903.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 62.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 59.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PREP WND HEADHNDFTGENT 100 SQCM OR 1% PEDS",
			"code_information": [
				{
					"code": "15004",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1771,
					"discounted_cash": 1020,
					"minimum": 325.13,
					"maximum": 1416.8,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1022.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 792.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 991.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1020.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 531.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 831.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1177.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1098.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1103.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 325.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 903.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1145.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 341.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 784.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Wnd prep fnhfg addl cm",
			"code_information": [
				{
					"code": "15005",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1771,
					"minimum": 100.15,
					"maximum": 1416.8,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 105.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 903.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 531.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 100.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1416.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "EPISTAXIS WITHOUT MCC",
			"code_information": [
				{
					"code": "151",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9915,
					"minimum": 7627.24,
					"maximum": 14600,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 9915.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8084.87,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 11135.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 10723.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11054.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 8953.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11148.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7703.51,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 14600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 13820.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7627.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 9915.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC EPIDRM AUTOGRFT TRNKARMLEG <100 SQCM",
			"code_information": [
				{
					"code": "15110",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5260.5,
					"discounted_cash": 2962,
					"minimum": 666.42,
					"maximum": 4208.4,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 666.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2967.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 666.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 666.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2415.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 4208.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2682.86,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 666.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4208.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 666.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 4208.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4208.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2962.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 666.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 699.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1578.15,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Epidrm autogrft tal add-on",
			"code_information": [
				{
					"code": "15111",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2630.25,
					"minimum": 103.87,
					"maximum": 2104.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 103.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2104.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2104.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1341.43,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 109.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 103.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 789.08,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 103.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2104.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2104.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 103.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 103.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 103.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC EPI AUTOGRFT FACENCKHNDFTGEN <100 SQCM",
			"code_information": [
				{
					"code": "15115",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3002.39,
					"discounted_cash": 2962,
					"minimum": 624.35,
					"maximum": 3002.39,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2962.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 3002.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 655.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 624.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 624.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1531.22,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 624.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2401.91,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3002.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 3002.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2967.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 624.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2415.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2401.91,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2401.91,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 624.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2401.91,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 900.72,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 624.35,
							"estimated_amount": 999999999,
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Brand New Day",
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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					]
				}
			]
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			"description": "Epidrm a-grft fnhfg addl",
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				{
					"code": "15116",
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				}
			],
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				{
					"setting": "outpatient",
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					"maximum": 1200.95,
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Caloptima",
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Caloptima",
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							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
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		{
			"description": "OTITIS MEDIA AND URI WITH MCC",
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				{
					"code": "152",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 20196.9,
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							"payer_name": "Health Net of CA",
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							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Workers Compensation",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
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							"payer_name": "Tricare",
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 11146.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 17042.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC APP SKN SUB TRNKARMLEG TTL 100SQCM 1ST 25 SQCM",
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				{
					"code": "15271",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"discounted_cash": 2962,
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					"maximum": 2016.72,
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							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2016.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2016.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2016.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1613.38,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Skin sub graft tal add-on",
			"code_information": [
				{
					"code": "15272",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 507.5,
					"minimum": 14.31,
					"maximum": 406,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 406,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 406,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 406,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 258.82,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 406,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 152.25,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC APP SKN SUB TRNKARMLEG >=100SQCM 1ST 100SQCM",
			"code_information": [
				{
					"code": "15273",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1926.7,
					"discounted_cash": 5827,
					"minimum": 171.97,
					"maximum": 1926.7,
					"payers_information": [
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							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1541.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1541.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 578.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 180.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 982.62,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1541.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1541.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 171.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC APP SKN SUB TRNKARMLEG >=100SQCM EA ADD 100SQCM",
			"code_information": [
				{
					"code": "15274",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1265.15,
					"minimum": 36.64,
					"maximum": 1012.12,
					"payers_information": [
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1012.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 645.23,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 36.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1012.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 379.55,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY, THYROID",
			"code_information": [
				{
					"code": "15275",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 10083.6,
					"discounted_cash": 2962,
					"minimum": 83.09,
					"maximum": 8066.86,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 87.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 8066.86,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3025.07,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2967.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2415.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 83.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 83.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 8066.86,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 2962.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 8066.86,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 5142.63,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Skin sub graft fnhfg addl",
			"code_information": [
				{
					"code": "15276",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 2480.05,
					"minimum": 20.26,
					"maximum": 1984.04,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 20.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1984.04,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 20.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 20.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ASPIRATIONINJECTION THYROID C",
			"code_information": [
				{
					"code": "15277",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1926.7,
					"discounted_cash": 2962,
					"minimum": 177.15,
					"maximum": 1926.7,
					"payers_information": [
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 578.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 177.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 1926.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1541.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC APP SKN SUB HEADHNDFTGNT >=100SQCM EA AD 100SQCM",
			"code_information": [
				{
					"code": "15278",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1265.15,
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					"maximum": 1012.12,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 47.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 45.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 45.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OTITIS MEDIA AND URI WITHOUT MCC",
			"code_information": [
				{
					"code": "153",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9353,
					"minimum": 4418.07,
					"maximum": 13037,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 9353.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10504.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10539.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 13037,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4418.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7626.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 9353.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 10467.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7266.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7194.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 8406.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 10116,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC",
			"code_information": [
				{
					"code": "154",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 20457,
					"minimum": 13014.6,
					"maximum": 28514.2,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 20457.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 13014.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 20457.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 22062.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 23920.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 16680.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 28514.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 22975,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 15893.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 22125.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 19208.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 15736.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC",
			"code_information": [
				{
					"code": "155",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12047,
					"minimum": 8744.43,
					"maximum": 16792.1,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9359.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 13029.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16792.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12047.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13530.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9823.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 11027.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13577.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8744.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 12047.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 9267.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13731.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "156",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 8876,
					"minimum": 6827.83,
					"maximum": 12372,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 6827.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 6827.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12372,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9401.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 6827.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7237.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 6827.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 6827.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 6896.11,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7587.75,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 6827.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 9968.63,
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						},
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						},
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						},
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						},
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			]
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				{
					"code": "157",
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				}
			],
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						},
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						}
					]
				}
			]
		},
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				{
					"code": "158",
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				}
			],
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						},
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						},
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						},
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						{
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						},
						{
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						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
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							"plan_name": "Health Net Of CA Medicare",
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							"methodology": "case rate"
						},
						{
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "DENTAL AND ORAL DISEASES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "159",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
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						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 12155.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 6708.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 7791.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 6708.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 6708.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 9794.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 9701.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 6708.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 6708.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 6708.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 6708.29,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7110.79,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 6775.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "160",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9233.93,
					"maximum": 9233.93,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9233.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TREAT BURN 1ST DEGREE, INITIAL",
			"code_information": [
				{
					"code": "16000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1052.85,
					"discounted_cash": 325,
					"minimum": 45.93,
					"maximum": 842.28,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 315.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 536.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 48.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 45.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1601",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25007.5,
					"maximum": 26257.9,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25007.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1602",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 29705.7,
					"maximum": 31191,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 31191,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 29705.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DRESSDEBRIDE BURN <5% TOTAL SM",
			"code_information": [
				{
					"code": "16020",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 726.91,
					"discounted_cash": 325,
					"minimum": 45.4,
					"maximum": 581.53,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 47.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 218.07,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 581.53,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 370.72,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 581.53,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 581.53,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 581.53,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 45.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DRESSDEBRIDE BURN 5-10% TTL MED",
			"code_information": [
				{
					"code": "16025",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1052.85,
					"discounted_cash": 325,
					"minimum": 86.51,
					"maximum": 842.28,
					"payers_information": [
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 90.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 315.85,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 842.28,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 86.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 536.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
			"code_information": [
				{
					"code": "1603",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 45882.3,
					"maximum": 48176.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45882.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DRESSDEBRIDE BURN >10% TTL LG",
			"code_information": [
				{
					"code": "16030",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2175.15,
					"discounted_cash": 647,
					"minimum": 116.95,
					"maximum": 1740.12,
					"payers_information": [
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							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1109.33,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 697.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 122.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 700.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 629.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 116.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1740.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 652.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Incision of burn scab initi",
			"code_information": [
				{
					"code": "16035",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1135.75,
					"discounted_cash": 647,
					"minimum": 340.73,
					"maximum": 908.6,
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							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 379.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 747.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 648.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 727.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 579.23,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
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							"payer_name": "Alignment",
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							"payer_name": "Applecare Medical Group",
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						{
							"payer_name": "Blue Shield of VA",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Aetna",
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							"payer_name": "Astiva Health Inc",
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						{
							"payer_name": "Caloptima",
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							"payer_name": "Coventry Workers Compensation",
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					]
				}
			]
		},
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			"description": "MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY ",
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				{
					"code": "1604",
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			],
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				{
					"setting": "inpatient",
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						},
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						{
							"payer_name": "Caloptima",
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				}
			]
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			"description": "UnGrouped",
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				{
					"code": "161",
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			],
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				{
					"setting": "inpatient",
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			"description": "IMPLANTABLE HEART ASSIST SYSTEMS",
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				{
					"code": "1611",
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					"setting": "inpatient",
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							"payer_name": "Caloptima",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
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				{
					"code": "1612",
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					"setting": "inpatient",
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						{
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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				}
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			"description": "IMPLANTABLE HEART ASSIST SYSTEMS",
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					"code": "1613",
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					"setting": "inpatient",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 169505,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "IMPLANTABLE HEART ASSIST SYSTEMS",
			"code_information": [
				{
					"code": "1614",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 223689,
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						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 213038,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 213038,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 213038,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 213038,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 223689,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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					"code": "1624",
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			"description": "MAJOR CHEST PROCEDURES WITH MCC",
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					"code": "163",
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			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
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					"code": "1631",
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					]
				}
			]
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			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
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					"code": "1632",
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						{
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						{
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						{
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					]
				}
			]
		},
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			"description": "CARDIAC VALVE PROCEDURES WO AMI OR COMPLEX PDX ",
			"code_information": [
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						},
						{
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							"methodology": "case rate"
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				{
					"code": "1634",
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				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
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			"description": "MAJOR CHEST PROCEDURES WITH CC",
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					"code": "164",
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			],
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "165",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
					"discounted_cash": 23343,
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					"maximum": 32536.6,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 32536.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 26216,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 24863.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1651",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 35144.7,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1652",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 38864.9,
					"maximum": 40808.2,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1653",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 46725,
					"maximum": 49061.3,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 46725,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 46725,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 46725,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS W AMI OR COMPLEX PDX ",
			"code_information": [
				{
					"code": "1654",
					"type": "APR-DRG"
				}
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				}
			]
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						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 17612.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17612.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 17612.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 17612.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17612.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 17612.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1671",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25303.8,
					"maximum": 26568.9,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 26568.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 25303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1672",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 26537.9,
					"maximum": 27864.8,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 27864.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 26537.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1673",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 39311.3,
					"maximum": 41276.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 41276.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 39311.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1674",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 64981.4,
					"maximum": 68230.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 68230.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 64981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "168",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 17150,
					"minimum": 13192.3,
					"maximum": 23904.5,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 23904.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 16653.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13324.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 19913.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 17150,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 15991.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 18548.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 19260.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 13983.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 17150,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 19445,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 13192.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "169",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6451.71,
					"maximum": 6451.71,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6451.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1691",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 24936.4,
					"maximum": 26183.2,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 26183.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 24936.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1692",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25402.8,
					"maximum": 26673,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 26673,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25402.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1693",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32718.4,
					"maximum": 34354.3,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 34354.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 32718.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ABDOMINAL VASCULAR PROCEDURES ",
			"code_information": [
				{
					"code": "1694",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 51367.2,
					"maximum": 53935.6,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 53935.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 51367.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "170",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4752.81,
					"maximum": 4752.81,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4752.81,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DESTRUC BENIGNPREMAL,FIRST LESION",
			"code_information": [
				{
					"code": "17000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 212.96,
					"discounted_cash": 325,
					"minimum": 63.89,
					"maximum": 212.96,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 63.89,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 170.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 105.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 170.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 170.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 170.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 108.61,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 100.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 212.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Destruct premalg les 2-14",
			"code_information": [
				{
					"code": "17003",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 108,
					"minimum": 8.55,
					"maximum": 86.4,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8.98,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 86.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 86.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 86.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 86.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 32.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 55.08,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DESTRUC BENIGNPREMAL,15+ LESIONS",
			"code_information": [
				{
					"code": "17004",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 552.26,
					"discounted_cash": 647,
					"minimum": 165.68,
					"maximum": 552.26,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 552.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 441.81,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 552.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 552.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 552.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 165.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 217.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 207.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 552.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 528.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 207.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 503.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 441.81,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 498.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 207.2,
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Verda HealthPlan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
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							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
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							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Alignment",
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medicare",
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						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
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						{
							"payer_name": "Caloptima",
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			]
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		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
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				{
					"code": "1701",
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				{
					"setting": "inpatient",
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						{
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							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
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						},
						{
							"payer_name": "Caloptima",
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		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
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					"code": "1702",
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				{
					"setting": "inpatient",
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					"maximum": 21323.7,
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						{
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							"payer_name": "Health Net of CA",
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						{
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						{
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			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
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						{
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						{
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						{
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						{
							"payer_name": "Health Net of CA",
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				}
			]
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			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK ",
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					"setting": "inpatient",
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						{
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						{
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			"description": "UnGrouped",
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					"code": "171",
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			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
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					"code": "1711",
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						{
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
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						{
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			]
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			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
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				{
					"code": "1712",
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					"setting": "inpatient",
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
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					]
				}
			]
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			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
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					"code": "1713",
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					"setting": "inpatient",
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
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					]
				}
			]
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		{
			"description": "PERM CARDIAC PACEMAKER IMPLANT WO AMI, HEART FAILURE OR SHOCK ",
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					"code": "1714",
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					"setting": "inpatient",
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						},
						{
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "UnGrouped",
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					"code": "172",
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					"maximum": 6160.54,
					"payers_information": [
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							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6160.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CHEM CAUTERY GRANULATN TISSUE",
			"code_information": [
				{
					"code": "17250",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 442.8,
					"discounted_cash": 325,
					"minimum": 28.83,
					"maximum": 375.19,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 225.83,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 132.84,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 354.24,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 28.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM",
			"code_information": [
				{
					"code": "173",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 37967,
					"minimum": 29206,
					"maximum": 52921.2,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 44105.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 29498,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 30958.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 39128.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 45133.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 37967.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 41063.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 36243.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 29206,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 42640.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 37967.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 52921.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "174",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5032.52,
					"maximum": 5032.52,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5032.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1741",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17197.5,
					"maximum": 18057.3,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 17197.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18057.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1742",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18563.7,
					"maximum": 19491.9,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19491.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 18563.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1743",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 23111.8,
					"maximum": 24267.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 23111.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 23111.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 23111.8,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 23111.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 24267.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION W AMI ",
			"code_information": [
				{
					"code": "1744",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 34837.8,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE",
			"code_information": [
				{
					"code": "175",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"discounted_cash": 17820,
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					"maximum": 24838.7,
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 20013.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 13845,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 16644.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 13707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 13707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 13707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 14530.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 13707.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 24838.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 17820.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1751",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1752",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 19761.8,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 19761.8,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 19761.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1753",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 24637.2,
					"maximum": 25869,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CORONARY INTERVENTION WO AMI ",
			"code_information": [
				{
					"code": "1754",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 36922.2,
					"maximum": 38768.3,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 36922.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EMBOLISM WITHOUT MCC",
			"code_information": [
				{
					"code": "176",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 14776.7,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 8154.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8154.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9620.87,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11465.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
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			]
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		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
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						{
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						{
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						{
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				}
			]
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		{
			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
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				{
					"code": "1773",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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					]
				}
			]
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			"description": "CARDIAC PACEMAKER & DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT ",
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					"code": "1774",
					"type": "APR-DRG"
				}
			],
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					"maximum": 29751.2,
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						},
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						},
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					]
				}
			]
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			"description": "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC",
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					"code": "178",
					"type": "MS-DRG"
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			],
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						},
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						},
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						},
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						},
						{
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						},
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							"payer_name": "Blue Shield of VA",
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						},
						{
							"payer_name": "Caloptima",
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						},
						{
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						},
						{
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						},
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						}
					]
				}
			]
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		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
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					"code": "1781",
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				}
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						},
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						},
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					]
				}
			]
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			"code_information": [
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					"code": "1782",
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				}
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						},
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						},
						{
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						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
			"code_information": [
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					"code": "1783",
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				}
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					"setting": "inpatient",
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					"maximum": 54334.9,
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						{
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						}
					]
				}
			]
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		{
			"description": "EXTERNAL HEART ASSIST SYSTEMS",
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					"code": "1784",
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			],
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					"setting": "inpatient",
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CCMCC",
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					"code": "179",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7813.86,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11321,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 14018.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7877.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9091.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7736.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10948.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1791",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 29409.4,
					"maximum": 30879.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 30879.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 29409.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1792",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 33237.9,
					"maximum": 34899.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 34899.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 33237.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1793",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40380.3,
					"maximum": 42399.3,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 40380.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DEFIBRILLATOR IMPLANTS",
			"code_information": [
				{
					"code": "1794",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 57855,
					"maximum": 60747.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 60747.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 57855,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC SKIN TISSUE PROCEDURE",
			"code_information": [
				{
					"code": "17999",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1100,
					"discounted_cash": 325,
					"minimum": 250.13,
					"maximum": 880,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 316.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 880,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 561,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 365.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 375.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 252.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 325.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 880,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 325.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 880,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 880,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 250.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 330,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 265.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 350.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY NEOPLASMS WITH MCC",
			"code_information": [
				{
					"code": "180",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21932,
					"minimum": 16871,
					"maximum": 30570.2,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 16871,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16871,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 25707.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 16871,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16871,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 23720.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 17883.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16871,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 16871,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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			"description": "OTHER CIRCULATORY SYSTEM PROCEDURES ",
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						},
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					"code": "1802",
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						},
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						},
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							"methodology": "case rate"
						},
						{
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						}
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				}
			]
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						{
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						{
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						},
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						}
					]
				}
			]
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			"code_information": [
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					"code": "1811",
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				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1812",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 18568.7,
					"maximum": 19497.1,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 18568.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19497.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1813",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 28143.3,
					"maximum": 29550.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 28143.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "LOWER EXTREMITY ARTERIAL PROCEDURES ",
			"code_information": [
				{
					"code": "1814",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 43343,
					"maximum": 45510.1,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 45510.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 43343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY NEOPLASMS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "182",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 10880,
					"minimum": 8369.7,
					"maximum": 15165.9,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 8871.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11457.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 10880.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10164.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 12318.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8453.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 10880.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 11767.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9892.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15165.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12219.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"standard_charge_dollar": 8369.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1821",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15910.3,
					"maximum": 16705.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16705.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 15910.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1822",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 17559.8,
					"maximum": 18437.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18437.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 17559.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1823",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 21104,
					"maximum": 22159.2,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 21104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 21104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 21104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 21104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 21104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 22159.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 21104,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES",
			"code_information": [
				{
					"code": "1824",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 37075.3,
					"maximum": 38929.1,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 37075.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 38929.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 37075.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 37075.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 37075.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 37075.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 37075.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITH MCC",
			"code_information": [
				{
					"code": "183",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 19983,
					"minimum": 15372.1,
					"maximum": 27854.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 15372.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 15372.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 15372.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 27854.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 15372.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15372.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 16294.4,
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Applecare Medical Group Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
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							"payer_name": "Employer Direct Healthcare",
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						},
						{
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							"plan_name": "Managed Health Network Medicare",
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medicare",
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							"methodology": "case rate"
						},
						{
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
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					]
				}
			]
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		{
			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
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				{
					"code": "1831",
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				}
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							"methodology": "case rate"
						},
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						},
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							"methodology": "case rate"
						},
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						{
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						},
						{
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							"methodology": "case rate"
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					]
				}
			]
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			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
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				{
					"code": "1832",
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				}
			],
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				{
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						},
						{
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						},
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						},
						{
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							"methodology": "case rate"
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						{
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						{
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						}
					]
				}
			]
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			"description": "PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES",
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					"code": "1833",
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			],
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				{
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						},
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						},
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						},
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						},
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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				{
					"code": "1834",
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				}
			],
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					"setting": "inpatient",
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						{
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITH CC",
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				{
					"code": "184",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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						},
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						},
						{
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						},
						{
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						{
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						{
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							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "case rate"
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						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "case rate"
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						{
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						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
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						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
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						{
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
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						{
							"payer_name": "Health Net Federal Service Tricare",
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						},
						{
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						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR CHEST TRAUMA WITHOUT CCMCC",
			"code_information": [
				{
					"code": "185",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"minimum": 7811.23,
					"maximum": 14154,
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7811.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 9185.01,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITH MCC",
			"code_information": [
				{
					"code": "186",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 19895,
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					"maximum": 27730.7,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 18663,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 22262,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 21517.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 19879,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 15303.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 15303.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITH CC",
			"code_information": [
				{
					"code": "187",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 12902,
					"minimum": 9924.63,
					"maximum": 17983.4,
					"payers_information": [
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							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14290.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17983.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 12902,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14767.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 10520.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 10023.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 11858.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 13954,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 14490,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12902,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9924.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PLEURAL EFFUSION WITHOUT CCMCC",
			"code_information": [
				{
					"code": "188",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 9626,
					"minimum": 7404.97,
					"maximum": 13417.8,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10811.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 10411.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 8671.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7479.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 9626.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 13417.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8462.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 10798.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 10707.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7404.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 9626.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7849.27,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PULMONARY EDEMA AND RESPIRATORY FAILURE",
			"code_information": [
				{
					"code": "189",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 15735,
					"minimum": 9408.17,
					"maximum": 21933.1,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9408.17,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 17672.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 12830.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 14617.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 12326,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 17018.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 17670.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 18200.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 12225.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 9040,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 15735.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 15735.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 21933.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 12104.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC",
			"code_information": [
				{
					"code": "190",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 14346,
					"minimum": 10942,
					"maximum": 19997.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 14346.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 11146.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10942,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 16112.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 11698.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 16517.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 15806.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 19997.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 15516.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13268.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 14346.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 11036,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D BREAST LESION",
			"code_information": [
				{
					"code": "19000",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1040.5,
					"discounted_cash": 1142,
					"minimum": 50.2,
					"maximum": 1040.5,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1040.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1040.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1040.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 50.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 52.71,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 832.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 530.65,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 832.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 50.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 50.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1040.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"payer_name": "Health Net Federal Service Tricare",
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							"payer_name": "Applecare Medical Group",
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						},
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						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Tricare",
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					]
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			]
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		{
			"description": "Puncture aspir cyst brst ea",
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				{
					"code": "19001",
					"type": "CPT"
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			],
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					"setting": "outpatient",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Health Net of CA",
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							"payer_name": " Anthem Blue Cross",
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							"payer_name": "Health Net of CA",
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							"payer_name": " Anthem Blue Cross",
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						}
					]
				}
			]
		},
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			"description": "ACUTE MYOCARDIAL INFARCTION ",
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				{
					"code": "1901",
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				}
			],
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					"setting": "inpatient",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Molina ",
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					]
				}
			]
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			"description": "ACUTE MYOCARDIAL INFARCTION ",
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				{
					"code": "1902",
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			],
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					"setting": "inpatient",
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					]
				}
			]
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			"description": "HC MASTOTOMY W EXPLORDRAIN ABSC, DEEP",
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				{
					"code": "19020",
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			],
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					"setting": "outpatient",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Applecare Medical Group",
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							"payer_name": "Caloptima",
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							"payer_name": "Blue Shield of VA",
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							"payer_name": "Caloptima",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Traditional Medicare",
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						{
							"payer_name": "Caloptima",
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							"payer_name": "Alignment",
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							"methodology": "fee schedule"
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						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Verda HealthPlan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
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							"methodology": "fee schedule"
						}
					]
				}
			]
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		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
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				{
					"code": "1903",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
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							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9569.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10048.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE MYOCARDIAL INFARCTION ",
			"code_information": [
				{
					"code": "1904",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15011.5,
					"maximum": 15762.1,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 15011.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 15011.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15011.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15011.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 15011.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15762.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15011.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC BX BREAST W DEVICE STEREOTACT GUIDE 1ST LESION",
			"code_information": [
				{
					"code": "19081",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5263.15,
					"discounted_cash": 2633,
					"minimum": 632.17,
					"maximum": 4210.52,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2684.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1578.94,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 663.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 632.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Bx breast add lesion strtctc",
			"code_information": [
				{
					"code": "19082",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5263.15,
					"minimum": 526.8,
					"maximum": 4210.52,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 553.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2684.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1578.94,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4210.52,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 526.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BX BREAST W DEVICE US GUIDE 1ST LESION",
			"code_information": [
				{
					"code": "19083",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8742.98,
					"discounted_cash": 2633,
					"minimum": 613.92,
					"maximum": 6994.38,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 644.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 6994.38,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4458.92,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 613.92,
							"estimated_amount": 999999999,
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Blue Shield of VA",
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							"payer_name": "Keenan",
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						},
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							"payer_name": "Health Net of CA",
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							"payer_name": "Employer Direct Healthcare",
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							"payer_name": "Imperial Health Plan",
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						},
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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						},
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							"payer_name": "Brand New Day",
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					]
				}
			]
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			"description": "ALC",
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				{
					"code": "19084",
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				}
			],
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				{
					"setting": "outpatient",
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							"payer_name": "Keenan",
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							"payer_name": " Anthem Blue Cross",
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						},
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							"payer_name": "Molina ",
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						},
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							"payer_name": " Anthem Blue Cross",
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						},
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							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Bx breast 1st lesion mr imag",
			"code_information": [
				{
					"code": "19085",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 5263.15,
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					"maximum": 4210.52,
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Workers Compensation",
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							"payer_name": "Molina ",
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": " Anthem Blue Cross",
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							"payer_name": "WellCare",
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							"methodology": "fee schedule"
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							"payer_name": "Employer Direct Healthcare",
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medi-Cal",
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							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2684.21,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Bx breast add lesion mr imag",
			"code_information": [
				{
					"code": "19086",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 5263.15,
					"minimum": 77.44,
					"maximum": 4210.52,
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						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 81.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 77.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 77.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 77.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC",
			"code_information": [
				{
					"code": "191",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11142,
					"minimum": 8296.2,
					"maximum": 15531.4,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 15531.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 8571.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8571.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"standard_charge_dollar": 8571.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9085.69,
							"estimated_amount": 999999999,
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 10147.7,
							"estimated_amount": 999999999,
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						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 12051.4,
							"estimated_amount": 999999999,
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						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Non-Contracted Medicare",
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Applecare Medical Group",
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						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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						},
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							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
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							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
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							"payer_name": "Molina ",
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						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
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						}
					]
				}
			]
		},
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			"description": "HC BX BREAST, NEEDLE CORE",
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				{
					"code": "19100",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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						},
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							"payer_name": "Applecare Medical Group",
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						},
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						},
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						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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						},
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							"payer_name": "Astiva Health Inc",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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						{
							"payer_name": "Keenan",
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						},
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							"payer_name": "Verda HealthPlan",
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						},
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						},
						{
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						{
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							"payer_name": "Imperial Health Plan",
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						},
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							"payer_name": "WellCare",
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						},
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							"payer_name": "Workers Compensation",
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					]
				}
			]
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			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
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				{
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				}
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
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						{
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						}
					]
				}
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					"setting": "inpatient",
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						{
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE",
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					"code": "1914",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21150.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20143.1,
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							"methodology": "case rate"
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						{
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			"description": "CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CCMCC",
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				{
					"code": "192",
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			],
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					"setting": "inpatient",
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							"payer_name": "Blue Shield of VA",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Applecare Medical Group",
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"payer_name": "Brand New Day",
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							"payer_name": "Alignment",
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							"payer_name": "Molina ",
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							"payer_name": "Imperial Health Plan",
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							"payer_name": "Molina ",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Health Net of CA",
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							"payer_name": "WellCare",
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							"payer_name": "Applecare Medical Group",
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					]
				}
			]
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		{
			"description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ",
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				{
					"code": "1921",
					"type": "APR-DRG"
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			],
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					"setting": "inpatient",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Caloptima",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Molina ",
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				}
			]
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			"description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ",
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				{
					"code": "1922",
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			],
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					"setting": "inpatient",
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							"payer_name": "Molina ",
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						{
							"payer_name": "Caloptima",
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							"payer_name": "Caloptima",
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					]
				}
			]
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			"description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ",
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				{
					"code": "1923",
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			],
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				{
					"setting": "inpatient",
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					"maximum": 15798.9,
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						{
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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					]
				}
			]
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			"description": "CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS ",
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				{
					"code": "1924",
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				{
					"setting": "inpatient",
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					"maximum": 27404.4,
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						{
							"payer_name": "Molina ",
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						{
							"payer_name": "Health Net of CA",
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						{
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ DEV PLACE BREAST LOC 1ST LES W MAMMO GUID",
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				{
					"code": "19281",
					"type": "CPT"
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			],
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					"setting": "outpatient",
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					"discounted_cash": 2633,
					"minimum": 212.18,
					"maximum": 707.28,
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							"payer_name": "Coventry Workers Compensation",
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							"payer_name": "Employer Direct Healthcare",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Molina ",
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							"payer_name": "Non-Contracted Medicare",
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						{
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						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Brand New Day",
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							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Caloptima",
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						{
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						{
							"payer_name": "Health Net Federal Service Tricare",
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 707.28,
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						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Imperial Health Plan",
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 360.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 215.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 215.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 226.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE",
			"code_information": [
				{
					"code": "19282",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 707.28,
					"minimum": 151.53,
					"maximum": 565.82,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 151.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 151.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 151.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 159.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 212.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 151.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 360.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 151.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 151.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ BREAST LOC DEV PLACE STROTACT GUID 1ST LES",
			"code_information": [
				{
					"code": "19283",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 530.46,
					"discounted_cash": 1142,
					"minimum": 159.14,
					"maximum": 530.46,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 424.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 424.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 270.53,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 424.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 159.14,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 424.37,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 256.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 244.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 530.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ BREAST LOC DEV PLACE STROTACT GUID ADD LES",
			"code_information": [
				{
					"code": "19284",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 707.28,
					"minimum": 186.15,
					"maximum": 565.82,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 186.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 186.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 360.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 186.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 212.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 195.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 186.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 186.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 186.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "BLOOD CULTURE;AEROBIC",
			"code_information": [
				{
					"code": "19285",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 707.28,
					"discounted_cash": 1142,
					"minimum": 212.18,
					"maximum": 707.28,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 212.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 360.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 476.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 499.98,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ BREAST LOC DEV PLACE US GUIDE ADDL LESION",
			"code_information": [
				{
					"code": "19286",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 707.28,
					"minimum": 212.18,
					"maximum": 565.82,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 360.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 212.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 418.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 438.99,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ BREAST LOC DEV PLACE MRI GUIDE 1ST LESION",
			"code_information": [
				{
					"code": "19287",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 707.28,
					"discounted_cash": 1142,
					"minimum": 118.76,
					"maximum": 707.28,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 118.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 118.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 212.18,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 118.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 118.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 118.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 124.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 118.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 360.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 707.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ BREAST LOC DEV PLACE MRI GUIDE ADDL LESION",
			"code_information": [
				{
					"code": "19288",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 707.28,
					"minimum": 55.1,
					"maximum": 565.82,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 55.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 565.82,
							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
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							"payer_name": " Anthem Blue Cross",
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						},
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						}
					]
				}
			]
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			"description": "SIMPLE PNEUMONIA AND PLEURISY WITH MCC",
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				{
					"code": "193",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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							"payer_name": "Caloptima",
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						},
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							"payer_name": "Applecare Medical Group",
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							"payer_name": "Workers Compensation",
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							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
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							"methodology": "case rate"
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 13233,
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 13233,
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							"payer_name": "Brand New Day",
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							"payer_name": "Tricare",
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "Removal of breast tissue",
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				{
					"code": "19300",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"minimum": 457.55,
					"maximum": 14760,
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							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "WellCare",
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							"methodology": "fee schedule"
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
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							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 457.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 6667.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 5048.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4762.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 6017.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4810.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1931",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 7109.64,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6771.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ACUTE & SUBACUTE ENDOCARDITIS ",
			"code_information": [
				{
					"code": "1932",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9373.43,
					"maximum": 9842.1,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9373.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9373.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9373.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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					"code": "1933",
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			]
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						}
					]
				}
			]
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						},
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						},
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			]
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						{
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						{
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						{
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					]
				}
			]
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			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS ",
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					"code": "1982",
					"type": "APR-DRG"
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			],
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						},
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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							"payer_name": "Molina ",
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							"payer_name": "Traditional Medi-Cal",
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					]
				}
			]
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			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS ",
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				{
					"code": "1983",
					"type": "APR-DRG"
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					"setting": "inpatient",
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							"payer_name": "Non-Contracted Medi-Cal",
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							"payer_name": "Caloptima",
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							"payer_name": "Health Net of CA",
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					]
				}
			]
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			"description": "ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS ",
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				{
					"code": "1984",
					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 12036.5,
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						},
						{
							"payer_name": "Caloptima",
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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					]
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			"description": "PNEUMOTHORAX WITH MCC",
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				{
					"code": "199",
					"type": "MS-DRG"
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					"setting": "inpatient",
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							"payer_name": "Renal Payer Solutions",
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							"methodology": "case rate"
						},
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Brand New Day",
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							"payer_name": "Non-Contracted Medicare",
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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							"payer_name": "Imperial Health Plan",
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							"payer_name": "Verda HealthPlan",
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						{
							"payer_name": "Molina ",
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							"payer_name": "Coventry Workers Compensation",
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							"payer_name": "Applecare Medical Group",
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						{
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						{
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						{
							"payer_name": "Applecare Medical Group",
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							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Blue Shield of VA",
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			]
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			"description": "HYPERTENSION ",
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			]
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						{
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						{
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						{
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					]
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			"description": "HYPERTENSION ",
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						{
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						{
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						{
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				}
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						{
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						},
						{
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						{
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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						}
					]
				}
			]
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			"description": "PNEUMOTHORAX WITH CC",
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					"code": "200",
					"type": "MS-DRG"
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			],
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							"methodology": "case rate"
						},
						{
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						},
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							"methodology": "case rate"
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							"methodology": "case rate"
						},
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						},
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						},
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					]
				}
			]
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					"code": "201",
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						{
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						}
					]
				}
			]
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					"code": "20102",
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			],
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						{
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						{
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						},
						{
							"payer_name": "Keenan",
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						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2761.24,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2962.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2415.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2878.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3326.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4331.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 3189.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3417.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 204.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 3203.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2278.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2301.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4331.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC EXPLORE WOUND EXTREMITY",
			"code_information": [
				{
					"code": "20103",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1418.2,
					"discounted_cash": 2633,
					"minimum": 261.13,
					"maximum": 1418.2,
					"payers_information": [
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 425.46,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1134.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 723.28,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1134.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 274.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 1134.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1134.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1418.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2011",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 3861.47,
					"maximum": 4054.54,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 3861.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 3861.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 3861.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 3861.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4054.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 3861.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 3861.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2012",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4988.49,
					"maximum": 5237.91,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5237.91,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4988.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4988.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4988.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4988.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4988.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4988.49,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2013",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7593.83,
					"maximum": 7973.52,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7973.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7593.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS ",
			"code_information": [
				{
					"code": "2014",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13838.4,
					"maximum": 14530.4,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14530.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13838.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "BRONCHITIS AND ASTHMA WITH CCMCC",
			"code_information": [
				{
					"code": "202",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 12449,
					"minimum": 8652.72,
					"maximum": 17352.2,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13981.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 10150.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13733.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 12449.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12449.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9672.04,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 13464.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 17352.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8652.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 14218.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9576.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 11418.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC MUSCLE BIOPSY",
			"code_information": [
				{
					"code": "20200",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4190.78,
					"discounted_cash": 2633,
					"minimum": 77.97,
					"maximum": 3352.62,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3352.62,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 77.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 81.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2137.3,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 77.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3352.62,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 77.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1257.23,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 77.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3352.62,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3352.62,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 77.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 77.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DEEP MUSCLE BIOPSY",
			"code_information": [
				{
					"code": "20205",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5012.7,
					"discounted_cash": 4615,
					"minimum": 156.46,
					"maximum": 5012.7,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 156.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 5012.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 156.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5012.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4010.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 164.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 4010.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 156.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC NEEDLE BIOPSY,MUSCLE",
			"code_information": [
				{
					"code": "20206",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 10757.8,
					"discounted_cash": 2633,
					"minimum": 94.53,
					"maximum": 8606.21,
					"payers_information": [
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 5486.46,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3227.33,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 94.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 94.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 99.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 94.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 94.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 94.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 94.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 8606.21,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "EPI STEROID INJ CERVTHORA-PC",
			"code_information": [
				{
					"code": "20220",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3585.92,
					"discounted_cash": 2633,
					"minimum": 122.3,
					"maximum": 3038.53,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2868.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2868.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2868.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1075.78,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1828.82,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 122.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BONE BIOPSY,TROCARNEEDLE DEEP",
			"code_information": [
				{
					"code": "20225",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5378.88,
					"discounted_cash": 2633,
					"minimum": 213.61,
					"maximum": 4303.1,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 224.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1613.66,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2743.23,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4303.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 4303.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4303.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 4303.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 213.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BONE BIOPSY,EXCISIONAL SUPERF",
			"code_information": [
				{
					"code": "20240",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4988.06,
					"discounted_cash": 4615,
					"minimum": 181.57,
					"maximum": 4988.06,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3990.45,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3990.45,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1496.42,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 4988.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3990.45,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 4988.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3990.45,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4988.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2543.91,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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			]
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		{
			"description": "Bone biopsy open deep",
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				{
					"code": "20245",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 5631.75,
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					"maximum": 5325.38,
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
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							"methodology": "fee schedule"
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						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4505.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2872.19,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Employer Direct Healthcare",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
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						}
					]
				}
			]
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			"description": "BRONCHITIS AND ASTHMA WITHOUT CCMCC",
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				{
					"code": "203",
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					"setting": "inpatient",
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						{
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						{
							"payer_name": "Employer Direct Healthcare",
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						},
						{
							"payer_name": "Astiva Health Inc",
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						{
							"payer_name": "Aetna",
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						{
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						{
							"payer_name": "Verda HealthPlan",
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						{
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						{
							"payer_name": "Managed Health Network ",
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						{
							"payer_name": "Alignment",
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						{
							"payer_name": "Non-Contracted Medicare",
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						},
						{
							"payer_name": "Coventry Workers Compensation",
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						{
							"payer_name": "Renal Payer Solutions",
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						{
							"payer_name": "Health Net Federal Service Tricare",
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						},
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							"payer_name": "Brand New Day",
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						},
						{
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						{
							"payer_name": "Caloptima",
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						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Applecare Medical Group",
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						},
						{
							"payer_name": "Imperial Health Plan",
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						{
							"payer_name": "Applecare Medical Group",
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					]
				}
			]
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			"description": "CHEST PAIN ",
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				{
					"code": "2031",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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					]
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			"description": "CHEST PAIN ",
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					"code": "2032",
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					"setting": "inpatient",
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					"maximum": 5156.99,
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 4911.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 5156.99,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 4911.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 4911.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 4911.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 4911.42,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHEST PAIN ",
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				{
					"code": "2033",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 6179.56,
					"maximum": 6488.54,
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						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 6179.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6179.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 6179.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 6179.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6179.56,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6488.54,
							"estimated_amount": 999999999,
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						},
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					"code": "2034",
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						{
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						},
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 25558.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 18178.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 18178.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 18178.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 18178.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 18178.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 18178.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 32939.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2051",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4196.77,
					"maximum": 4406.61,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4406.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4196.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2052",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5254.73,
					"maximum": 5517.47,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5517.47,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5254.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REMOVE FB MUSCTENDON, SIMPLE",
			"code_information": [
				{
					"code": "20520",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1234.3,
					"discounted_cash": 2633,
					"minimum": 161.27,
					"maximum": 1234.3,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 169.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 161.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 161.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 629.49,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 161.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 161.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 987.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 161.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 987.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 987.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 161.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 987.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 370.29,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1234.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT CARPAL TUNNEL",
			"code_information": [
				{
					"code": "20526",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 569.78,
					"discounted_cash": 481,
					"minimum": 52.49,
					"maximum": 555.09,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 455.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 455.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 170.93,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 55.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 455.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 290.59,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 455.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2053",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7810.02,
					"maximum": 8200.52,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7810.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8200.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIOMYOPATHY ",
			"code_information": [
				{
					"code": "2054",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16565.9,
					"maximum": 17394.2,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17394.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16565.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT TENDON SHEATHLIGAMENT",
			"code_information": [
				{
					"code": "20550",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 674.45,
					"discounted_cash": 481,
					"minimum": 65.68,
					"maximum": 555.09,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 539.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 539.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 539.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 539.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 202.34,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 68.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 343.97,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT TENDON ORIGININSERT",
			"code_information": [
				{
					"code": "20551",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 517,
					"discounted_cash": 481,
					"minimum": 52.49,
					"maximum": 517,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 55.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 413.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 155.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 413.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 263.67,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 517,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 517,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 413.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 517,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 517,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 413.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT TRIGGER POINT1-2 MUSCLE",
			"code_information": [
				{
					"code": "20552",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1585.23,
					"discounted_cash": 481,
					"minimum": 52.49,
					"maximum": 1268.18,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 808.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 475.57,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 55.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC INJECT TRIGGER POINTS, > 3",
			"code_information": [
				{
					"code": "20553",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1585.23,
					"discounted_cash": 481,
					"minimum": 56.22,
					"maximum": 1268.18,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 475.57,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 56.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 56.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 56.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 56.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 808.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 56.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 59.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 56.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC",
			"code_information": [
				{
					"code": "206",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 11709,
					"minimum": 6280.9,
					"maximum": 16321.7,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 7859,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12664.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11709.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 13322.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6280.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 7859,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9547.99,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16321.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 13102.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13151,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9097.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 11709.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 10699.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 9007.54,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAININJECT SMALL JOINTBURSA",
			"code_information": [
				{
					"code": "20600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 982.63,
					"discounted_cash": 481,
					"minimum": 46.46,
					"maximum": 786.1,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 294.79,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 48.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 501.14,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 46.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAININJECT INTERMEDIATE JOINTBURSA",
			"code_information": [
				{
					"code": "20605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 982.63,
					"discounted_cash": 481,
					"minimum": 54.46,
					"maximum": 786.1,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 294.79,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 54.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 501.14,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 57.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 786.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC ARTHROCENTESIS ASPIR&INJ INTERM JTBURS WUS",
			"code_information": [
				{
					"code": "20606",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1529.54,
					"discounted_cash": 1123,
					"minimum": 45.05,
					"maximum": 1296.06,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1261.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 1123.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1214.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 780.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1209.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1125.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1296.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 47.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1223.63,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1091.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 872.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 864.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 45.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1223.63,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 915.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2061",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5486.93,
					"maximum": 5761.28,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5486.93,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5761.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DRAININJECT JOINTBURSA",
			"code_information": [
				{
					"code": "20610",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1585.23,
					"discounted_cash": 481,
					"minimum": 65.68,
					"maximum": 1268.18,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 68.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 65.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 808.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC ARTHROCENTESIS ASPIR&INJ MAJOR JTBURSA WUS",
			"code_information": [
				{
					"code": "20611",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1585.23,
					"discounted_cash": 481,
					"minimum": 52.87,
					"maximum": 1268.18,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 808.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 475.57,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 55.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 52.87,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC ASPIRATINJECTION GANGLION CYST(S)",
			"code_information": [
				{
					"code": "20612",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1585.23,
					"discounted_cash": 481,
					"minimum": 54.36,
					"maximum": 1268.18,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 555.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 481.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 467.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 518.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 57.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 373.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 520.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 475.57,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 482.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 808.47,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1268.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 54.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 370.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 392.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 540.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC ASP & INJ BONE CYST",
			"code_information": [
				{
					"code": "20615",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2896.7,
					"discounted_cash": 1142,
					"minimum": 241.91,
					"maximum": 2317.36,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1142.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1318.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1477.32,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1283.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 254.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2317.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 931.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1235.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1145.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 887.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 879.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 241.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2062",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 5905.26,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2063",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8369.53,
					"maximum": 8788.01,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 8369.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION,REACTION,COMPLICATION OF CARDIACVASC DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2064",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16536.9,
					"maximum": 17363.7,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 16536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPLY REM FIXATION DEVICE",
			"code_information": [
				{
					"code": "20660",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 3566.25,
					"discounted_cash": 2610,
					"minimum": 181.57,
					"maximum": 3012.14,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1818.79,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "REMOVAL OF IMPLANT DEEP",
			"code_information": [
				{
					"code": "20680",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 24600,
					"discounted_cash": 4615,
					"minimum": 217.89,
					"maximum": 19680,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4991.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4970.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5183.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 19680,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 5325.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 7380,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 228.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 217.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 19680,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 19680,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 19680,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS",
			"code_information": [
				{
					"code": "207",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 79229,
					"minimum": 60945.5,
					"maximum": 110433,
					"payers_information": [
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 61555,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 79229.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 66756,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 88980.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 64602.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 110433,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 85689.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 75768.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 95121.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 79229.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 99082.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 60945.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 76396.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2071",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4612.15,
					"maximum": 4842.76,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4842.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4612.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2072",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5758.18,
					"maximum": 6046.09,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6046.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 5758.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2073",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8150.33,
					"maximum": 8557.85,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8557.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8150.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2074",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14539.1,
					"maximum": 15266,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15266,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14539.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS",
			"code_information": [
				{
					"code": "208",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 33295,
					"minimum": 25139.7,
					"maximum": 46409.5,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 26440,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 33296,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 31704.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 27149,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 33296,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 25868.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 46409.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 38781.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 25139.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 37393.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 39474.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 36010.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 25612.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP",
			"code_information": [
				{
					"code": "20822",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6566.7,
					"discounted_cash": 2610,
					"minimum": 1970.01,
					"maximum": 5253.36,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 2874.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 2737.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 3940.02,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1970.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5253.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 2737.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5253.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 2737.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 2737.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3349.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 2737.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5253.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 2737.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 3940.02,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5253.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "209",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5403.94,
					"maximum": 5403.94,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5403.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "210",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7904.15,
					"maximum": 7904.15,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7904.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "211",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9058.53,
					"maximum": 9058.53,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 9058.53,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES",
			"code_information": [
				{
					"code": "212",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 132972,
					"minimum": 10520.1,
					"maximum": 185343,
					"payers_information": [
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 149338,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 103309,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 154486,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 10520.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 108424,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 128669,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 132972,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 160231,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 143815,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 132972,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 185343,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 102286,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "213",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20022.3,
					"maximum": 20022.3,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20022.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT NOSE XF WO STABIL",
			"code_information": [
				{
					"code": "21315",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8093.41,
					"discounted_cash": 2477,
					"minimum": 113.75,
					"maximum": 6474.73,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1924.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2477.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2679.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6474.73,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2667.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 119.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2428.02,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4127.64,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6474.73,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2019.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2407.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2482.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2781.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 113.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6474.73,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 6474.73,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT NOSE FX W STABIL",
			"code_information": [
				{
					"code": "21320",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2542.7,
					"discounted_cash": 5229,
					"minimum": 181.57,
					"maximum": 2542.7,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2034.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 181.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2542.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2034.16,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1296.78,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CLOSED TX SEPTAL&NOSE FX",
			"code_information": [
				{
					"code": "21337",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
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					"discounted_cash": 5229,
					"minimum": 187.45,
					"maximum": 4214,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 187.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 187.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4214,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT NOSEJAW FRACW DENT WIRES FIX",
			"code_information": [
				{
					"code": "21345",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9731,
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					"maximum": 7784.8,
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 444.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2781.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2019.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2482.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2407.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UnGrouped",
			"code_information": [
				{
					"code": "214",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6107.8,
					"maximum": 6107.8,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 6107.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT FX ORBIT WO MANIP",
			"code_information": [
				{
					"code": "21400",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2411.2,
					"discounted_cash": 893,
					"minimum": 291.58,
					"maximum": 2411.2,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 868.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 291.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 893.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 291.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 291.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1928.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 291.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 895.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1928.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1003.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 728.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 966.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1928.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 962.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 291.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 723.36,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 2411.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 306.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 694.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1928.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 291.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 687.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1229.71,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "CLOSED TX ORBIT W MANIPULJ",
			"code_information": [
				{
					"code": "21401",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3233.3,
					"discounted_cash": 2477,
					"minimum": 375.43,
					"maximum": 3233.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 375.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 375.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3233.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 375.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 375.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2667.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 394.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2482.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1648.98,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2679.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 375.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2477.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1924.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2019.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2586.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2586.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2781.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2586.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 969.99,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2586.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 375.43,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2407.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT LEFORTE I+WIRES",
			"code_information": [
				{
					"code": "21421",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 18650.2,
					"discounted_cash": 5229,
					"minimum": 423.48,
					"maximum": 14920.1,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 444.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4062.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 5595.05,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5873.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5082.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4264.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5631.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5239.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5229.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5655.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT LEFORTE III+WIRES",
			"code_information": [
				{
					"code": "21431",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9731,
					"minimum": 423.48,
					"maximum": 7784.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4132,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 444.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2919.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 423.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT DENTAL RIDGE FX",
			"code_information": [
				{
					"code": "21440",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9731,
					"discounted_cash": 5229,
					"minimum": 190.65,
					"maximum": 7784.8,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5082.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5239.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5873.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4062.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5631.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5229.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4264.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 200.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4962.81,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5655.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 190.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4022.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2919.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MANDIBLE FX WO MANIP",
			"code_information": [
				{
					"code": "21450",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 618.6,
					"discounted_cash": 893,
					"minimum": 185.58,
					"maximum": 618.6,
					"payers_information": [
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 494.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 494.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 315.49,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 185.58,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 494.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 618.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 494.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MANDIBLE FX W MANIP",
			"code_information": [
				{
					"code": "21451",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6334.3,
					"discounted_cash": 2477,
					"minimum": 543.64,
					"maximum": 5067.44,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5067.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2407.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5067.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 570.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2482.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1924.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 543.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 543.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2781.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2679.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5067.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 543.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5067.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 543.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2667.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2477.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1900.29,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 543.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 543.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2019.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3230.49,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MANDIBLE FX W DENTAL FIX",
			"code_information": [
				{
					"code": "21453",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 18650.2,
					"discounted_cash": 9511,
					"minimum": 483.82,
					"maximum": 14920.1,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 9530.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 7390.06,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 9511.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 508.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 10287.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 10243.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 7755.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 10682.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 7316.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 5595.05,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 483.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 9245.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 14920.1,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT TEMPOROMANDIBL DISLOC",
			"code_information": [
				{
					"code": "21480",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 101.47,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 106.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 362.08,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 101.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT TEMPOROMANDIBL DISLOC COMPLIC",
			"code_information": [
				{
					"code": "21485",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9731,
					"discounted_cash": 2477,
					"minimum": 351.38,
					"maximum": 7784.8,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2477.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4962.81,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1924.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 351.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 351.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 351.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2019.77,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2781.94,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 368.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2919.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2667.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 351.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7784.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2482.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 351.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1905.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2679.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OTHER HEART ASSIST SYSTEM IMPLANT",
			"code_information": [
				{
					"code": "215",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 129341,
					"minimum": 99493.2,
					"maximum": 180282,
					"payers_information": [
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							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 145260,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 125139,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 105463,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 146513,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 129341,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 139887,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 180282,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 129341,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 100488,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 155832,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 99493.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 118837,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D DEEP ABSCHEMATOMA NECKCHEST",
			"code_information": [
				{
					"code": "21501",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4134,
					"discounted_cash": 4615,
					"minimum": 366.35,
					"maximum": 4134,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2108.34,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4134,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3307.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 366.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4134,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3307.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 366.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 366.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3307.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4134,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 384.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 366.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4134,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 366.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1240.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4134,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BIOPSY SOFT TISSUE NECKCHEST",
			"code_information": [
				{
					"code": "21550",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3585.92,
					"discounted_cash": 2633,
					"minimum": 106.81,
					"maximum": 3038.53,
					"payers_information": [
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2868.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1828.82,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 106.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2868.74,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"methodology": "percent of total billed charges"
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						{
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							"methodology": "fee schedule"
						}
					]
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			]
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		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC",
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					"code": "216",
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						{
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						{
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						{
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						{
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						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CCMCC",
			"code_information": [
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					"code": "218",
					"type": "MS-DRG"
				}
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
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						},
						{
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						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 70270.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 72941.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 72941.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 87504.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 72487.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 56108.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 56669.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT STERNUM FX",
			"code_information": [
				{
					"code": "21820",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 845.45,
					"discounted_cash": 383,
					"minimum": 166.09,
					"maximum": 845.45,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.63,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 845.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 174.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 166.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 166.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 166.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 166.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 166.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 166.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC",
			"code_information": [
				{
					"code": "219",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 94651,
					"minimum": 72808.8,
					"maximum": 131930,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 91389.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 106301,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 110603,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 94651.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 73536.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 77177.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 113806,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 131930,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 94651.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 87648.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 102369,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 72808.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC BIOPSY SOFT TISSUE BACK,SUPERF",
			"code_information": [
				{
					"code": "21920",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 2145,
					"discounted_cash": 2633,
					"minimum": 110,
					"maximum": 2145,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 643.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2145,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2145,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 110,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1716,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2145,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1093.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BIOPSY SOFT TISSUE BACK,DEEP",
			"code_information": [
				{
					"code": "21925",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3546.2,
					"discounted_cash": 2633,
					"minimum": 386.1,
					"maximum": 3038.53,
					"payers_information": [
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							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1063.86,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 405.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC",
			"code_information": [
				{
					"code": "220",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 65018,
					"minimum": 50014.2,
					"maximum": 90625.7,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 53015.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 77905.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 65018.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 50514.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 70320,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 60721.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 73020.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 90625.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 62559.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 50014.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16434.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES ",
			"code_information": [
				{
					"code": "2224",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 32280,
					"maximum": 33894,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 33894,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 32280,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2231",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10379.3,
					"maximum": 10898.3,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10898.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 10379.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLOSED TX VERT FX WO MANJ",
			"code_information": [
				{
					"code": "22310",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 383,
					"minimum": 196.53,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 196.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 206.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 196.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 196.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 196.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 196.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 196.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT VERT BODY FX W MANIP",
			"code_information": [
				{
					"code": "22315",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6560.9,
					"discounted_cash": 5257,
					"minimum": 570.88,
					"maximum": 5904.55,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 570.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 570.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5661.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 599.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 570.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3346.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 570.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1968.27,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 570.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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			]
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			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
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				{
					"code": "2232",
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						},
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							"methodology": "case rate"
						},
						{
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					]
				}
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			"code_information": [
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					"code": "2233",
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					"setting": "inpatient",
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "OTHER SMALL & LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2234",
					"type": "APR-DRG"
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
				{
					"code": "2241",
					"type": "APR-DRG"
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			],
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					"setting": "inpatient",
					"minimum": 11883.7,
					"maximum": 12477.9,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
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					"code": "2242",
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				}
			],
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					"setting": "inpatient",
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					"maximum": 14653.3,
					"payers_information": [
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
		},
		{
			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
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					"code": "2243",
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				}
			],
			"standard_charges": [
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					"setting": "inpatient",
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					"maximum": 20511.3,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 20511.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERITONEAL ADHESIOLYSIS ",
			"code_information": [
				{
					"code": "2244",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 33878.5,
					"maximum": 35572.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 35572.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ CERVICOTHORACIC INJ",
			"code_information": [
				{
					"code": "22510",
					"type": "CPT"
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			],
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					"setting": "outpatient",
					"gross_charge": 13010.7,
					"discounted_cash": 5257,
					"minimum": 393.89,
					"maximum": 10408.5,
					"payers_information": [
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							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "fee schedule"
						},
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							"methodology": "fee schedule"
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							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 6066.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 393.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10408.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3903.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 393.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10408.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ LUMBOSACRAL INJ",
			"code_information": [
				{
					"code": "22511",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 13010.7,
					"discounted_cash": 5257,
					"minimum": 370.07,
					"maximum": 10408.5,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 370.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 388.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3903.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10408.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5904.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5257.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 370.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10408.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 370.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5661.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 370.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10408.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 370.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 10408.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 370.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 6066.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ VERTEBROPLASTY ADDL INJ",
			"code_information": [
				{
					"code": "22512",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3950.19,
					"minimum": 181.68,
					"maximum": 3160.15,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3160.15,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 181.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1185.06,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 181.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3160.15,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 181.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 181.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 190.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 181.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2014.6,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3160.15,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 181.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3160.15,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ VERTEBRAL AUGMENTATION, THORACIC",
			"code_information": [
				{
					"code": "22513",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 18736.7,
					"discounted_cash": 11620,
					"minimum": 466.86,
					"maximum": 14989.4,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9474.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 466.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 490.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9027.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12567.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13407.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 466.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13050.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 466.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11620.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11294,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12513.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 466.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11643.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 466.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 466.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC PERQ VERTEBRAL AUGMENTATION, LUMBAR",
			"code_information": [
				{
					"code": "22514",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 18736.7,
					"discounted_cash": 11620,
					"minimum": 435.62,
					"maximum": 14989.4,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12567.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13407.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11643.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12513.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11620.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11294,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 435.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 435.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 435.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9474.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 457.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9027.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 435.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "PERQ VERTEBRAL AUGMENTATION",
			"code_information": [
				{
					"code": "22515",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 18736.7,
					"minimum": 195.09,
					"maximum": 14989.4,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 195.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 195.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 195.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 195.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 14989.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 195.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 195.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
				{
					"code": "2261",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 6762.08,
					"maximum": 7100.18,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 6762.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 6762.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6762.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7100.18,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6762.08,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
				{
					"code": "2262",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8526.67,
					"maximum": 8953,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8526.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8526.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8526.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8526.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8953,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8526.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8526.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
				{
					"code": "2263",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12836.5,
					"maximum": 13478.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 12836.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13478.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "ANAL AND PERINEAL PROCEDURES",
			"code_information": [
				{
					"code": "2264",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 23193.9,
					"maximum": 24353.5,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
				{
					"code": "2271",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 9905.91,
					"maximum": 10401.2,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 10401.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
				{
					"code": "2272",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12083.9,
					"maximum": 12688.1,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
				{
					"code": "2273",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16771.1,
					"maximum": 17609.6,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 16771.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL ",
			"code_information": [
				{
					"code": "2274",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 31983.8,
					"maximum": 33582.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "228",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 61213,
					"minimum": 47087.3,
					"maximum": 85322.3,
					"payers_information": [
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 85322.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 61213.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 73295.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 47558.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 66204.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 72270.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 49912.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 47087.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 61213.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 73613.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2281",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7883.09,
					"maximum": 8277.24,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 7883.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8277.24,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2282",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 10021,
					"maximum": 10522.1,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10522.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 10021,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2283",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 13727.3,
					"maximum": 14413.7,
					"payers_information": [
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							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 13727.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES ",
			"code_information": [
				{
					"code": "2284",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25658.1,
					"maximum": 26941,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 26941,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25658.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC",
			"code_information": [
				{
					"code": "229",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 38425,
					"minimum": 29558,
					"maximum": 53559.2,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 36689.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 53559.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 45688.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 38425.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 45605.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 41558.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 38425.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 31331.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 48918.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 29558,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 43154.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2291",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9830.84,
					"maximum": 10322.4,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10322.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9830.84,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2292",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13447.1,
					"maximum": 14119.4,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14119.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13447.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2293",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 20203.2,
					"maximum": 21213.3,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 21213.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 20203.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2294",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 34572.1,
					"maximum": 36300.7,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 34572.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 36300.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2301",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11487.3,
					"maximum": 12061.7,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12061.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11487.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2302",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15723.1,
					"maximum": 16509.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16509.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 15723.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2303",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 22853.5,
					"maximum": 23996.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 23996.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 22853.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC INCISDRAIN SHLDR ABSCHEMA,DEEP",
			"code_information": [
				{
					"code": "23030",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4687,
					"discounted_cash": 4615,
					"minimum": 402.65,
					"maximum": 4687,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 4687,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 402.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4687,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3749.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 402.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3749.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 402.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3749.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2390.37,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4687,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 402.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4624.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 4687,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 422.78,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 402.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 402.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4615.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3749.6,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR SMALL BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2304",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 40754.7,
					"maximum": 42792.4,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 42792.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 40754.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL",
			"code_information": [
				{
					"code": "23065",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3441,
					"discounted_cash": 2633,
					"minimum": 120.69,
					"maximum": 3038.53,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1032.3,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 126.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2752.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2752.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1754.91,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2752.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2752.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 120.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BIOPSY SOFT TISSUE SHOULDER DEEP",
			"code_information": [
				{
					"code": "23066",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4140.8,
					"discounted_cash": 4615,
					"minimum": 267.54,
					"maximum": 4140.8,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1242.24,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 4140.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4140.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4140.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4140.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 267.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 267.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3312.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 280.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3312.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2111.81,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4140.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 267.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 267.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 267.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 4140.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3312.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 267.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4140.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3312.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WITH PTCA WITH MCC",
			"code_information": [
				{
					"code": "231",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 103591,
					"minimum": 79686.1,
					"maximum": 144391,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 116398,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 103592,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 103263,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 112039,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 144391,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 80482.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 116342,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 84467.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 103592,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 124637,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 79686.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 100088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2311",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13192.9,
					"maximum": 13852.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 13192.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 13192.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13192.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13192.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13852.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13192.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13192.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR LARGE BOWEL PROCEDURES ",
			"code_information": [
				{
					"code": "2312",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16124.5,
					"maximum": 16930.7,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 16124.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16930.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16124.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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					"code": "2313",
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					]
				}
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					"code": "2314",
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					"setting": "inpatient",
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						},
						{
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							"methodology": "case rate"
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					]
				}
			]
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					"code": "232",
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						{
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						{
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						{
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						{
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					]
				}
			]
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			"description": "GASTRIC FUNDOPLICATION ",
			"code_information": [
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					"code": "2321",
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						{
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					]
				}
			]
		},
		{
			"description": "GASTRIC FUNDOPLICATION ",
			"code_information": [
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						{
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						},
						{
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						{
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						}
					]
				}
			]
		},
		{
			"description": "GASTRIC FUNDOPLICATION ",
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						{
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						},
						{
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						},
						{
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						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
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		{
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					"code": "2324",
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			],
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					"setting": "inpatient",
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					"maximum": 41289.5,
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						{
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						},
						{
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						{
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						},
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
		},
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			],
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						},
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 74281.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 92320.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 95609.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 73545.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 133265,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 114966,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 86331.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 77958.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 107377,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2331",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9071.16,
					"maximum": 9524.72,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9524.72,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9071.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2332",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 11595.4,
					"maximum": 12175.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11595.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
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				{
					"code": "2333",
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				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16302.7,
					"maximum": 17117.8,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2334",
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				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 25437.9,
					"maximum": 26709.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 25437.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC INJ PROC SHOULDER ARTHROGRAPHYCTMRI",
			"code_information": [
				{
					"code": "23350",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.59,
					"minimum": 247.25,
					"maximum": 965.27,
					"payers_information": [
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.36,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 259.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 247.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 965.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC",
			"code_information": [
				{
					"code": "234",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 65303,
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					"maximum": 91023.4,
					"payers_information": [
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 62838.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 65303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 53247.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 70628.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 65303.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 74554.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 78251.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 69932.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 91023.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 73341.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 50233.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 50736,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2341",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7284.55,
					"maximum": 7648.78,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7284.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7284.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 7284.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 7284.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7648.78,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 7284.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7284.55,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2342",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9266.33,
					"maximum": 9729.65,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9266.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9266.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9266.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9266.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9266.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9729.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9266.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2343",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13510.2,
					"maximum": 14185.7,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14185.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13510.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS ",
			"code_information": [
				{
					"code": "2344",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 23286.9,
					"maximum": 24451.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 24451.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 23286.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC",
			"code_information": [
				{
					"code": "235",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 72151,
					"minimum": 55500.9,
					"maximum": 100568,
					"payers_information": [
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 58830.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 81031.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 100568,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 84346.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 70849.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 72151.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 78034.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 56055.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 86546.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 72151.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 69499.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 55500.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT CLAVICLE FX WO MANIP",
			"code_information": [
				{
					"code": "23500",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 133.3,
					"maximum": 511.8,
					"payers_information": [
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 133.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 133.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 133.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 133.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT CLAVICLE FX W MANIP",
			"code_information": [
				{
					"code": "23505",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3566.25,
					"discounted_cash": 2610,
					"minimum": 216.81,
					"maximum": 3566.25,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1818.79,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3566.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 216.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1069.88,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 227.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 216.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 216.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 216.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 216.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OPTX CLAVICULAR FX WINT FIX",
			"code_information": [
				{
					"code": "23515",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 26250,
					"discounted_cash": 11620,
					"minimum": 544.17,
					"maximum": 21000,
					"payers_information": [
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							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 21000,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 7875,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 13407.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 21000,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 21000,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 544.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11620.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12567.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9474.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 544.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 571.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13050.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 544.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11294,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 544.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12513.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 544.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9027.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 21000,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT STERNO-CLAV DISLOC WO MANIP",
			"code_information": [
				{
					"code": "23520",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 6560.9,
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					"maximum": 5248.72,
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 256.33,
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							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT STERN-CLAV DISLOC W MANIP",
			"code_information": [
				{
					"code": "23525",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"payers_information": [
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 204.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CLTX ACROMCLAV DISLC WO MNPJ",
			"code_information": [
				{
					"code": "23540",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
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							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 275.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 289.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 275.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 275.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 275.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 275.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CLTX ACROMCLAV DISLC WMNPJ",
			"code_information": [
				{
					"code": "23545",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 383,
					"minimum": 189.04,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 189.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 189.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 189.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 198.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 189.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT SCAPULA FX WO MANIP",
			"code_information": [
				{
					"code": "23570",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 845.45,
					"discounted_cash": 383,
					"minimum": 137.4,
					"maximum": 845.45,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 144.27,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 137.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 137.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 137.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 845.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 137.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.63,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 137.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 137.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT SCAPULA FX W MANIP",
			"code_information": [
				{
					"code": "23575",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 2610,
					"minimum": 232.83,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 244.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC",
			"code_information": [
				{
					"code": "236",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 50636,
					"minimum": 38951.2,
					"maximum": 70579.6,
					"payers_information": [
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							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 60482,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 41288.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 56868.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 54345.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 50636.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 54765.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 39340.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 50636.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 48568.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 57963.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 70579.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 38951.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CLTX PROX HUMRL FX WO MNPJ",
			"code_information": [
				{
					"code": "23600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
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							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 197.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 197.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 197.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 207.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 197.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 197.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 197.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT PROX HUMERUS FX W MANIP",
			"code_information": [
				{
					"code": "23605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4154.2,
					"discounted_cash": 2610,
					"minimum": 309.73,
					"maximum": 3600,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 309.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3323.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 325.22,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 309.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 309.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 309.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3323.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3323.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3323.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1246.26,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 309.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 309.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2118.64,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT GR TUBEROSITY HUM FX WO MANIP",
			"code_information": [
				{
					"code": "23620",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 345.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT GR TUBER HUM FX W MANIP",
			"code_information": [
				{
					"code": "23625",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6560.9,
					"discounted_cash": 2610,
					"minimum": 302.26,
					"maximum": 5248.72,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 317.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3346.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "CLTX SHO DSLC WMNPJ WO ANES",
			"code_information": [
				{
					"code": "23650",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1303.97,
					"discounted_cash": 383,
					"minimum": 201.2,
					"maximum": 1303.97,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 201.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 201.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1043.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 211.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 201.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_dollar": 391.19,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 665.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1043.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 201.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1303.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 201.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1043.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 201.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT SHLDR DISLOC W MANIP W ANES",
			"code_information": [
				{
					"code": "23655",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 8363.83,
					"discounted_cash": 2610,
					"minimum": 210.41,
					"maximum": 6691.06,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 220.93,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4265.55,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 210.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 210.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT SHLDR DISLOC,GR TUB FX, W MANIP",
			"code_information": [
				{
					"code": "23665",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 3566.25,
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					"maximum": 3566.25,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1818.79,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 279.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 279.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1069.88,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 279.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT SHLDR DISLOC,PROX HUM FX W MANIP",
			"code_information": [
				{
					"code": "23675",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8363.83,
					"discounted_cash": 2610,
					"minimum": 341.24,
					"maximum": 6691.06,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4265.55,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 341.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 358.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 341.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 341.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 341.24,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2509.15,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC",
			"code_information": [
				{
					"code": "239",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 61864,
					"minimum": 47587.9,
					"maximum": 86229.3,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 61864.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 59491.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 50443.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 86229.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 68944.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 74084.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 69478.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 48063.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 49530.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 47587.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 66908.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D ARM,DEEP ABSCHEMATOMA",
			"code_information": [
				{
					"code": "23930",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4615,
					"discounted_cash": 4615,
					"minimum": 232.83,
					"maximum": 4615,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4615,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2353.65,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4615,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 4615,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3763.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3692,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 244.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3692,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3692,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4615,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1384.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4485.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 4615,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 4615,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 232.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3692,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D ARMELBOW INFECT BURSA",
			"code_information": [
				{
					"code": "23931",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6369.85,
					"discounted_cash": 2633,
					"minimum": 163.41,
					"maximum": 5095.88,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5095.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 163.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 163.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 171.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3248.62,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5095.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5095.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 163.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1910.95,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 163.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5095.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 163.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC",
			"code_information": [
				{
					"code": "240",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 36068,
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					"maximum": 50274.5,
					"payers_information": [
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							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 39009.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 42833.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 40292.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 29410,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 34396.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 41788.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 50274.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 28022.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 40508.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 36068.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 27745.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 36068.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIGESTIVE MALIGNANCY ",
			"code_information": [
				{
					"code": "2401",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6133.52,
					"maximum": 6440.2,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6133.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 6133.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6133.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 6133.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 6133.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6133.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6440.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIGESTIVE MALIGNANCY ",
			"code_information": [
				{
					"code": "2402",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 7349.61,
					"maximum": 7717.09,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 7717.09,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 7349.61,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIGESTIVE MALIGNANCY ",
			"code_information": [
				{
					"code": "2403",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9820.83,
					"maximum": 10311.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 10311.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 9820.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 9820.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9820.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9820.83,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIGESTIVE MALIGNANCY ",
			"code_information": [
				{
					"code": "2404",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 16067.5,
					"maximum": 16870.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16870.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16067.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 16067.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 16067.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC BX ARMELBOW SOFT TISSUE,SUPERFICIAL",
			"code_information": [
				{
					"code": "24065",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4175,
					"discounted_cash": 2633,
					"minimum": 174.62,
					"maximum": 3340,
					"payers_information": [
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							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 174.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3340,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3340,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 183.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1252.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 174.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 174.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3340,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 174.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY ARMELBOW SOFT TISSUE",
			"code_information": [
				{
					"code": "24066",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"minimum": 315.61,
					"maximum": 3900,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1170,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3585.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3900,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 331.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3550.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3120,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
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					"code": "241",
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				}
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						{
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						},
						{
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						},
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						},
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						},
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						},
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						},
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					]
				}
			]
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			"description": "PEPTIC ULCER & GASTRITIS ",
			"code_information": [
				{
					"code": "2411",
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						},
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					]
				}
			]
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					"code": "2412",
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						{
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						{
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					]
				}
			]
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			"code_information": [
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					"code": "2413",
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						},
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						},
						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
		},
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			"description": "PEPTIC ULCER & GASTRITIS ",
			"code_information": [
				{
					"code": "2414",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 19505.5,
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC",
			"code_information": [
				{
					"code": "242",
					"type": "MS-DRG"
				}
			],
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							"methodology": "case rate"
						},
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						},
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						{
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							"methodology": "case rate"
						},
						{
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						},
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						},
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							"methodology": "case rate"
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						{
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						},
						{
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						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 32226.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "HC REMOVAL ARMELBOW FB SUBQ",
			"code_information": [
				{
					"code": "24200",
					"type": "CPT"
				}
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				{
					"setting": "outpatient",
					"gross_charge": 1605.25,
					"discounted_cash": 2633,
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1284.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 158.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 818.68,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1605.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 166.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
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		{
			"description": "MAJOR ESOPHAGEAL DISORDERS ",
			"code_information": [
				{
					"code": "2421",
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				{
					"setting": "inpatient",
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					"maximum": 4969.92,
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							"payer_name": "Health Net of CA",
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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					]
				}
			]
		},
		{
			"description": "MAJOR ESOPHAGEAL DISORDERS ",
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				{
					"code": "2422",
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				{
					"setting": "inpatient",
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							"methodology": "case rate"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"standard_charge_dollar": 6209.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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						}
					]
				}
			]
		},
		{
			"description": "INJECTION PX FOR ELBOW ARTHG",
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				{
					"code": "24220",
					"type": "CPT"
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			],
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				{
					"setting": "outpatient",
					"gross_charge": 2146.1,
					"minimum": 293.18,
					"maximum": 1716.88,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 293.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1094.51,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 293.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 293.18,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 1716.88,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ESOPHAGEAL DISORDERS ",
			"code_information": [
				{
					"code": "2423",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8924.02,
					"maximum": 9370.22,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8924.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 8924.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9370.22,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 8924.02,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR ESOPHAGEAL DISORDERS ",
			"code_information": [
				{
					"code": "2424",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 18867.6,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 17969.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 17969.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 17969.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 17969.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 18867.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 17969.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 17969.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC",
			"code_information": [
				{
					"code": "243",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28063,
					"minimum": 21587.2,
					"maximum": 39116,
					"payers_information": [
						{
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
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							"methodology": "case rate"
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						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 21587.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 33134.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 32668,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 28063.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 21803.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 39116,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER ESOPHAGEAL DISORDERS ",
			"code_information": [
				{
					"code": "2431",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						},
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						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
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			]
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		{
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			"code_information": [
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					"code": "2432",
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				}
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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							"methodology": "case rate"
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						{
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					]
				}
			]
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		{
			"description": "OTHER ESOPHAGEAL DISORDERS ",
			"code_information": [
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					"code": "2433",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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						{
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							"methodology": "case rate"
						},
						{
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						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER ESOPHAGEAL DISORDERS ",
			"code_information": [
				{
					"code": "2434",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
					"minimum": 15634.1,
					"maximum": 16415.8,
					"payers_information": [
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 15634.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CCMCC",
			"code_information": [
				{
					"code": "244",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 22623,
					"minimum": 17402.4,
					"maximum": 31533.1,
					"payers_information": [
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							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
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						{
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"standard_charge_dollar": 22623.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 17402.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 17402.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 31533.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 26240.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 26544.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 24467.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 25407.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 17402.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 17402.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIVERTICULITIS & DIVERTICULOSIS ",
			"code_information": [
				{
					"code": "2441",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
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					"setting": "inpatient",
					"minimum": 4523.07,
					"maximum": 4749.22,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4523.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4523.07,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIVERTICULITIS & DIVERTICULOSIS ",
			"code_information": [
				{
					"code": "2442",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 5921.32,
					"maximum": 6217.39,
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							"payer_name": "Caloptima",
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						},
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
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						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIVERTICULITIS & DIVERTICULOSIS ",
			"code_information": [
				{
					"code": "2443",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 8958.06,
					"maximum": 9405.96,
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						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8958.06,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 9405.96,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "DIVERTICULITIS & DIVERTICULOSIS ",
			"code_information": [
				{
					"code": "2444",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15707.1,
					"maximum": 16492.5,
					"payers_information": [
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16492.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15707.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AICD GENERATOR PROCEDURES",
			"code_information": [
				{
					"code": "245",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 60041,
					"minimum": 46186.1,
					"maximum": 83689.3,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 71876.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 83689.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 48957.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 57660.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 60042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 67431.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 64937.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 57719.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 64994.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 60042,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 46186.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 46648,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MID HUMERUS XF WO MANIP",
			"code_information": [
				{
					"code": "24500",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 253.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 253.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 266.44,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 253.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 253.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 253.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 253.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MID HUMERUS FX W MANIP",
			"code_information": [
				{
					"code": "24505",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3554.77,
					"discounted_cash": 2610,
					"minimum": 386.1,
					"maximum": 3554.77,
					"payers_information": [
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3554.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1812.93,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 405.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1066.43,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INFLAMMATORY BOWEL DISEASE ",
			"code_information": [
				{
					"code": "2451",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 5106.54,
					"payers_information": [
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							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4863.37,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INFLAMMATORY BOWEL DISEASE ",
			"code_information": [
				{
					"code": "2452",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
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					"maximum": 6519.01,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6208.58,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INFLAMMATORY BOWEL DISEASE ",
			"code_information": [
				{
					"code": "2453",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8866.97,
					"maximum": 9310.32,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8866.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9310.32,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8866.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8866.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8866.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "TREAT HUMERUS FRACTURE",
			"code_information": [
				{
					"code": "24530",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 285.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 299.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 285.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 285.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 285.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT HUM SUPRACONDYLR FX W MANIP",
			"code_information": [
				{
					"code": "24535",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1764.25,
					"discounted_cash": 2610,
					"minimum": 431.5,
					"maximum": 1764.25,
					"payers_information": [
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1411.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1411.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 431.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 431.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 899.77,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 453.07,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 431.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 431.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 431.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1764.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 431.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "INFLAMMATORY BOWEL DISEASE ",
			"code_information": [
				{
					"code": "2454",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15234.7,
					"maximum": 15996.4,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 15234.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT HUMER EPICONDYLR FX WO MANIP",
			"code_information": [
				{
					"code": "24560",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 845.45,
					"discounted_cash": 383,
					"minimum": 238.1,
					"maximum": 845.45,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 238.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 238.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 250,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.63,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 238.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 238.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "TREAT HUMERUS FRACTURE",
			"code_information": [
				{
					"code": "24565",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 2610,
					"minimum": 320.75,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 372.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 391.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 372.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 372.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 372.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 372.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 372.76,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT HUMER CONDYLR FX WO MANIP",
			"code_information": [
				{
					"code": "24576",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 434.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 434.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 456.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 434.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 434.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 434.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 434.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT HUMER CONDYLR FX W MANIP",
			"code_information": [
				{
					"code": "24577",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 2610,
					"minimum": 320.75,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 386.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 405.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "TREAT ELBOW DISLOCATION",
			"code_information": [
				{
					"code": "24600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1213.5,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 1213.5,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 333.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 364.05,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 318.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 318.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 970.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 318.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 318.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 970.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 318.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 970.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 970.8,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 618.88,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 318.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1213.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT ELBOW DISLOC W ANES",
			"code_information": [
				{
					"code": "24605",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4914.55,
					"discounted_cash": 2610,
					"minimum": 248.32,
					"maximum": 3931.64,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3931.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1474.37,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3931.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 248.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3931.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 248.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 248.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 248.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 260.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2506.42,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 248.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3931.64,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 248.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY ",
			"code_information": [
				{
					"code": "2461",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5185.66,
					"maximum": 5444.94,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5185.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5444.94,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5185.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 5185.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 5185.66,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY ",
			"code_information": [
				{
					"code": "2462",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6505.85,
					"maximum": 6831.14,
					"payers_information": [
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 6505.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6505.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6505.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6831.14,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 6505.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 6505.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6505.85,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MONTEGGIA FXDISLOC ELBOW W MANIP",
			"code_information": [
				{
					"code": "24620",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1245.23,
					"discounted_cash": 2610,
					"minimum": 328.42,
					"maximum": 1245.23,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 996.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 373.57,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 328.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 996.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 328.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 344.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 328.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 635.07,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 328.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1245.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 996.18,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 328.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY ",
			"code_information": [
				{
					"code": "2463",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9073.16,
					"maximum": 9526.82,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9526.82,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9073.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9073.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9073.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9073.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9073.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9073.16,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC OPEN TREAT ELBOW XF",
			"code_information": [
				{
					"code": "24635",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 16708.4,
					"discounted_cash": 11620,
					"minimum": 826.14,
					"maximum": 13366.7,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 12567.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11620.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 12513.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 11643.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 13050.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 867.45,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 826.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 13366.7,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 9027.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 826.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 11294,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 13366.7,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 826.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9474.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 826.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 826.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 13366.7,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 826.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8938.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 13366.7,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "GASTROINTESTINAL VASCULAR INSUFFICIENCY ",
			"code_information": [
				{
					"code": "2464",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13463.1,
					"maximum": 14136.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 14136.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 13463.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT RADIAL HEAD DISLOC CHILD W AMNIP",
			"code_information": [
				{
					"code": "24640",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 162.88,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 162.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 171.02,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 162.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 162.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 162.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 162.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 362.08,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 162.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT RADIAL HEADNECK FX WO MANIP",
			"code_information": [
				{
					"code": "24650",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 214.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 214.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 214.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "TREAT RADIUS FRACTURE",
			"code_information": [
				{
					"code": "24655",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 2610,
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					"maximum": 1069.15,
					"payers_information": [
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 331.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 348.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 331.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 331.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT ULNAR XF PROX END WO MANIP",
			"code_information": [
				{
					"code": "24670",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 845.45,
					"discounted_cash": 383,
					"minimum": 221.67,
					"maximum": 845.45,
					"payers_information": [
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 221.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 232.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 221.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 221.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 845.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.63,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 221.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT ULNAR FX PROX END W MANIP",
			"code_information": [
				{
					"code": "24675",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8363.83,
					"discounted_cash": 2610,
					"minimum": 343.91,
					"maximum": 6691.06,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 2008.09,
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "INTESTINAL OBSTRUCTION ",
			"code_information": [
				{
					"code": "2471",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 4302.56,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "INTESTINAL OBSTRUCTION ",
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				{
					"code": "2472",
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				}
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					"setting": "inpatient",
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					"maximum": 5530.08,
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medi-Cal",
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						},
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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						}
					]
				}
			]
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		{
			"description": "INTESTINAL OBSTRUCTION ",
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				{
					"code": "2473",
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				}
			],
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					"setting": "inpatient",
					"minimum": 7897.1,
					"maximum": 8291.95,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "INTESTINAL OBSTRUCTION ",
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				{
					"code": "2474",
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				}
			],
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					"setting": "inpatient",
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					"maximum": 15195.6,
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						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 14472,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15195.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14472,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 14472,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14472,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS ",
			"code_information": [
				{
					"code": "2481",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 4604.14,
					"maximum": 4834.35,
					"payers_information": [
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							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						}
					]
				}
			]
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		{
			"description": "MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS ",
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				{
					"code": "2482",
					"type": "APR-DRG"
				}
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				{
					"setting": "inpatient",
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					"maximum": 6305.67,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS ",
			"code_information": [
				{
					"code": "2483",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 9310.32,
					"payers_information": [
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 8866.97,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS ",
			"code_information": [
				{
					"code": "2484",
					"type": "APR-DRG"
				}
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					"setting": "inpatient",
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					"maximum": 16688,
					"payers_information": [
						{
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							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 15893.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"standard_charge_dollar": 15893.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 16688,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER GASTROENTERITIS, NAUSEA & VOMITING ",
			"code_information": [
				{
					"code": "2491",
					"type": "APR-DRG"
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					"setting": "inpatient",
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					"maximum": 4139.68,
					"payers_information": [
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							"plan_name": "Traditional Medi-Cal",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER GASTROENTERITIS, NAUSEA & VOMITING ",
			"code_information": [
				{
					"code": "2492",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 4924.43,
					"maximum": 5170.65,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4924.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4924.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 4924.43,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER GASTROENTERITIS, NAUSEA & VOMITING ",
			"code_information": [
				{
					"code": "2493",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 7078.36,
					"maximum": 7432.28,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 7432.28,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 7078.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 7078.36,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER GASTROENTERITIS, NAUSEA & VOMITING ",
			"code_information": [
				{
					"code": "2494",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 13028.7,
					"maximum": 13680.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 13028.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 13680.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 13028.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 13028.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 13028.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC UPPER ARMELBOW SURGERY UNLISTED",
			"code_information": [
				{
					"code": "24999",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 965.56,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 441.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 724.17,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 724.17,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4445",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC",
			"code_information": [
				{
					"code": "250",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 28789,
					"minimum": 22145.7,
					"maximum": 40127.9,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 28789.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 32332.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 31136.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 31123.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 28789.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 23474.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 33717.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 34014.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 40127.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 27317.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 22145.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 22367.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D FOREARM DEEP ABSCESS",
			"code_information": [
				{
					"code": "25028",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4955,
					"discounted_cash": 5257,
					"minimum": 653.66,
					"maximum": 4955,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 4955,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1486.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 686.34,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 4955,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3964,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 653.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2527.05,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 653.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 4955,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3964,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 4955,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 653.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 653.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 653.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 4955,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 4955,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 4955,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3964,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 653.66,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3964,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D FOREARM INFECTED BURSA",
			"code_information": [
				{
					"code": "25031",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7073.04,
					"discounted_cash": 2610,
					"minimum": 587.96,
					"maximum": 5658.43,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2121.91,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 587.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 617.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 587.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 587.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 587.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 587.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 587.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3607.25,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "BIOPSY FOREARM SOFT TISSUES",
			"code_information": [
				{
					"code": "25065",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3345,
					"discounted_cash": 2633,
					"minimum": 111.08,
					"maximum": 3038.53,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 111.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 111.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3038.53,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 111.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2676,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2045.95,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2957.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2559.49,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2147.23,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2676,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 111.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2676,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2676,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 111.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1003.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 116.63,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2848.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2633.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2638.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 111.08,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1705.95,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2835.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC BIOPSY FOREARM SOFT TISSUES,DEEP",
			"code_information": [
				{
					"code": "25066",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3481.2,
					"discounted_cash": 4615,
					"minimum": 272.35,
					"maximum": 3481.2,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2784.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1775.41,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 272.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 272.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 272.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 272.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 272.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2784.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 285.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1044.36,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2784.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 272.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 3481.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2784.96,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC",
			"code_information": [
				{
					"code": "251",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 19683,
					"minimum": 15141.4,
					"maximum": 27436.3,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 22106.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 15292.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 19683.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 18456.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 19683.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 27436.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 22761.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 22983.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 23997.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 15141.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 16049.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 21288.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ABDOMINAL PAIN ",
			"code_information": [
				{
					"code": "2511",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4099.69,
					"maximum": 4304.67,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4099.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4099.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4304.67,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4099.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4099.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4099.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4099.69,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC EXCISION GANGLION WRIST, PRIMARY",
			"code_information": [
				{
					"code": "25111",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8304.15,
					"discounted_cash": 2610,
					"minimum": 302.26,
					"maximum": 8400,
					"payers_information": [
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 8400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6643.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 317.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2491.24,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 8400,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6643.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6643.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 302.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Traditional Medi-Cal",
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						},
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 317.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ABDOMINAL PAIN ",
			"code_information": [
				{
					"code": "2512",
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				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 5523.77,
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							"payer_name": "Non-Contracted Medi-Cal",
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						},
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
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					]
				}
			]
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				{
					"code": "2513",
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				}
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					"setting": "inpatient",
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						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
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						},
						{
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						},
						{
							"payer_name": "Traditional Medi-Cal",
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						}
					]
				}
			]
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			"description": "ABDOMINAL PAIN ",
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				{
					"code": "2514",
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				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 11358.6,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Caloptima",
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						},
						{
							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER VASCULAR PROCEDURES WITH MCC",
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				{
					"code": "252",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 42360,
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					"maximum": 59043.7,
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							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
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							"payer_name": "Traditional Medicare",
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 34539.9,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 45814.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 54613.7,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 32584.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 47573.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 32584.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 42360.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 32584.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 50455.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 32584.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2521",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4906.41,
					"maximum": 5151.73,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4906.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4906.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5151.73,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4906.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4906.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4906.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4906.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2522",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6014.41,
					"maximum": 6315.13,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 6014.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6014.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 6014.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6014.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 6014.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6315.13,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6014.41,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2523",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8611.74,
					"maximum": 9042.33,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8611.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8611.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8611.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8611.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8611.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8611.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9042.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE ",
			"code_information": [
				{
					"code": "2524",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 16262.6,
					"maximum": 17075.8,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 16262.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 17075.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 16262.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 16262.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 16262.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 16262.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 16262.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC INJ FOR WRIST X-RAY",
			"code_information": [
				{
					"code": "25246",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 350,
					"minimum": 105,
					"maximum": 280,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 280,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 280,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 280,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 178.5,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 274.19,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 105,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 261.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 280,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTHER VASCULAR PROCEDURES WITH CC",
			"code_information": [
				{
					"code": "253",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 31707,
					"minimum": 24390.8,
					"maximum": 44196,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 34293.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 30154.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 24634.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 25854.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 44196,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 31708,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 33614.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 37550.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 36590.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 31708,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 35610.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 24390.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "2531",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4963.46,
					"maximum": 5211.63,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4963.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4963.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4963.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4963.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 5211.63,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4963.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4963.46,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "2532",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 6402.76,
					"maximum": 6722.9,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 6402.76,
							"estimated_amount": 6084,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6722.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 6402.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 6402.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 6402.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 6402.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 6402.76,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "2533",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 9104.19,
					"maximum": 9559.4,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9104.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 9104.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 9559.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 9104.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9104.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9104.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 9104.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE ",
			"code_information": [
				{
					"code": "2534",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15664.1,
					"maximum": 16447.3,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 15664.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15664.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 16447.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 15664.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 15664.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15664.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15664.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER VASCULAR PROCEDURES WITHOUT CCMCC",
			"code_information": [
				{
					"code": "254",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21951,
					"minimum": 16885.9,
					"maximum": 30597.3,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 21951.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 23812.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 25730.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 17054.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 20662.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 21951.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 23741.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 30597.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 24653.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 24886.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16885.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 17899.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2541",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 4314.88,
					"maximum": 4530.62,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 4314.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 4314.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 4314.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 4314.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 4314.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 4314.88,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 4530.62,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2542",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 5923.33,
					"maximum": 6219.5,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 5923.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 6219.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 5923.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 5923.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 5923.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 5923.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 5923.33,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2543",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 8569.71,
					"maximum": 8998.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 8569.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 8569.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 8569.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 8569.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 8569.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 8569.71,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 8998.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER DIGESTIVE SYSTEM DIAGNOSES ",
			"code_information": [
				{
					"code": "2544",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 14971.5,
					"maximum": 15720,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 14971.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 14971.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15720,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 14971.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 14971.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 14971.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 14971.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "REPAIR WRIST JOINTS",
			"code_information": [
				{
					"code": "25447",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 16800,
					"discounted_cash": 5257,
					"minimum": 958.05,
					"maximum": 13440,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 958.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 13440,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 958.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 6066.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 5040,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 958.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC",
			"code_information": [
				{
					"code": "255",
					"type": "TRIS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 32478,
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					"maximum": 45270.6,
					"payers_information": [
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 36476.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 38484.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 24983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
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						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 39406.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 24983.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "case rate"
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						{
							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 35127.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 25233.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
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						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 30903.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "Treat fracture of radius",
			"code_information": [
				{
					"code": "25500",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 212.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 212.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 212.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 212.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 212.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 212.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT RADIAL SHAFT FX W MANIP",
			"code_information": [
				{
					"code": "25505",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3566.25,
					"discounted_cash": 2610,
					"minimum": 361,
					"maximum": 3566.25,
					"payers_information": [
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1818.79,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3566.25,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 361,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 361,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 361,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 361,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2853,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1069.88,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 361,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 379.05,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 361,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT RADIAL SHAFT FX & SITAL DISLOC",
			"code_information": [
				{
					"code": "25520",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 2610,
					"minimum": 320.75,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 464.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 464.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 464.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 464.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 464.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 464.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 487.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT ULNA SHAFT FX WO AMNIP",
			"code_information": [
				{
					"code": "25530",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 214.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 204.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 204.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 204.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 204.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 204.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 204.4,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT ULNA SHAFT FX W MANIP",
			"code_information": [
				{
					"code": "25535",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1485.34,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 1485.34,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1188.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1188.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 354.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 757.52,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 354.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 354.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1188.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1485.34,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 354.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1188.27,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 354.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 445.6,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 372.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 354.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT RADULNA SHAFT FX WO MANIP",
			"code_information": [
				{
					"code": "25560",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 845.45,
					"discounted_cash": 383,
					"minimum": 213.68,
					"maximum": 845.45,
					"payers_information": [
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 845.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 213.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.63,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 213.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 224.36,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 213.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 213.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 213.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 213.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT RADULNA SHAFT FX W MANIP",
			"code_information": [
				{
					"code": "25565",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 8363.83,
					"discounted_cash": 2610,
					"minimum": 381.29,
					"maximum": 6691.06,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4265.55,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 381.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2509.15,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 381.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 381.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 400.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 381.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 381.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 6691.06,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 381.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC",
			"code_information": [
				{
					"code": "256",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 21275,
					"minimum": 16365.8,
					"maximum": 29654.8,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 20004.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 20864.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 17347.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 23010.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 29654.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 21275.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 16365.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 21275.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 23518.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 23894,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 16529.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 24911.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT DISTL RADULNA FX WO MANIP",
			"code_information": [
				{
					"code": "25600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 225.75,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 237.04,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 225.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 225.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
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							"payer_name": "Applecare Medical Group",
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							"payer_name": "Applecare Medical Group",
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							"payer_name": "Astiva Health Inc",
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Renal Payer Solutions",
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							"payer_name": "Employer Direct Healthcare",
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						{
							"payer_name": "Health Net of CA",
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							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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							"payer_name": " Anthem Blue Cross",
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							"payer_name": "Verda HealthPlan",
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							"payer_name": "Coventry Workers Compensation",
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							"payer_name": "WellCare",
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							"payer_name": "Alignment",
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						{
							"payer_name": "Health Net Federal Service Tricare",
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							"payer_name": "Health Net of CA",
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							"payer_name": "Workers Compensation",
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						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT DISTL RADULNA FX W MANIP",
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				{
					"code": "25605",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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							"payer_name": "Renal Payer Solutions",
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						{
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							"methodology": "fee schedule"
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						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
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							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
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						},
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net Federal Service Tricare",
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						{
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							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
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						{
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							"methodology": "fee schedule"
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						{
							"payer_name": " Anthem Blue Cross",
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						}
					]
				}
			]
		},
		{
			"description": "Treat wrist bone fracture",
			"code_information": [
				{
					"code": "25622",
					"type": "CPT"
				}
			],
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					"setting": "outpatient",
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					"maximum": 511.8,
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
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							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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						},
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							"payer_name": "Verda HealthPlan",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 235.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 224.3,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT NAVICULAR FX W MANIP",
			"code_information": [
				{
					"code": "25624",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 567.65,
					"discounted_cash": 2610,
					"minimum": 170.29,
					"maximum": 567.65,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 454.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 170.29,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 454.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 355.51,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 289.5,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 454.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 454.12,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 338.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 338.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 338.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 338.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 338.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 338.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 567.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT CARPAL FX EA BONE WO MANIP",
			"code_information": [
				{
					"code": "25630",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 511.8,
					"discounted_cash": 383,
					"minimum": 153.54,
					"maximum": 511.8,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 246.48,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 234.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 234.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 153.54,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 234.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 511.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 409.44,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 234.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 234.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 234.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 261.02,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT CARPAL FX EA BONE W MANIP",
			"code_information": [
				{
					"code": "25635",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 2610,
					"minimum": 320.75,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 330.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 330.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 330.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 347.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 330.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 330.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 330.56,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT ULNA STYLOID FX",
			"code_information": [
				{
					"code": "25650",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 468.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT WRIST DISLO W MANIP",
			"code_information": [
				{
					"code": "25660",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 383,
					"minimum": 240.85,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 240.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 252.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 240.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 240.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 240.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 240.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 240.85,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT RADIOULNA DISLOC W MANIP",
			"code_information": [
				{
					"code": "25675",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1284,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 1284,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1027.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 329.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 329.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1027.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 329.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 329.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 654.84,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 345.98,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 329.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1284,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 385.2,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1027.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1027.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 329.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT NAVICLUNATE FXDISLOC W MANIP",
			"code_information": [
				{
					"code": "25680",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 845.45,
					"discounted_cash": 383,
					"minimum": 253.63,
					"maximum": 845.45,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 845.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 363.13,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.63,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT LUNATE DISLOC W MANIP",
			"code_information": [
				{
					"code": "25690",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6560.9,
					"discounted_cash": 2610,
					"minimum": 332.69,
					"maximum": 5248.72,
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3346.06,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 349.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 332.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5248.72,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CCMCC",
			"code_information": [
				{
					"code": "257",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 11541,
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					"maximum": 16086.5,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 14214.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 16086.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 9362.19,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 8966.52,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 13118.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 11541.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 12961.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 12610,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 9410.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 8877.74,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC",
			"code_information": [
				{
					"code": "258",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 34773,
					"minimum": 26748.9,
					"maximum": 48468.9,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 26748.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 48468.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 26748.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 34465.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 26748.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						},
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						}
					]
				}
			]
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		{
			"description": "CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC",
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				{
					"code": "259",
					"type": "MS-DRG"
				}
			],
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						},
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						},
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						},
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						},
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						},
						{
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						},
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						},
						{
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						},
						{
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						},
						{
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						},
						{
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						},
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						},
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						},
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						},
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						},
						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
		},
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			"description": "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC",
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				{
					"code": "260",
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				}
			],
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					"setting": "inpatient",
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						},
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						},
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						},
						{
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						{
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "Imperial Health Plan",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						},
						{
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						},
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR PANCREAS, LIVER & SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "2601",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 15480.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAIN FINGER ABSCESS SIMPLE",
			"code_information": [
				{
					"code": "26010",
					"type": "CPT"
				}
			],
			"standard_charges": [
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					"setting": "outpatient",
					"gross_charge": 1052.85,
					"discounted_cash": 325,
					"minimum": 150.07,
					"maximum": 842.28,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 351.68,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 157.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": " Anthem Blue Cross",
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						},
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							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
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							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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						},
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"payer_name": "Workers Compensation",
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						},
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							"payer_name": "Brand New Day",
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						}
					]
				}
			]
		},
		{
			"description": "Drainage of finger abscess",
			"code_information": [
				{
					"code": "26011",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 8742.98,
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					"maximum": 6994.38,
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							"payer_name": "Health Net of CA",
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							"payer_name": "Health Net Federal Service Tricare",
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							"payer_name": "Health Net of CA",
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							"methodology": "percent of total billed charges"
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							"payer_name": "Coventry Workers Compensation",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
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							"payer_name": "Traditional Medicare",
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						{
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							"methodology": "fee schedule"
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							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Renal Payer Solutions",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"methodology": "percent of total billed charges"
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Brand New Day",
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						{
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							"methodology": "fee schedule"
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						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Tricare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Aetna",
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							"methodology": "percent of total billed charges"
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							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
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						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 2025.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "MAJOR PANCREAS, LIVER & SHUNT PROCEDURES ",
			"code_information": [
				{
					"code": "2602",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 20488.2,
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							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "case rate"
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						{
							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC DRAINAGE OF PALMAR BURSA SINGLE BURSA",
			"code_information": [
				{
					"code": "26025",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 6749.7,
					"discounted_cash": 5257,
					"minimum": 373.29,
					"maximum": 6066.31,
					"payers_information": [
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							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3442.35,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5399.76,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5399.76,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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						{
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					]
				}
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					"code": "2613",
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					"setting": "inpatient",
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					"maximum": 23578,
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						},
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						},
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						},
						{
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							"methodology": "case rate"
						},
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							"payer_name": "Health Net of CA",
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							"methodology": "case rate"
						},
						{
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						}
					]
				}
			]
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			"description": "MAJOR BILIARY TRACT PROCEDURES ",
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				{
					"code": "2614",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
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						},
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						},
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						},
						{
							"payer_name": "Health Net of CA",
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						},
						{
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						},
						{
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						},
						{
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						}
					]
				}
			]
		},
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			"description": "CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CCMCC",
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				{
					"code": "262",
					"type": "MS-DRG"
				}
			],
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					"setting": "inpatient",
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							"methodology": "case rate"
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						},
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						},
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							"methodology": "case rate"
						},
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"methodology": "case rate"
						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "case rate"
						},
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							"payer_name": "Verda HealthPlan",
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						},
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
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						},
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						},
						{
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						},
						{
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						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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						},
						{
							"payer_name": "Applecare Medical Group",
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						},
						{
							"payer_name": "Traditional Medicare",
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						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 20700.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 19139.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "VEIN LIGATION AND STRIPPING",
			"code_information": [
				{
					"code": "263",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 33275,
					"minimum": 25596.4,
					"maximum": 46380.7,
					"payers_information": [
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						},
						{
							"payer_name": "Alignment",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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						},
						{
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						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 33275.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
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						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 27132.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 31678.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
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							"methodology": "case rate"
						},
						{
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						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHOLECYSTECTOMY",
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				{
					"code": "2631",
					"type": "APR-DRG"
				}
			],
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					"setting": "inpatient",
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					"maximum": 9871.52,
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
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							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 9401.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 9401.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 9401.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 9401.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHOLECYSTECTOMY",
			"code_information": [
				{
					"code": "2632",
					"type": "APR-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"minimum": 11873.7,
					"maximum": 12467.4,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12467.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11873.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 11873.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11873.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 11873.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 11873.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHOLECYSTECTOMY",
			"code_information": [
				{
					"code": "2633",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 15022.5,
					"maximum": 15773.6,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 15022.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 15022.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 15773.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 15022.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 15022.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 15022.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 15022.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "CHOLECYSTECTOMY",
			"code_information": [
				{
					"code": "2634",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 28108.3,
					"maximum": 29513.7,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 28108.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 28108.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 28108.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 28108.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 28108.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 29513.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 28108.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER CIRCULATORY SYSTEM O.R. PROCEDURES",
			"code_information": [
				{
					"code": "264",
					"type": "TRIS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 43145,
					"minimum": 33189,
					"maximum": 60138.5,
					"payers_information": [
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 46017.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 35180.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 51407,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 43145.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 41281.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 33520.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 60138.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 43145.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 46663.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 33189,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 46844.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 48456,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2641",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 11496.3,
					"maximum": 12071.2,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 11496.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 11496.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 11496.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12071.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 11496.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 11496.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 11496.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC REPAIR EXTEN TENDON FINGER EA",
			"code_information": [
				{
					"code": "26418",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4653.65,
					"discounted_cash": 2610,
					"minimum": 420.28,
					"maximum": 3722.92,
					"payers_information": [
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 420.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2373.36,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 3722.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 420.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 420.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 3722.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 420.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 420.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 441.29,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1396.1,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 3722.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 420.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 3722.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2642",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 12208,
					"maximum": 12818.4,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 12818.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 12208,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 12208,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 12208,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 12208,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 12208,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 12208,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2643",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 18504.6,
					"maximum": 19429.9,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 18504.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 19429.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 18504.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES ",
			"code_information": [
				{
					"code": "2644",
					"type": "APR-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"minimum": 37949.1,
					"maximum": 39846.6,
					"payers_information": [
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 37949.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 39846.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 37949.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 37949.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 37949.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 37949.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "AICD LEAD PROCEDURES",
			"code_information": [
				{
					"code": "265",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 44021,
					"minimum": 33862.4,
					"maximum": 61358.6,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 49439.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 35894.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 61358.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 44021.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 50690.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 34201,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 52467.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 42132.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 33862.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 44970.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 44021.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 47610.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "266",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 73445,
					"minimum": 56496.4,
					"maximum": 102371,
					"payers_information": [
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 89588.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 102371,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 82484.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 79433.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 59334.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 70758.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 73445.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 88114.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 59886.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 73445.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 57061.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 56496.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT METACARPAL FX WO MANIP EA",
			"code_information": [
				{
					"code": "26600",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 199.14,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 199.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 209.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT METACARPAL FX W MANIP EA",
			"code_information": [
				{
					"code": "26605",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1382.76,
					"discounted_cash": 383,
					"minimum": 262.74,
					"maximum": 1382.76,
					"payers_information": [
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							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1106.21,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 262.74,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 275.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "Treat metacarpal fracture",
			"code_information": [
				{
					"code": "26608",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 13125,
					"discounted_cash": 5257,
					"minimum": 334.83,
					"maximum": 10500,
					"payers_information": [
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3937.5,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 334.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 351.57,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5257.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 334.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 6066.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 10500,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 334.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10500,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5661.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 334.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 334.83,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5904.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10500,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT THUMB DISLOC W MANIP",
			"code_information": [
				{
					"code": "26641",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 294.64,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 296.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 296.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 296.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 296.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 296.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "Treat thumb fracture",
			"code_information": [
				{
					"code": "26645",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
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					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 330.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 330.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 330.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 330.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 330.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT CARPOMETACAR DISLOC,NON-THUMB W ANES",
			"code_information": [
				{
					"code": "26670",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 845.45,
					"discounted_cash": 383,
					"minimum": 253.63,
					"maximum": 845.45,
					"payers_information": [
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 303.35,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 288.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 288.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 288.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 288.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 253.63,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 288.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 431.18,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 288.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 845.45,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 676.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT C-MC DISLOC W MANIP W ANES EA",
			"code_information": [
				{
					"code": "26675",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 575.6,
					"discounted_cash": 2610,
					"minimum": 172.68,
					"maximum": 575.6,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 460.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 172.68,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 317.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 317.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 460.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 333.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 293.56,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 317.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 317.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 317.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 317.75,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 460.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 460.48,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 575.6,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC",
			"code_information": [
				{
					"code": "267",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 57831,
					"minimum": 4912.15,
					"maximum": 80607.7,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 57831.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 55568.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 44930.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4912.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 64948.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 69997.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 57831.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 47154.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 80607.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 62546.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 69198.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 44485.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MC-P DISLOC W MANIP WO ANES",
			"code_information": [
				{
					"code": "26700",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 199.73,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 209.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 362.08,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 199.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT MC-P DISLOC W MANIP W ANES",
			"code_information": [
				{
					"code": "26705",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1069.15,
					"discounted_cash": 2610,
					"minimum": 292.12,
					"maximum": 1069.15,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 292.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 292.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 292.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 306.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 292.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 855.32,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 292.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 292.12,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 320.75,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 1069.15,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 545.27,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT PROXMID FING SHFT FX WO MANIP EA",
			"code_information": [
				{
					"code": "26720",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 105.69,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 110.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 105.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 362.08,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 105.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 105.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 105.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 105.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 105.69,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT PROXMID FING SHFT FX W MANIP EA",
			"code_information": [
				{
					"code": "26725",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1269,
					"discounted_cash": 383,
					"minimum": 194.39,
					"maximum": 1269,
					"payers_information": [
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1015.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1015.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 204.11,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1015.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 647.19,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1015.2,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 194.39,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 380.7,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1269,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC OPEN TX PHALANGEAL SHAFT FRACTURE PROXMIDDLE EA",
			"code_information": [
				{
					"code": "26735",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 9637.95,
					"discounted_cash": 5257,
					"minimum": 328.97,
					"maximum": 7710.36,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7710.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5257.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 7710.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2891.39,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 345.42,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5661.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5904.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 4915.35,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 7710.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7710.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 328.97,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT FINGR ARTICULAR FX WO MANIP EA",
			"code_information": [
				{
					"code": "26740",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 576.15,
					"discounted_cash": 383,
					"minimum": 127.1,
					"maximum": 576.15,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 460.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 576.15,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 133.46,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 460.92,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 127.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 127.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 127.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 127.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT FINGR ARTICULAR FX W MANIP EA",
			"code_information": [
				{
					"code": "26742",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 3554.77,
					"discounted_cash": 2610,
					"minimum": 308.67,
					"maximum": 3554.77,
					"payers_information": [
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 308.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1066.43,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3554.77,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 308.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 308.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 324.1,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 308.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 308.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 1812.93,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 308.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 2843.82,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "TREAT FINGER FRACTURE EACH",
			"code_information": [
				{
					"code": "26746",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 13116.7,
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					"maximum": 10493.4,
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							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 6066.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5904.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 323.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5257.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10493.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 10493.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Commercial",
							"standard_charge_dollar": 7870.02,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 323.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5661.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 323.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10493.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 10493.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3935.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 7870.02,
							"standard_charge_percentage": 60.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 339.79,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 323.61,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "TREAT FINGER FRACTURE EACH",
			"code_information": [
				{
					"code": "26750",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
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					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 117.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 123.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 117.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 117.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 117.41,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT DIST FINGR FX W MANIP EA",
			"code_information": [
				{
					"code": "26755",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 183.7,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 615.54,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 192.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 183.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 312.32,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 183.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 183.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 383.03,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 183.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 183.7,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 362.08,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 383.8,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 297.59,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 430.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC OPEN TREAT DIST PHALANGEAL FX EA",
			"code_information": [
				{
					"code": "26765",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 9637.95,
					"discounted_cash": 5257,
					"minimum": 259.01,
					"maximum": 7710.36,
					"payers_information": [
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_dollar": 7710.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3600,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 7710.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 7710.36,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2891.39,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 271.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 259.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"standard_charge_dollar": 259.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5257.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 259.01,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5661.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "TREAT FINGER DISLOCATION",
			"code_information": [
				{
					"code": "26770",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1206.95,
					"discounted_cash": 383,
					"minimum": 178.9,
					"maximum": 1206.95,
					"payers_information": [
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 178.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 178.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 965.56,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 414.26,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 412.5,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 187.84,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 294.64,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 1206.95,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Imperial Health Plan",
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							"methodology": "fee schedule"
						},
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							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Workers Compensation",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
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							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 372.28,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC CLSD TREAT IP JNT DISLOC W MANIP W ANES",
			"code_information": [
				{
					"code": "26775",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 4138,
					"discounted_cash": 436,
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					"maximum": 3600,
					"payers_information": [
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							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
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						{
							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"methodology": "fee schedule"
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						{
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						{
							"payer_name": "Molina ",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 423.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"standard_charge_dollar": 335.54,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 338.9,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 436.2,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 276.62,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 355.67,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC",
			"code_information": [
				{
					"code": "268",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
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					"maximum": 113824,
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
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							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 66586.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 63445.2,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"standard_charge_dollar": 81662.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 19088,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 62817,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 62817,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 62817,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 62817,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 62817,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 98318.1,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 62817,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 62817,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 91712.9,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Workers Compensation",
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						},
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							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
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			"description": "AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC",
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				{
					"code": "269",
					"type": "MS-DRG"
				}
			],
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				{
					"setting": "inpatient",
					"discounted_cash": 51226,
					"minimum": 5191.86,
					"maximum": 71402,
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Managed Health Network ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
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							"payer_name": "Health Net Federal Service Tricare",
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							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
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						},
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							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
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							"methodology": "case rate"
						},
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							"payer_name": "Caloptima",
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							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
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							"standard_charge_dollar": 59647.5,
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							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
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							"payer_name": "Aetna",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 57531.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 61196.8,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 51226.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
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							"standard_charge_dollar": 55403.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 49142.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
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							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC AMPUTATION OF FINGERTHUMB",
			"code_information": [
				{
					"code": "26951",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 4735.67,
					"discounted_cash": 5257,
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					"maximum": 4735.67,
					"payers_information": [
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							"payer_name": "Alignment",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Health Net of CA",
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							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
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							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
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						{
							"payer_name": "Coventry Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
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							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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						{
							"payer_name": " Anthem Blue Cross",
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							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
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							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"methodology": "fee schedule"
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						{
							"payer_name": "Traditional Medicare",
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							"payer_name": "Workers Compensation",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
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						{
							"payer_name": "Non-Contracted Medi-Cal",
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							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
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							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "WellCare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 374.88,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC AMP FTH 12 JTPHALANX WNEURECT LOCAL FLAP",
			"code_information": [
				{
					"code": "26952",
					"type": "CPT"
				}
			],
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				{
					"setting": "outpatient",
					"gross_charge": 13116.7,
					"discounted_cash": 5257,
					"minimum": 445.91,
					"maximum": 10493.4,
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
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						{
							"payer_name": "Caloptima",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
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							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Workers Compensation",
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							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
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							"standard_charge_dollar": 6066.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 6490,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 445.91,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 10493.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5257.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5904.55,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 10493.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5661.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 3935.01,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 468.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 10493.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D PELVISHIP,DEEP ABSCESS",
			"code_information": [
				{
					"code": "26990",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 5428,
					"discounted_cash": 5257,
					"minimum": 968.72,
					"maximum": 5428,
					"payers_information": [
						{
							"payer_name": "Molina ",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
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							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 968.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 5257.47,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 1628.4,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 968.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 4342.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 5428,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5428,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 4286.86,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 2768.28,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 4342.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 4342.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 5428,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 968.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 4084.65,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 968.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 968.72,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 1017.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 4342.4,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 5428,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "HC I&D PELVISHIP,INFECT BURSA",
			"code_information": [
				{
					"code": "26991",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 7073.04,
					"discounted_cash": 2610,
					"minimum": 429.89,
					"maximum": 5658.43,
					"payers_information": [
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 2537.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 3012.14,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 429.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 429.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 429.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 2615.73,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 2931.81,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 451.38,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 429.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 2811.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 2121.91,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 2823.37,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 2028.17,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 429.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 5658.43,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 429.89,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 2128.58,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 2610.52,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 3607.25,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $6490",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 2008.09,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						}
					]
				}
			]
		},
		{
			"description": "DRAINAGE OF BONE LESION",
			"code_information": [
				{
					"code": "26992",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 1500,
					"minimum": 450,
					"maximum": 1461.82,
					"payers_information": [
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal IP",
							"standard_charge_dollar": 1392.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 1392.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Keenan",
							"plan_name": "Keenan",
							"standard_charge_dollar": 450,
							"standard_charge_percentage": 30.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Commercial - Non-Contracted ",
							"standard_charge_dollar": 1200,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 1392.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Non-Contracted Commercials - 80% of BC",
							"plan_name": "Non-Contracted Commercials - 80% of BC",
							"standard_charge_dollar": 1200,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 1200,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 1461.82,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 1392.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Traditional Medi-Cal",
							"plan_name": "Traditional Medi-Cal",
							"standard_charge_dollar": 1392.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Cal",
							"standard_charge_dollar": 1392.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 765,
							"standard_charge_percentage": 51.0,
							"standard_charge_algorithm": "Not To Exceed $4132",
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Commercial - Non-Contracted ",
							"standard_charge_dollar": 1200,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						}
					]
				}
			]
		},
		{
			"description": "OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC",
			"code_information": [
				{
					"code": "270",
					"type": "MS-DRG"
				}
			],
			"standard_charges": [
				{
					"setting": "inpatient",
					"discounted_cash": 63031,
					"minimum": 5184.98,
					"maximum": 87855.5,
					"payers_information": [
						{
							"payer_name": "Managed Health Network ",
							"plan_name": "Managed Health Network Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Renal Payer Solutions",
							"plan_name": "Renal Payor Solution Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial",
							"standard_charge_dollar": 87855.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Medicare",
							"standard_charge_dollar": 48970.3,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 75497.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Employer Direct Healthcare",
							"plan_name": "Employer Direct health Care Medicare",
							"standard_charge_dollar": 63031,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Aetna",
							"plan_name": "Aetna Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Imperial Health Plan",
							"plan_name": "Imperial Health plan Medicare",
							"standard_charge_dollar": 51394.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Blue Shield of VA",
							"plan_name": "Blue Shield of CA TriWest Healthcare VA",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Applecare Medical Group",
							"plan_name": "Applecare Medical Group Commercial",
							"standard_charge_dollar": 63031,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Exchange",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Traditional Medicare",
							"plan_name": "Traditional Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 72532,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Onecare Non-Contracted ",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 60628.6,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Non-Contracted Medicare",
							"plan_name": "Non-Contracted Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Medi Non-Contracted ",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "WellCare",
							"plan_name": "Wellcare Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Astiva Health Inc",
							"plan_name": "Astiva Health Inc Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 68170.5,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial Ins Exchange",
							"standard_charge_dollar": 70788.7,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Tricare",
							"plan_name": "Tricare",
							"standard_charge_dollar": 5184.98,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Health Net Federal Service Tricare",
							"plan_name": "Health Net Federal Service Tricare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						},
						{
							"payer_name": "Alignment",
							"plan_name": "Alignment Medicare",
							"standard_charge_dollar": 48485.4,
							"estimated_amount": 999999999,
							"methodology": "case rate"
						}
					]
				}
			]
		},
		{
			"description": "HC TENOTOMY OF HIP TENDON",
			"code_information": [
				{
					"code": "27001",
					"type": "CPT"
				}
			],
			"standard_charges": [
				{
					"setting": "outpatient",
					"gross_charge": 13010.7,
					"discounted_cash": 5257,
					"minimum": 358.33,
					"maximum": 10408.5,
					"payers_information": [
						{
							"payer_name": "Workers Compensation",
							"plan_name": "Workers Compensation",
							"standard_charge_dollar": 5267.96,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Verda HealthPlan",
							"plan_name": "Verda HealthPlan Medicare",
							"standard_charge_dollar": 4044.21,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Brand New Day",
							"plan_name": "Brand New Day Commercial Exchange",
							"standard_charge_dollar": 6066.31,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Commercial PPO",
							"standard_charge_dollar": 5686.16,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Molina ",
							"plan_name": "Molina Medi-Cal",
							"standard_charge_dollar": 358.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Caloptima",
							"plan_name": "Caloptima Medi-Adult expansion",
							"standard_charge_dollar": 358.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": " Anthem Blue Cross",
							"plan_name": "Anthem Blue Cross Ins Exchange - Non-Contracted ",
							"standard_charge_dollar": 10408.5,
							"standard_charge_percentage": 80.0,
							"estimated_amount": 999999999,
							"methodology": "percent of total billed charges"
						},
						{
							"payer_name": "Non-Contracted Medi-Cal",
							"plan_name": "Non-Contracted Medi-Cal",
							"standard_charge_dollar": 358.33,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Coventry Workers Compensation",
							"plan_name": "Coventry Workers Compensation",
							"standard_charge_dollar": 5109.92,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA Medi-Cal",
							"standard_charge_dollar": 376.25,
							"estimated_amount": 999999999,
							"methodology": "fee schedule"
						},
						{
							"payer_name": "Health Net of CA",
							"plan_name": "Health Net Of CA